O'Leary Ann, Fisher Holly H, Purcell David W, Spikes Pilgrim S, Gomez Cynthia A
Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-37, Atlanta, GA 30333, USA.
AIDS Behav. 2007 Sep;11(5):706-15. doi: 10.1007/s10461-006-9205-4.
Behaviors related to HIV infection vary by race, with African American and Latino men who have sex with men (MSM) more likely to report sex with women than are European-American MSM. The epidemic among African Americans, in particular, is growing rapidly among both men and women. Some have hypothesized that bisexually active men may be contributing to the epidemic among women. However, little is known about risk patterns among men of different races who are already infected. In this study of 456 HIV-seropositive MSM we found that, like HIV-negative MSM, African American MSM who are HIV-positive were less likely than European American men to identify as gay, more likely to report sex with women, and less comfortable discussing their MSM behavior with close friends and acquaintances. African American participants also exhibited higher levels of internalized homophobia, as well as lower self-efficacy for disclosing their HIV status to sex partners. Implications for interventions for this population are discussed.
与艾滋病毒感染相关的行为因种族而异，与白人男同性恋者相比，非裔美国男同性恋者和拉丁裔男同性恋者更有可能报告与女性发生性行为。尤其是在非裔美国人中，男女感染艾滋病毒的人数都在迅速增加。一些人推测，双性恋男性可能是导致女性感染艾滋病毒的原因之一。然而，对于已经感染艾滋病毒的不同种族男性的风险模式，我们却知之甚少。在这项对456名艾滋病毒血清呈阳性的男同性恋者的研究中，我们发现，与艾滋病毒呈阴性的男同性恋者一样，艾滋病毒呈阳性的非裔美国男同性恋者比白人男同性恋者更不容易认同自己为同性恋，更有可能报告与女性发生性行为，并且不太愿意与亲密朋友和熟人讨论他们的男同性恋行为。非裔美国参与者还表现出更高程度的内化恐同心理，以及向性伴侣披露其艾滋病毒感染状况的自我效能感较低。本文讨论了针对这一人群的干预措施的意义。
