Sexual Behavioral Characteristics and the Knowledge of HIV/AIDS among Men who have Sex with Men in Republic of Korea

한국 남성 동성애자들의 성행태와 후천성면역결핍증에 대한 인식

  • Kee, Mee-Kyung (Division of Planning and Research, Korea Center for Disease Control Prevention) ;
  • Park, Chul-Min (Chingusai, Korea Gay Men's Coalition1) ;
  • Chang, Chang-Gok (Deparment of Health Science, Dongduk Women's University) ;
  • Go, Un-Yeong (Division of HIV, STI and TB Control, Korea Center for Disease Control Prevention)
  • 기미경 (질병관리본부 기획연구과) ;
  • 박철민 (한국남성동성애자인권운동단체 친구사이) ;
  • 장창곡 (동덕여대 보건관리학과) ;
  • 고운영 (질병관리본부 에이즈.결핵관리과)
  • Published : 2004.09.01

Abstract

Objectives : To investigate the sexual behavioral characteristics and HIV/AIDS knowledge among men who have sex with men(MSM), one of the HIV high risk groups. Methods : A three month survey among individuals who were able to be contacted was carried out over the entire Republic of Korea, between May and August, 2001. 348 individuals completed a self-administered question-naire. The data collected included demographic informa-tion, sexual behavior and AIDS knowledge. Results : Eighty-seven and ninety-two per cent of the 348 MSM were aged 20-39 years and had never been married, respectively. Fifty-five per cent of participants reported at least one sexual contact with women, and a quarter of the MSM surveyed had engaged in high-risk sexual behavior (more than 6 partners) during the previous year. About twenty per cent of the MSM had anal sex as their favorite way of having sex, and seventy-four per cent did not use condoms regularly due to loss of enjoyment, and were more likely to be engaged in risky behaviors. Only ten per cent had a regular HIV test history, and most had obtained knowledge or information on HIV/AIDS through the mass media. Conclusions : A large proportion of the MSM in Korea still remain at an elevated risk for contracting HIV infection. Change in high-risk sexual behaviors will prevent the spread of HIV infection among the MSM population, which requires public health education for preventive interventions, and should be culturally and socially specific in order to be effective.

Keywords

References

  1. HIV/AIDS Surveillance Report (U.S.HlV and AIDS cases reported through December 2001). 13(2), Center for Desease and Control and Prevention; 2002
  2. Trends in tho HlV & AIDS Epidernic. Centrr for Disease and Control and Prevention; 1998
  3. The European Center for the Epidemiological Monitoring of AIDS, Paris (WHO-EC Collaborating Centre on AIDS) ;December 31, 1991
  4. AIDS/HIV/STD surveillance report, Pan Amerecan Health Oragnizatio, Reginal Offece of the World Health Organization, Washington, DC;1990
  5. 감염병발생정보, 국립보건원; 2003. 3
  6. AIDS epidemic update, UNAIDS (WHO); 2001
  7. 2002년 한국의 사회지표, 통계청;2003
  8. Go Uy Kee MK Choi BS Kang C, Do KM, Lee JS. Male to fernale Heterosexual transmission of HIV in Korea; Transmisston rate and risk factors. Korean J Prev Med 1999; 32(2): 228-235 Korean
  9. Martine JL, Kean L, Garcia M, Hall W. Barbara Snell Dohrenwend momorial lecture. The impact of AIDS on a gay community: changes in sexual behavior, substance, substance use, and mental health. Am J Commu Paychol 1989 Jun;17(3):269-293
  10. Ross MW, Freedman B, Brew R. Challges in sexual behaviour between 1986 and 1988 in mathed samples ofhommexually active men Commu Health Studies 1989;13(3):276-280
  11. Fau이hard JR, Smith E, Haff J, Pedersen B, Knudsen MH, Nielsen H Changes of sexual behavior among Danish homo/bisexual men under the impact of HIV/AIDS epidemic. Ugeskr Laeger 1993;155(34):2623-2627
  12. Paget WJ, Zwahlen M, Eichmann AR. Voluntary confidential HIV testing of STD patients in Switzerland, 1990-5 : HIV test refusers causes different biases on HIV prevalences in heterosexuals and homo/bisexuals. Swiss Network Dermatovenereology Policlinics. Genetourin Med 1997;73(6):444-447
  13. 주신일, 장동현.HIV 감염의 고위험집단 (동성연애자)실태조사보고서. 한국에이즈퇴치연맹;1990
  14. Josep J, Montgomer$\gamma$ S. Magnitude aud detenninauts of behavioral risk reduction : Lolngitudinal analysis of a cohort at risk for AIDS.Psychology and Health 1987;1:73-86
  15. 동성애 인정 설문조사 보고서. 리서치랩;2003