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目的:探讨男同性恋HIV阳性者暴露/不暴露HIV阳性状态/性取向的现状和原因。方法:采用质性研究方法,选取2009年3月—2010年3月于北京佑安医院就诊的37名男同性恋HIV阳性者,实施深入访谈,对访谈资料进行编码,提炼出概念类属。结果:37名被试中,有31名向不同的对象暴露了自己HIV阳性状态/性取向的状况。选择暴露的原因主要有“责任”、“安全”、“获得支持”、“缓解结婚压力”;不暴露的原因主要有“担心家人无法接受”、“不想给家人增加压力”、“愧疚感”、“担心受歧视”。结论:医疗或相关心理从业者应考虑男同性恋HIV阳性者的双重身份,结合中国社会文化特点提供恰当的心理干预措施。
Objective: To investigate the status and causes of HIV positive status / sexual orientation with / without exposure to gay men with HIV positives. Methods: Thirty-seven male homosexual HIV-positive patients who visited the You’an Hospital in Beijing from March 2009 to March 2010 were selected to perform in-depth interviews and to encode interview materials to extract the concept genus. RESULTS: Of the 37 participants, 31 exposed their HIV positive status / sexual orientation to different subjects. The reasons for the choice of exposure are mainly “responsibility ”, “security ”, “get support ”, “ease the pressure of marriage ”; do not expose the main reasons are “worry about family unacceptable ” Do not want to add pressure on the family “, ” guilt “, ” fear of discrimination ". Conclusion: Medical or related psychological practitioners should consider the dual identities of gay-positive men and provide appropriate psychological intervention in light of the social and cultural characteristics of China.