Amirkhanian Yuri A, Kelly Jeffrey A, Kirsanova Anna V, DiFranceisco Wayne, Khoursine Roman A, Semenov Alexander V, Rozmanova Victoria N
Center for AIDS Intervention Research, Department of Psychiatry and Behavioural Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin 53202, USA.
Int J STD AIDS. 2006 Jan;17(1):50-6. doi: 10.1258/095646206775220504.
HIV seroconversions and sexually transmitted diseases (STDs) are often clustered in social networks within community populations. The present study was carried out among men who have sex with men in Russia, where a major HIV epidemic is unfolding, and where social networks have played a historically important role. In all, 38 social networks were recruited into the study, and members of all networks (n = 187) completed risk behaviour assessments and were tested for STDs. About 17% of participants had STDs, and 10% of men had syphilis. Over 64% of men had recent unprotected anal intercourse (UAI), including 51% who did so with main partners, 30% who did so with casual partners, and 32% who had UAI with multiple male partners. The strongest predictor of all risk behaviour indicators and STDs was the social network, to which an individual belonged, supplemented by peer norm perceptions and intentions to practise safer sex. There was a high level of correspondence in behaviour between the social leader of a network and its other members. Social networks should be directly targeted in HIV prevention efforts.
艾滋病毒血清转化和性传播疾病（STD）在社区人群的社交网络中常常聚集出现。本研究在俄罗斯与男性发生性关系的男性中开展，该国正经历一场重大的艾滋病毒疫情，且社交网络在历史上一直发挥着重要作用。总共招募了38个社交网络参与研究，所有网络的成员（n = 187）完成了风险行为评估并接受了性传播疾病检测。约17%的参与者患有性传播疾病，10%的男性患有梅毒。超过64%的男性近期有过无保护肛交（UAI），其中51%是与主要伴侣进行，30%是与偶然伴侣进行，32%是与多个男性伴侣进行无保护肛交。所有风险行为指标和性传播疾病的最强预测因素是个人所属的社交网络，此外还有同伴规范认知和采取更安全性行为的意图。网络的社交领袖与其其他成员之间在行为上有高度的一致性。在艾滋病毒预防工作中应直接针对社交网络。
