Qualitative analysis of attitudes, behaviors, and demands of vulnerable men in Tehran, Iran

Introduction
Men who have sex with men (MSM) are a vulnerable group, and their psychological, physical, and social well-being could be affected by various factors. They are also at higher risk of HIV and other sexually transmitted infections (STIs). This study was conducted to identify socio-demographic characteristics and HIV-related risk behaviors among MSM in Iran.

Material and methods
A qualitative study was conducted among MSM attending a sexual health clinic in a referral hospital, in Tehran in 2018. Data was collected through four focus group discussions. Content analysis approach was used in data analysis.

Results
One hundred MSM were enrolled in this study. Majority of them were 18-25 years old. Participants had numerous comments about their sexual identity and orientation; some were confused about it and mentioned stigma, discrimination, and lack of social and legal support as the most important contributing factors. Social media and parties were the most common places to find a partner. Moreover, majority had a negative attitude toward emotional attachment and marriage in sexual minorities; this was attributed to partner’s infidelity, low commitment, and lack of family support by some participants.

Conclusions
MSM is a vulnerable to psychosocial problems group due to low sexual knowledge and lack of community and legal supports. Data also indicated high probability of HIV transmission among this group because of risky sexual behaviors.