纽约市男同性恋/双性恋/双性人及异性恋美国印第安男性中的受害经历、物质使用及艾滋病毒风险行为
Victimization, substance use, and HIV risk behaviors among gay/bisexual/two-spirit and heterosexual American Indian Men in New York City.
作者信息
Simoni Jane M, Walters Karina L, Balsam Kimberly F, Meyers Seth B
机构信息
Department of Psychology, University of Washington, Seattle, WA 98195, USA.
出版信息
Am J Public Health. 2006 Dec;96(12):2240-5. doi: 10.2105/AJPH.2004.054056. Epub 2006 May 2.
Abstract
OBJECTIVES
secondary aims included describing condom-use attitudes, beliefs about HIV/AIDS in the Indian community, HIV knowledge, HIV status, and preference for and access to HIV prevention services in this population.
METHODS
A survey was mailed to all members of an American Indian community organization in New York City.
RESULTS
The 20 men self-identifying as gay, two-spirit, or bisexual (hereafter, "two-spirit") were more likely to report being victimized and engaging in HIV risk behaviors than the 51 heterosexual respondents, although they reported comparable levels of recent substance use. Overall, victimization was associated with lifetime HIV risk behaviors (even after control for sexual orientation) but not with substance use or unsafe sex in the past 12 months. The percentage of HIV infection was surprisingly high (10% of two-spirit men and 6% of heterosexual men).
CONCLUSIONS
Two-spirit men are a vulnerable population whose victimization must be understood within an appropriate historical and political context.
摘要
目标
次要目标包括描述避孕套使用态度、印度社区对艾滋病毒/艾滋病的看法、艾滋病毒知识、艾滋病毒感染状况，以及该人群对艾滋病毒预防服务的偏好和获得情况。
方法
向纽约市一个美国印第安社区组织的所有成员邮寄了一份调查问卷。
结果
20名自我认定为男同性恋、双性人或双性恋者（以下简称“双性人”）比51名异性恋受访者更有可能报告曾遭受侵害并从事艾滋病毒风险行为，尽管他们报告的近期物质使用水平相当。总体而言，遭受侵害与终生艾滋病毒风险行为相关（即使在控制了性取向之后），但与过去12个月内的物质使用或不安全性行为无关。艾滋病毒感染率出奇地高（双性人男性中有10%，异性恋男性中有6%）。
结论
双性人男性是弱势群体，必须在适当的历史和政治背景下理解他们所遭受的侵害。
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