Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.
J Behav Med. 2011 Aug;34(4):237-43. doi: 10.1007/s10865-010-9306-4. Epub 2010 Nov 25.
The purpose of this study is to evaluate the large disparity in HIV prevalence rates between young Black and White Americans, including young men who have sex with men (YMSM). Research focusing on individual behaviors has proven insufficient to explain the disproportionately high rate of HIV among Black YMSM. The purpose of the present study was to gain a greater understanding of the pronounced racial disparity in HIV by evaluating whether YMSM are more likely to engage in risky sexual behaviors as a function of their partner's race. Participants included 117 YMSM from a longitudinal study evaluating lesbian, gay, bisexual, and transgender youth (ages 16-20 at baseline), who reported characteristics and risk behaviors of up to 9 sexual partners over an 18-month period. Results indicated that participants were less likely to have unprotected sex with Black partners, and this finding was not driven by a response bias (i.e., Black YMSM did not appear to be minimizing their reports of unprotected sex). Furthermore, there was support for the hypothesis that participants' sexual networks were partially determined by their race insofar as sexual partnerships were much more likely to be intra-racial (as opposed to interracial). It is possible that dyad- and sexual network-level factors may be needed to understand racial disparities in HIV among YMSM.
本研究旨在评估美国年轻黑人和白人之间 HIV 感染率的巨大差异,包括男男性行为者(MSM)。研究表明,关注个体行为不足以解释黑人 MSM 中 HIV 感染率过高的问题。本研究旨在通过评估 MSM 是否因伴侣的种族而更有可能从事风险性行为,从而更深入地了解 HIV 明显的种族差异。参与者包括来自一项评估女同性恋、男同性恋、双性恋和跨性别青年(基线时年龄为 16-20 岁)的纵向研究中的 117 名 MSM,他们报告了在 18 个月内与多达 9 名性伴侣的特征和风险行为。结果表明,参与者与黑人伴侣发生无保护性行为的可能性较小,而且这一发现并不是由应答偏差(即黑人 MSM 似乎没有淡化他们关于无保护性行为的报告)造成的。此外,有证据支持这样一种假设,即参与者的性网络部分由他们的种族决定,因为性伙伴关系更有可能是同种族(而不是跨种族)的。可能需要从对偶和性网络层面的因素来理解 MSM 中 HIV 的种族差异。
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