基于扎根理论的成都市艾滋病干预效果影响因素分析

An Exploration of Theoretical Framework of Effect Factors On HIV Intervention Chengdu City

目的:探讨成都市男男性行为人群艾滋病干预效果影响因素。方法:采用立意抽样的方法,对成都市既往接受过艾滋病干预活动的10名男男性行为人群进行个人深入访谈。依照扎根理论的操作程序对转录资料进行3级编码,并利用MaxQDA 2007软件辅助转录资料的整理、编码及撰写备忘录。结果:通过开放式编码,抽象出影响成都市男男性行为人群艾滋病干预效果的39个概念和9个范畴,其中认知情况、艾滋病相关服务情况、心理因素和对服务的顾虑属于最为关键的核心影响因素。轴式编码将影响因素范畴化为个人因素、群体因素和社会因素3个层面,最终通过核心编码构建出整体理论框架。结论:在今后的男男性行为人群艾滋病干预活动中,还需要从个人、群体和社会3个层次入手,提高该人群对艾滋病的正确认知、提高艾滋病相关服务质量并降低其对服务的顾虑,强化人群心理健康,切实提高男男性行为人群艾滋病防治工作质量。

Objective： To explore effect factors on HIV intervention among MSM in Chengdu city. Methods： Adopt purposive sampling method to recruit 10 MSM, who has received HIV intervention. Data was collected by individual in-depth interviews. According to Grounded Theory, do three-rank-coding with the data aided by MaxQDA 2007 version. Results： After open coding, 39 concept and 9 categories was gen- eralized, in which cognition, HIV related service, psychological factors and worries about those service were the most important key effect fac- tors. Then these were re-categorized into 3 levels through axial coding, and constructed the whole framework of the theory by selective coding. Conclusion： The effective way of HIV intervention among MSM need to be carried out in 3 levels in the further. Most especially to improve their correct cognition, quality of HIV related service, and strengthen their mental health .