The Present and Future Tread of MSM Intervention: A Qualitative Study in Hubei Province, China

Research Article

Austin J Public Health Epidemiol. 2017; 4(2): 1058.

The Present and Future Tread of MSM Intervention: A Qualitative Study in Hubei Province, China

Liu X¹, Wang Y², Zhou W³, Mei X4 and Tan X5*

¹School of Health Sciences, Wuhan University, China

²The Wuhan Centers for Disease Control & Prevention, China

*Corresponding author: Xiaodong Tan; School of Health Sciences, Wuhan University, 115 St Donghu Road, Wuhan, China

Received: February 10, 2017; Accepted: March 17, 2017; Published: March 27, 2017

Abstract

Introduction: To discuss the present of the MSM Intervention in the Centers for Disease Control (CDCs) and Non-government Organizations (NGOs) and explore more effective intervention measures and methods among MSM.

Methods: An in-depth interview based on a semi-quantitative interview outline was conducted in the CDCs and NGOs. The key questions included (1) what is the reasons for inconsistent of knowledge and behaviors among MSM; (2) what is the primary problems in complementing the MSM intervention; (3) what are the advantages and disadvantages about MSM intervention; and (4) what are suggestions for MSM intervention in the future. Interview data were recorded and coded by two experienced researchers through QSR N Vivo 8.0 Software.

Results: A total of 10 participants were enrolled in the study; of those, 5 were from the CDCs, and 5 were from NGOs, with ages ranging from 25 to 52. Four key themes on MSM intervention were identified with participants. These included (1) poor knowledge, small probability to infect HIV/AIDS and uncomfortable feelings contributed to the inconsistent of knowledge and behaviors; (2) the funds shortage, poor work efficiency and no unified evaluation criterion were the primary problems in MSM intervention; (3) the MSM intervention work in CDCs and NGOs should coordinate with each other; (4) the smart phone and new gay dating APP should be used in MSM intervention.

Conclusion: The existed intervention measures in CDCs and NGOs have not taken obvious effect on MSM, and it is necessary to explore new intervention approaches to change risk behavior of sexual. An approach of combining with the smart phone and APP should be used in MSM intervention in the future.

Keywords: MSM; CDCs; NGOs; AIDS; Intervention

Introduction

Men who have sex with men (MSM) are influenced by HIV/AIDS disproportionately in the global [1]. The rate of new HIV infection for MSM is 44 times than the general, and it still has a tendency to rise up [2]. Evidence-based HIV intervention measures have been developed and disseminated typically to meet the prevention and control needs among MSM [3]. In the developed countries, the Internet and new media had been used with HIV/AIDS prevention and care initiatives [2,4,5] including sending health promotion messages, improving HIV/AIDS medication adherence, promoting test result notification and facilitating attendance at clinic appointments. The voice or text messaging functions had been utilized primarily for phone-based HIV intervention initially [1,4,6,7] then more complex, tailored and interactive interventions were delivered more conveniently to target population through the software application and mobile web of smart-phones [2,5,7-14]. While in developing countries, publicity materials, peer education and condoms promotion were the mainly three intervention measures [15], with few researches conducted MSM intervention via the internet and new media [16,17].

The purpose of MSM intervention is to protect MSM from infecting HIA/AIDS and promote health. Almost all of prevention measures including health promotion and health education, regular testing and sexual health care products promotion were used to MSM interventions [14,17]. However, these existed intervention or prevention measures have not taken obvious effect on MSM. In addition, only few researches paid an attention to the effect of the MSM intervention, and let alone the studies aimed on the intervention organizations. Even though several published articles on MSM had proved that their intervention measures were on effective3, there was still a growing trend of HIV epidemic among MSM, with all countries, states or provinces, and regions growing variously [16,17].

While there was a body of literature on MSM intervention using quantitative approaches [6,10,14,15,18,19] little had been done using qualitative approaches [20]. Existing researches most had been focused on the MSM [17,20,21] rather than on the organizations of MSM intervention specifically. This is a qualitative study focused on the Centers for Disease Control (CDCs) and Non-government Organizations (NGOs) to discuss the MSM intervention in China. The aim of the study is to explore the participants’ cognition MSM intervention and views of future prospect. And it is also our hope to explore more effective intervention methods and measures to increase AIDS/HIV knowledge and promote health among MSM.

Methods

Interview participants

The participants who sought from the volunteers who worked for HIV/AIDS prevention and control in Wuhan city, Huangshi city, and Jingzhou city of Hubei province were recruited for an indepth interview. The candidates were invited by phone and told the intention of the research. There were 15 interviewees self-reported willing to participate the research, of which 7 were from Wuhan, 4 from Jingzhou and 4 from Huangshi. The eligible participants were those who worked more than 3 years in MSM intervention, with the age above 25 years old, and agreed to participate in the interview through signed consent. The interview participants who could not speak mandarin or who were unable to complete interview more than 20 minutes of an in-depth interview were excluded. Based on the above criterions, 10 interviewees were eligible to reach information saturation, with the CDC and NGO being 5 respectively. The whole study process was showed in (Figure 1).