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目的了解安徽省男男性行为人群(men who have sex with men,MSM)社群内不同关系层同伴(男友/固定性伴、同性偶然性伴、MSM社群普通朋友、MSM社群一般人员)对人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者和获得性免疫缺陷综合征(acquired immunodeficiency syndrome,AIDS)病人艾滋病相关羞辱和歧视的差序格局特征及其主要表现形式。方法采用面对面的问卷调查方式,匿名调查安徽省184名HIV阳性MSM和202名HIV阴性MSM。结果 HIV阴性MSM对不同关系层的HIV/AIDS患者的羞辱和歧视评分差异存在统计学意义(F=7.76,P<0.001),且这种差异呈现出关系越亲近,羞辱和歧视情况越严重的趋势。同性性伴关系层主要表现在对性要求的拒绝和排斥,而社群普通朋友和一般人员则主要表现为议论、言语羞辱和嘲笑。结论MSM社群中普遍存在对HIV/AIDS患者的羞辱和歧视,且具有一定的差序格局特征,因此应针对这些特点采取行之有效的干预策略和措施。
Objective To understand the relationship between peer-men (boyfriend / regular partner, same-sex contingent partner, common MSM community friend, MSM community general) in different social strata of men who have sex with men (MSM) HIV-related stigma and discrimination in HIV-infected and acquired immunodeficiency syndrome (AIDS) patients with the characteristics of the pattern of difference and its main manifestations. Methods A face-to-face questionnaire was used to anonymously investigate 184 HIV-positive MSM and 202 HIV-negative MSM in Anhui Province. Results There was a statistically significant difference in the scores of stigma and discrimination between HIV-negative MSM and HIV / AIDS patients in different affiliations (F = 7.76, P <0.001), and this difference showed the closer the relationship, the more serious the stigma and discrimination trend. Homosexual relationships mainly in the rejection and exclusion of sexual demands, while the general community friends and general staff mainly for the discussion, verbal humiliation and ridicule. Conclusion There is widespread stigma and discrimination among HIV / AIDS patients in the MSM community, and there are some characteristics of the pattern of difference and order. Therefore, effective intervention strategies and measures should be taken for these characteristics.