- سید علی حسینی
- 5 شهریور 1400
A Qualitative Exploration among HIV-Negative Males That Sex With Males in Hong Kong
Men who possess sexual intercourse with men (MSM) utilize relationships methods (apps) for exploring different enchanting and sex-related connections. This qualitative analysis planned to explain HIV-negative MSM’s has with software use, the erectile activities organized as required in addition to their feedback in using matchmaking applications to prepare sexual activities. Thirty-one MSM who have been sexually productive and whom put dating software happened to be recruited. Specific semi-structured interview happened to be conducted. Qualitative records are thematically reviewed to define important phenomena and perceptions. The factors of matching on applications bundled love-making tasks, real human immunodeficiency trojan serostatus and availability of a location for meetup. Facilitated by these applications, varied forms of sexual encounters comprise organized. Condoms are typically utilized for less dangerous sex, except by people who are more youthful and inexperienced or any time medicines are taken before or while having sex (chemsex). Comprehensive fascination with non-penetrative sex-related demeanor had been attributed by our personal example. Trying to find post-exposure prophylaxis systems and/or reproductive health tests got usual after subjection to danger of bacterial infections. Sexually rude experiences were accompanied by changes in sex-searching habits and lowered trust in commitment formation. The outcomes of this learn are essential for your advancement of suitable treatments promote less hazardous intimate practices among HIV-negative MSM dating app people.
The strategy with which males who have gender with guy (MSM) pick partners has changed over the past years. A transition for the styles of spouse investigation among MSM is observed (Chow ainsi, al., 2019 ). Besides the traditional methods of achieving individuals in pubs and cruising locale and uploading information on forums, people in the city right now consider goes and sexual encounters actively utilizing the various romance purposes (software) within their smart phones (Chow et al., 2016 ). Venue-based personality (instance alcoholic drinks in pubs, dark-colored room in saunas and anonymous web adjustments) being proposed to influence just how MSM bargain intercourse and man immunodeficiency malware (HIV)-associated threat attitude (Grov ainsi, al., 2013 ). One example is, an investigation on MSM learned that the chances of unprotected anal intercourse increased significantly for males which stated unearthing intercourse lovers through the Internet (Horvath ainsi, al., 2006 ). Rosser ainsi, al. ( 2009 ) additionally unearthed that guys said around double the sheer number of exposed anal sex associates satisfied internet based than real world. These studies suggest that sexual conduct are very different between people which encounter partners online and individuals that encounter lovers traditional.
The affordance principle by Gibson ( 1979 ) was used on learn the unique features of matchmaking apps. In short, the definition “affordance” represents just what surroundings offers, provides or render (Gibson, 1979 ). As stated by this idea, going out with programs present at least three kinds of affordance: (1) freedom – internet dating software keep going smart phones, so they can be applied everywhere any time; (2) Proximity – using GPS, going out with apps hook up owners through the fast area; and (3) Immediacy – dating apps hope rapid or instant sex-related encounters (Chan, 2017b ; Licoppe et al., 2016 ). In summary, internet dating software present one-of-a-kind pros that additional modalities, for instance physical places or conventional dating websites, cannot match. Through an app, people can gain access to extreme swimming pool of prospective business partners in quick vicinity at any time.
In addition, as a result of the stigmatization and discrimination against sexual minorities in environment, dating applications supply a personal and safe and secure platform for MSM to fulfill couples without overexposing the company’s identities (Miller, 2015 ). Simultaneously, erotic minorities represent a compact crowd relative to the heterosexual human population, which makes it more challenging to initiate relationships or interaction in day to day life (Hillier ainsi, al., 2012 ). Within context, a relationship software act as handy networks which involve less probability of bigger coverage or discomfort (Miller, 2015 )
Besides increasing one’s social groups, the immediacy of a relationship programs likewise brings just about instantaneous encounters for sex (Chan, 2017a , 2017b ). The quantity of youths using matchmaking software to find erectile tasks is actually noteworthy in Hong-Kong (Choi et al., 2016 ). However, many harmful issues have now been with sexual demeanor organized through online dating programs across communities, for instance greater risk of buying sexually carried infections (STIs), including HIV (Lehmiller & Ioerger, 2014 ; Xu ainsi, al., 2018 ), along with of erotic assaults and brutality (Choi et al., 2018 ).
The utilization of matchmaking apps been specifically posited to promote engagement in high-risk sexual habits (in other words. actions which happen to be inclined to teach HIV/STI relaying) (Choi, Wong, Fong ainsi, al., 2017 ; Zou & lover, 2017 ). As an example, an investigation found that internet dating applications comprise of having many intercourse associates, condomless sodomy and party sexual intercourse among MSM in Hong Kong (Yeo & Ng, 2016 ). On top of that, it actually was reported that internet dating app use would be related to alcoholic and leisurely substance usage (Choi, Wong, Lo ainsi, al., 2017 ; Sorelle, 2016 ). Colloquially known as chemsex, taking in illicit medications, particularly methamphetamine (ice), ecstasy and popper, for leisure utilize before or during intimate activities can an expanding phenomenon among online dating application people (Boonchutima & Kongchan, 2017 ; Nimbi et al., 2020 ). A recently available organized examine located a greater incidence of chemsex actions among an example employed from going out with programs in comparison with products employed from medical hospitals (Maxwell et al., 2019 ). From a sociological view, this sort of methods denote the contribution of autonomous risk-taking, therefore intensifying feelings and intimate sensation-seeking (Hickson, 2018 ).
Particularly, the degree interesting in taking pre-exposure prophylaxis (PrEP) range considerably among MSM communities. Like, an investigation in birmingham stated that in comparison with more mature MSM, MSM who were younger happened to be more likely to think about future PrEP incorporate (Aghaizu et al., 2013 ). Using several love associates or becoming at a greater danger of HIV/STI exchange was also advised as contributory features to locating PrEP beneficial (Bil ainsi, al., 2015 ; Van Dijk et al., 2020 ). The perspective of online dating programs in permitting timely intimate activities among MSM with different kinds and the increase of preparation as a biomedical HIV reduction alternative composite the already complex challenge resistant to the using compounds during sexual intercourse among MSM (Kwan & Lee, 2019 ; Maxwell et al., 2019 ). Thus, this residents is at greater probability of testing positive for STIs, just like chlamydia and gonorrhea (Beymer ainsi, al., 2014 ). As indicated by regional records in Hong Kong, sex among MSM ended up being the most common form of HIV relaying and accounted for more than half (58.6percent) of all the brand new HIV issues covers in 2019 (Centre for fitness defense (HKSAR), 2020 ). The rates of disease between heterosexual as well as homosexual or bisexual men are 0.2:1 for HIV and 0.4:1 for AID, hinting any load of HIV among MSM.