摘要
目的 了解我国开展男男同性性行为人群(men who have sex with men,MSM)艾滋病干预工作的社会组织(MSM社会组织)现状,为促进MSM社会组织更好地开展艾滋病干预工作提供参考.方法 采用定量研究方法,向2023年参与社会组织参与艾滋病防治基金(艾防基金)项目的MSM社会组织发放调查问卷,主要内容包括MSM社会组织基本情况、人员构成情况、外部机构合作情况以及开展艾滋病干预工作等情况.结果 发放调查问卷243份,回收242份,回收率99.59％,覆盖30个省(自治区、直辖市),其中民政部门登记的MSM社会组织96个(39.67％).民政部门登记与未登记的MSM社会组织拥有全职员工、志愿者人数差异有统计学意义(Z=5.80、5.70,P＜0.05);不同类型MSM社会组织与性病艾滋病防治协会、医院、其他MSM社会组织、预防医学会、卫生行政部门、基金会、社区、教育部门、民政部门、企业合作情况差异有统计学意义(x2=7.13、11.02、5.75、22.66、19.77、4.91、32.58、9.17、27.28、16.89,P＜0.05);不同类型MSM社会组织通过公园、KTV、会所、抖音、微博接触MSM差异有统计学意义(x2=9.03、5.43、7.93、17.33、4.62,P＜0.05),提供健康教育、咨询、检测服务情况差异无统计学意义(P＞0.05).结论 MSM社会组织具有易接触MSM、服务内容较为完善、形式多样、灵活性高等优势,应积极争取民政登记,增加与外部机构合作的机会,扩大组织自身的筹资渠道,促进MSM社会组织可持续发展.
Abstract
Objective To understand the current status of community-based organizations,referred to as men who have sex with men(MSM)community-based organizations conducting HIV/AIDS intervention for MSM in China to provide references for promoting the better implementation of HIV/AIDS intervention Work by MSM community-based organizations.Methods A quantitative research method was employed to distribute questionnaires to MSM community-based organizations participating in the HIV/AIDS Prevention and Control Fund Project in 2023.The main contents of the questionnaire included the basic situation,composition of personnel,external cooperation,and implementation of HIV intervention work by MSM community-based organizations.Results A total of 243 questionnaires were distributed,with 242 returned,resulting in a recovery rate of 99.59％,covering 30 provinces(autonomous regions,centrally-administered municipalities).Among them,96(39.67％)were MSM community-based organizations registered with the civil affairs department.Significant differences existed in the number of full-time employees and volunteers between registered and unregistered MSM community-based organizations(Z=5.80,5.70,P＜0.05).Statistically significant differences were also found in the cooperation with different types of MSM community-based organizations and Sexually Transmitted Diseases and AIDS prevention and control associations,hospitals,other MSM community-based organizations,preventive medicine associations,health administrative departments,foundations,communities,education departments,civil affairs departments,and enterprises(x2=7.13,11.02,5.75,22.66,19.77,4.91,32.5,P＜0.05).Different types of MSM community-based organizations had significant differences in reaching MSM through garden,KTV,clubs,Douyin,and Weibo(x2=9.03,5.43,7.93,17.33,4.62,P＜0.05),while no statistically significant differences were found in the provision of health education,counseling,and testing services,(P＞0.05).Conclusions MSM community-based organizations have the advantages of easy access to MSM,relatively comprehensive service content,diverse forms,and high flexibility.They should actively strive for civil affairs registration,increase opportunities for external cooperation,expand their own financing channels,and promote the sustainable development of MSM community-based organizations.
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