Department of Psychology, University of Connecticut, Storrs, CT 06269, USA.
Am J Public Health. 2010 Mar;100(3):503-9. doi: 10.2105/AJPH.2008.155903. Epub 2010 Jan 14.
OBJECTIVES: We examined differences in sexual partner selection between Black and White men who have sex with men (MSM) to better understand how HIV status of participants' sexual partners and related psychosocial measures influence risk taking among these men. METHODS: We collected cross-sectional surveys from self-reported HIV-negative Black MSM and White MSM attending a gay pride festival in Atlanta, Georgia. RESULTS: HIV-negative White MSM were more likely than were HIV-negative Black MSM to report having unprotected anal intercourse with HIV-negative men, and HIV-negative Black MSM were more likely than were HIV-negative White MSM to report having unprotected anal intercourse with HIV status unknown partners. Furthermore, White MSM were more likely to endorse serosorting (limiting unprotected partners to those who have the same HIV status) beliefs and favorable HIV disclosure beliefs than were Black MSM. CONCLUSIONS: White MSM appear to use sexual partner-related risk reduction strategies to reduce the likelihood of HIV infection more than do Black MSM. Partner selection strategies have serious limitations; however, they may explain in part the disproportionate number of HIV infections among Black MSM.
目的:我们研究了与男男性行为者(MSM)发生性关系的黑人和白人男性在性伴侣选择方面的差异,以更好地了解参与者性伴侣的 HIV 状况和相关的社会心理措施如何影响这些男性的风险行为。
方法:我们从参加佐治亚州亚特兰大同性恋骄傲节的自我报告 HIV 阴性的黑人和白人 MSM 中收集了横断面调查。
结果:与 HIV 阴性的黑人 MSM 相比,HIV 阴性的白人 MSM 更有可能与 HIV 阴性的男性发生无保护的肛交,而 HIV 阴性的黑人 MSM 更有可能与 HIV 状况不明的伴侣发生无保护的肛交。此外,白人 MSM 比黑人 MSM 更倾向于认同血清分类(将无保护的伴侣限制在具有相同 HIV 状况的人)信念和有利的 HIV 披露信念。
结论:与黑人 MSM 相比,白人 MSM 似乎更倾向于使用与性伴侣相关的降低风险策略来降低 HIV 感染的可能性。然而,伴侣选择策略存在严重的局限性;然而,它们可能在一定程度上解释了黑人 MSM 中 HIV 感染人数不成比例的原因。
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