中国同性恋网站性健康干预现状与对策研究
发布时间：2018-12-16 15:38
【摘要】： [背景] 互联网是把双刃剑。随着互联网络的普及与大规模扩张,越来越多的同性恋者/男男性接触者(MSM)通过同性恋网站这一网络平台寻找性伴侣,其速度之快、过程之便、效率之高,从根本上改变了同性交友的传统方式,而性病/艾滋病(STD/AIDS)也因此在MSM人群中更快、更方便、更高效地传播着。因此,网上交友MSM人群的性健康教育与疾病控制形势紧迫。基于网络与传统途径在MSM性健康教育中相辅相成,国外研究显示开展网络健康干预不仅必要且完全可行,同时MSM对其接受性良好。然而,我国对MSM人群网络性健康干预尚缺乏有针对性的系统研究,而这对于刚刚起步的网络健康干预和正在走向深入的MSM防艾工作都至关重要。 [研究目的] 研究我国同性恋网站现有规模以及同性恋网站开展性健康干预的现状,为开展基于互联网的MSM健康促进与疾病预防工作提供依据和对策建议。 [研究资料与方法] 1,对我国同性恋网站,根据自编《中国同性恋网站发展现况调查与健康干预功能研究调查表》进行网上观察,填写观察记录; 2,对同性恋网站负责人,采用个人深入访谈的定性研究,并对交通不便者进行网上深访; 3,对MSM网民,抽取方便样本,采用网上问卷调查进行定量研究。 [研究结果] 1,经搜索引擎和超链接检索确认了112个中国大陆同性恋网站,估计我国同性恋网站数为112-160个,以男同性恋者/MSM为主要的服务人群,为同性网民提供交友平台,并通过传统交往场所的信息传播,促使其联系更加紧密。 2,目前,3/4的国内同性恋网站已开展一或多种网络MSM性健康干预,其干预可归纳为以下六种形式:①以文本形式发布STD/AIDS相关的健康新闻与知识;②以多媒体形式发布STD/AIDS相关的健康新闻与知识:③网页健康广告或超级链接;④网上健康问卷调查;⑤网络同伴健康交流;⑥医疗卫生机构通过网络开展性病艾滋病疾病预控工作。其中,以文本形式发布健康信息和同伴交流形式最为常见。干预工作的开展受到网站负责人态度、人力财力的缺乏、“圈内”关系不协调以及缺乏理论的指导和政策支持等因素的影响。 3,2304名MSM网民来自全国31个省、直辖市、自治区及海外,91.1%的人低于40岁,年龄中位数为26岁,68.5%具有大学及以上学历,29.8%为学生,超过40%的人每周上网时间多于14小时。研究对象对STD/AIDS知晓率76.3%-82.0%,但对艾滋病存在恐惧和歧视,对HIV是否通过“口交”传播、HIV是否通过蚊虫传播,以及STD/AIDS预防措施仍有较多的误解。 [建议] 从干预者、干预材料和社会环境三方面提出建议: 1,开展网站负责人的培训,提高他们的健康知识、健康教育理念和技能,使其能够胜任健康“把关人”的职责;加强网络媒介的监管,对信息流通渠道和传递过程进行质量控制,以防错误的、违背科学的内容通过网络。 2,网络性健康干预的内容,应根据网民STD/AIDS的知识薄弱点,具体消除HIV“口交”传播、蚊虫传播以及STD/AIDS预防措施的误解,着重加强适合网民特征的消除AIDS恐惧和反歧视教育。健康干预的形式上,以同伴交流为主,并借鉴国外经验,设计针对个体水平的自动化干预程序。 3,促使政府尽快制定针对MSM的,与STD/AIDS防治相适应的政策,鼓励并支持网络健康干预的开展,并给予经费的保障。
[Abstract]:[Background] The Internet is a double With the popularization and large-scale expansion of the Internet, more and more gays/ men's men (MSM) find sexual partners through the same network platform of the same-sex website, and the speed is fast, the process is high, the efficiency is high, and the tradition of the same-sex friends is fundamentally changed In this way, STD/ AIDS is also faster, more convenient, and more efficient in the MSM population As a result, the sexual health education and disease control situation of the MSM population on the Internet Urgent. The network and the traditional approach are mutually reinforcing in the sexual health education of the MSM, and the foreign research shows that the network health intervention is not only necessary and feasible, but also the acceptance of the MSM Good. However, there is a lack of targeted systematic research on the network health intervention of the MSM population, which is close to the newly-started network health intervention and in-depth MSM anti-AIDS work It's important.[Research Objective] To study the current situation of the existing scale of the homosexuals and the sexual health intervention of the homosexuals, in order to carry out the Internet-based MSM health promotion and the prevention of disease To make recommendations on the basis and the countermeasures.[Study data and method] 1. The research questionnaire on the status of the development of the homosexuals in China and the function of health intervention according to the development status of the Chinese homosexuals.> Make an online observation and fill in the observation record; 2. In-depth interview with the person in charge of the homosexual website sex research, and carry on the online deep-visit to the people of the traffic, 3, to the MSM netizens, taking a convenient sample, A quantitative study was carried out using an online questionnaire.[Results] 1. 112 Chinese mainland homosexuals were identified through search engine and hyperlink search, and the number of homosexuals in China was estimated to be 112-160. The narcissistic/ MSM is the main service group, and provides the same-sex Internet users with a friend-making level. at present, 3/ 4 of the domestic homosexuals have carried out one or more network MSM sexual health interventions, and the intervention can be summarized in the following six forms: the publication of STD/ AIDS-related health news and knowledge in the form of text Knowledge; the publication of STD/ AIDS-related health news and knowledge in the form of multimedia: a web-based health advertisement or hyperlink; an online health survey; a peer-to-peer network peer. Health and communication; HIV/ AIDS pre-treatment by health and health institutions through the network Control work. Among them, health information and peer-to-peer communication are most common in the form of text. The implementation of the intervention is subject to the attitude of the person in charge of the website and the lack of human and financial resources. 