第八章 愛滋防治應用與建議
第五節 調整健康服務方向
社會工作理論也強調人在情境中。男性間性行為者愛滋防治工作，除了增 進單一個體對於愛滋病知識與防治技巧之外也需要更多跳脫個人層級的愛 滋防治策略，以全體為出發，不再將防治工作視為個人的抉擇。期待未能 有更多針對場域甚至更著重於群體與政策影響的研究。進而以 VISION 2020 的進行男性間性行為者的健康促進工作。
32
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表一 2009-2012 不同場域男性間性行為者社會人口學資料
表二 不同場域性行為分布
6-10 14 0.6 9 0.6 4 1.0 1 0.5 0 0.00 0 0
10 以上 3 0.1 3 0.2 0 0.00 0 0.0 0 0.00 0 0
遺漏 19 0.8 15 1.0 3 0.7 1 0.5 0 0.00 0 0
使用娛 樂性藥 物
否 1785 73.9 1128 78.4 237 57.0 106 57.6 129 81.7 185 84.1 有 381 15.8 198 13.7 75 18.0 47 25.5 29 18.4 32 14.6 遺漏 250 10.4 112 7.8% 104 25.0 31 16.9 0 0.0 3 1.4
41
表三 不同場域不使用保險套原因(複選)
同志健康中心 N=312
男同志三溫暖 N=915
SPA N=133
網路糾團 N=112
PUB N=121
n(%) n(%) n(%) n(%) n(%)
手邊沒有 113(36.2) 417(45.6) 50(37.6) 45(40.2) 44(36.4) 不喜歡 68(21.8) 150(16.4) 24(18.0) 26(23.2) 12(9.9) 對方拒絕 62(19.9) 102(11.1) 26(23.2) 16(14.3) 17(14.0) 沒有想過 80(25.6) 196(21.4) 26(19.5) 17(15.2) 24(19.8)
不習慣 18(5.8) 28(3.1) 5(3.8) 6(5.4) 1(0.8)
覺得不需要 39(12.5) 65(7.1) 13(9.8) 20(17.9) 9(7.4)
會過敏 3(1.0) 3(0.3) 2(1.5) 2(1.8) 1(0.8)
尺寸不合 16(5.1) 19(2.1) 13(9.8) 2(1.8) 3(2.5)
42
表四 不同性傳染疾病危險因子單變量分析
愛滋病毒 梅毒 阿米巴
表五 不同性傳染疾病危險因子多變量分析
愛滋病毒 梅毒 阿米巴 曾感染性病
否 REF REF REF
有 1.1(0.6-1.8) 0.5(0.3-0.8)** 1.0(0.5-1.7) 是否曾接受愛滋病篩檢
否 REF REF REF
有 0.6(0.4-1.0)* 0.9(0.5-1.6) 1.0(0.4-2.1) 肛交時有意願使用保險套
有 REF REF REF
沒有 1.5(0.9-2.5) 1.6(1.0 -2.6) 1.2(0.6-2.3) 最近三個月內 UAI
無 REF REF REF
有 0.6(0.4-1.1) 0.9(0.6-1.6) 0.8(0.4-1.6) 曾使用派對藥物
無 REF REF REF
有 0.9 (0.5-1.6) 0.5(0.3-0.9)* 0.6(0.3-1.2)
* p<.05; ** p<.01; *** p<.001
46
0.00% 1.00% 2.00% 3.00% 4.00% 5.00% 6.00% 7.00% 8.00% 9.00%
愛滋病毒 梅毒 B型肝炎 阿米巴
愛滋病毒 梅毒 B型肝炎 阿米巴
overall 6.06% 6.59% 3.76% 5.93%
Pub 6.11% 3.05% 0.00% 4.27%
網際網路 3.16% 2.53% 3.85% 0.00%
SPA 6.56% 3.83% 0.00% 2.33%
同志中心 2.90% 6.05% 4.64% 1.44%
男同志三溫暖 7.22% 7.87% 3.96% 7.66%
不同場域性傳染疾病盛行率
overall Pub 網際網路 SPA 同志中心 男同志三溫暖
圖一 不同場域疾病盛行率分布
47
匿 篩 問 卷
編碼： 工作人員： 日期：102 年____月____日3. 職業：□士 □農 □工 □商 □服務業 □科技業 □自由業 □學生 □其