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題 名 | 同志三溫暖推動友善、健康及安全商店標章計畫之監測與成效分析=The Analysis of Surveillance and Effectiveness of the “Friendly, Healthy and Safe Business Certification Program” for Gay Saunas |
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作 者 | 陳伯杰; 鍾安峻; 吳孟姿; 陳俊霖; 張逸玫; 楊玉玟; 黃貴莉; 楊世仰; 柯乃熒; | 書刊名 | 疫情報導 |
卷 期 | 29:23 2013.12.10[民102.12.10] |
頁 次 | 頁361-368 |
分類號 | 412.4 |
關鍵詞 | 男性間性行為者; 同性戀三溫暖; 保險套使用; 章標認證; Men who have sex with men; Gay sauna; The use of condom; Certification program; |
語 文 | 中文(Chinese);英文(English) |
中文摘要 | 男性間性行為者是臺灣感染愛滋病毒的首要危險因素。男同志三溫暖為男性間性行為者重要的活動場域,性傳染病盛行率高。民國 100年針對男同志三溫暖推行「友善、健康、安全商店標章計畫」,搭配「Sex Police安全性行為巡視督導」的介入方式,促使消費者全程使用保險套。本研究目的為:(1)了解各家三溫暖硬體環境及愛滋病相關之政策與服務提供;(2)了解三溫暖顧客的特質及危險行為;(3) 比較「友善、健康及安全商店標章」計畫介入的成效,以作為政策評估及往後擬訂衛教策略之依據。研究結果顯示三溫暖皆於入場時提供保險套,保險套最常被放置於櫃檯,業者與員工希望公部門能免費提供保險套,「友善、健康及安全商店標章」能更有區別度,認證方式能更統一透明。認證和無認證三溫暖之顧客其年齡、過去性病史、過去半年性健康狀況、娛樂性用藥的比例等變項,並無顯著差異,在保險套取得上,有認證三溫暖的取得地點較無認證店家多元。另在無套口交的人數上,有認證三溫暖的顧客無套口交人數較多。本研究發現顧客年齡平均年齡為 34.35歲,20歲以下顧客群僅約 4%,顯示三溫暖已不是年輕男同志主要發生性行為的場所,但仍然為中壯年同志重要的性發展場域。 |
英文摘要 | The men who have sexual activities with men are the primary risk group for HIV infection in Taiwan. Gay sauna is a principal place for men to have homosexual activities, and the transmission rate for sexually transmitted disease is high. In 2011, the “friendly, healthy and safe business certification program” for gay saunas has was launched with the intervention of “Sex Police: The surveillance and guidance of safe sexual activity.” This program urges consumers to use condoms during sexual activities. The purposes of this research are: (1) to understand each sauna’s physical features and AIDS-related policies and services; (2) to understand the traits and risk behavior of customers in saunas; and (3) to compare the effectiveness of the “friendly, healthy and safe business certification program” before and after in order to evaluate the policy and formulate health education strategies in the future. Each sauna provides condoms when the consumers enter, and condoms are often placed at the counter. The owners and the employees wish that the public sector can provide free condoms, that the “friendly, healthy and safe business certification program” can be more differentiable, and that the way of certification can be more transparent and standardized. There is no significant difference between certificated and uncertified saunas in terms of their customers’ age, sexual history, sexual health during the past 6 months, and levels of recreational drug use. With respect to the acquirement of condoms, the onsite spots for accessing condoms are more diverse in the certified saunas than the uncertified ones. In addition, the numbers of people having oral sex without condoms differ significantly, as there are more people having oral sex without condoms in certified saunas. This research finds that the average age of the consumers is 34.35 years, and the proportion of consumers under 20 years old is only about 4 %. The results show that sauna is not the principal place for young gays to have sex anymore, but it is still an important place for middle aged gays to develop sexual relationships. |
本系統中英文摘要資訊取自各篇刊載內容。