3, 2304 MSM are from 31 provinces, municipalities directly under the Central Government, autonomous regions and overseas, 91. 1% are lower than 40, the median age is 26, and 68.5% has a university and so More than 40% of the students who have a higher educational background and 29. 8% have access to the Internet for more than 14 hours a week. The study object is 76.3%-82.0% of the STD/ AIDS awareness rate, but there is fear and discrimination against the AIDS, and whether the HIV is transmitted through the 鈥渙ral delivery鈥，
本文编号：2382586
[Abstract]:[Background] The Internet is a double With the popularization and large-scale expansion of the Internet, more and more gays/ men's men (MSM) find sexual partners through the same network platform of the same-sex website, and the speed is fast, the process is high, the efficiency is high, and the tradition of the same-sex friends is fundamentally changed In this way, STD/ AIDS is also faster, more convenient, and more efficient in the MSM population As a result, the sexual health education and disease control situation of the MSM population on the Internet Urgent. The network and the traditional approach are mutually reinforcing in the sexual health education of the MSM, and the foreign research shows that the network health intervention is not only necessary and feasible, but also the acceptance of the MSM Good. However, there is a lack of targeted systematic research on the network health intervention of the MSM population, which is close to the newly-started network health intervention and in-depth MSM anti-AIDS work It's important.[Research Objective] To study the current situation of the existing scale of the homosexuals and the sexual health intervention of the homosexuals, in order to carry out the Internet-based MSM health promotion and the prevention of disease To make recommendations on the basis and the countermeasures.[Study data and method] 1. The research questionnaire on the status of the development of the homosexuals in China and the function of health intervention according to the development status of the Chinese homosexuals.> Make an online observation and fill in the observation record; 2. In-depth interview with the person in charge of the homosexual website sex research, and carry on the online deep-visit to the people of the traffic, 3, to the MSM netizens, taking a convenient sample, A quantitative study was carried out using an online questionnaire.[Results] 1. 112 Chinese mainland homosexuals were identified through search engine and hyperlink search, and the number of homosexuals in China was estimated to be 112-160. The narcissistic/ MSM is the main service group, and provides the same-sex Internet users with a friend-making level. at present, 3/ 4 of the domestic homosexuals have carried out one or more network MSM sexual health interventions, and the intervention can be summarized in the following six forms: the publication of STD/ AIDS-related health news and knowledge in the form of text Knowledge; the publication of STD/ AIDS-related health news and knowledge in the form of multimedia: a web-based health advertisement or hyperlink; an online health survey; a peer-to-peer network peer. Health and communication; HIV/ AIDS pre-treatment by health and health institutions through the network Control work. Among them, health information and peer-to-peer communication are most common in the form of text. The implementation of the intervention is subject to the attitude of the person in charge of the website and the lack of human and financial resources. 3, 2304 MSM are from 31 provinces, municipalities directly under the Central Government, autonomous regions and overseas, 91. 1% are lower than 40, the median age is 26, and 68.5% has a university and so More than 40% of the students who have a higher educational background and 29. 8% have access to the Internet for more than 14 hours a week. The study object is 76.3%-82.0% of the STD/ AIDS awareness rate, but there is fear and discrimination against the AIDS, and whether the HIV is transmitted through the 鈥渙ral delivery鈥，
本文编号：2382586
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