中老年男同性恋者:为什么很难从事艾滋病服务组织

M. Kasianczuk, M. Varban, M. Kornilova, O. Trofymenko
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引用次数: 0

摘要

这项研究(在乌克兰5个行政领土单位进行了30次半结构化访谈)涵盖了男男性行为者(MSM)、中年和老年人(35岁以上),以了解在规划新服务或预防项目中已有的服务时应考虑的某些因素。作者试图将中老年男同性恋者的生活方式描述为成熟个体的一种力量。文章描述了影响这一社会人口群体参与艾滋病毒服务组织活动的主要因素之一是拟议服务与其他休闲活动的竞争,服务概念必须满足潜在客户的需求(在健康领域,与伴侣的关系及其爱好),日常生活安排以及使用与LGBT社区其他成员沟通的方式。男同性恋和双性恋组织应该创造一个安全的生理和心理环境,就老龄化、离婚问题提供建议,在压力情况下引入更安全的生活模式,支持和塑造旨在保持健康的行为,形成健康的生活方式,并在客户社会化的背景下提高其质量,以及保持或恢复性吸引力和性活动。客户应该能够从广泛的范围(包括同性和异性伴侣)中选择最适合他们需求的服务,以及如何接受服务(是否需要访问该组织的办公室)。服务组织应该在城市或地区内为每个组织创建一个可识别的面孔,而不是提供相同的服务集合)。该研究有一些局限性,主要是由于应用方法的纯粹定性性质,不可能将获得的信息推广到整个研究人群。研究小组(年龄在35岁及以上的男同性恋者)由几个不同的年龄组组成,其中年龄最大的一组过去有额外的创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Middle-aged and elderly MSM: why is it difficult to engage in HIV service organizations
The study (30 semi-structured interviews in 5 administrative-territorial units of Ukraine) covers men who have sex with men (MSM), middle-aged and elderly (over 35 years) to understand certain factors, which should be considered when planning new services or already those available in prevention projects. The authors tried to describe the lifestyle of middle-aged and elderly MSM as a power for mature individuals. The article describes that one of the main factors influencing the involvement of this socio-demographic group in the activities of HIV service organizations is the competition of the proposed services with other leisure activities, and the concept of services must meet the needs of potential clients (in the field of health, relationships with partners and their hobbies), daily life schedule and the use of ways to communicate with other members of the LGBT community. MSM and LGBT organisations should create a safe physical and psychological environment, advise on ageing, divorce, introduce safer models of living in stressful situations, support and shape behaviours aimed at maintaining health, forming a healthy lifestyle, and improving its quality both in the context of socialisation of clients, and preservation or restoration of sexual attractiveness and activity. Clients should be able to choose the services that best suit their needs from a wide range (including for same- and heterosexual couples) and how to receive services (with or without a visit to the organisation’s office). The organization of services should create a recognizable face of each organisation within the city or region and not offer the same set of services). The study has some limitations, mainly the impossibility of generalising the information obtained to the entire study population due to the purely qualitative nature of the applied methodology. The study group (MSM aged 35 years and older) consists of several distinct age groups, among which the oldest group had additional trauma in the past.
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