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剖析 HIV 发病率中的种族差异:种族对与男性发生性关系的黑人年轻男同性恋者(YMSM)中危险性行为的影响。

Unpacking the racial disparity in HIV rates: the effect of race on risky sexual behavior among Black young men who have sex with men (YMSM).

机构信息

Department of Psychiatry, University of Illinois at Chicago, Chicago, IL, USA.

出版信息

J Behav Med. 2011 Aug;34(4):237-43. doi: 10.1007/s10865-010-9306-4. Epub 2010 Nov 25.


DOI:10.1007/s10865-010-9306-4
PMID:21107898
Abstract

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.

摘要

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。

相似文献

[1]
Unpacking the racial disparity in HIV rates: the effect of race on risky sexual behavior among Black young men who have sex with men (YMSM).

J Behav Med. 2010-11-25

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引用本文的文献

[1]
Characterizing Racial Differences of Mental Health Burdens, Psychosocial Determinants, and Impacts on HIV Prevention Outcomes Among Young Men Who have Sex With Men: a Community-based Study in Two U.S. Cities.

J Racial Ethn Health Disparities. 2022-8

[2]
Sorting by Race/Ethnicity Across HIV Genetic Transmission Networks in Three Major Metropolitan Areas in the United States.

AIDS Res Hum Retroviruses. 2021-10

[3]
Geographic Mobility, Place Attachment, and the Changing Geography of Sex among African American and Latinx MSM Who Use Substances in Los Angeles.

J Urban Health. 2020-10

[4]
No Evidence of Bias in Sexual Partnership Corroboration by Race and Ethnicity Among a Diverse Cohort of Young Men Who Have Sex with Men and Transgender Women.

Arch Sex Behav. 2019-9-23

[5]
Interaction Patterns of Men Who Have Sex With Men on a Geosocial Networking Mobile App in Seven United States Metropolitan Areas: Observational Study.

J Med Internet Res. 2019-9-12

[6]
Historical and Developmental Changes in Condom Use Among Young Men Who Have Sex with Men Using a Multiple-Cohort, Accelerated Longitudinal Design.

Arch Sex Behav. 2019-3-19

[7]
A Focus on the HIV Care Continuum Through the Healthy Young Men's Cohort Study: Protocol for a Mixed-Methods Study.

JMIR Res Protoc. 2019-1-24

[8]
Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men.

AIDS Educ Prev. 2018-10

[9]
Intersectional Identities and HIV: Race and Ethnicity Drive Patterns of Sexual Mixing.

AIDS Behav. 2019-6

[10]
An Investigation of Racial and Ethnic Homophily on Grindr Among an Ongoing Cohort Study of YMSM.

AIDS Behav. 2019-1

本文引用的文献

[1]
Mental health disorders, psychological distress, and suicidality in a diverse sample of lesbian, gay, bisexual, and transgender youths.

Am J Public Health. 2010-10-21

[2]
Sexual partnering and HIV risk among black men who have sex with men: New York City.

J Urban Health. 2009-12-1

[3]
Prevalence of seroadaptive behaviours of men who have sex with men, San Francisco, 2004.

Sex Transm Infect. 2009-10

[4]
Racial mixing and HIV risk among men who have sex with men.

AIDS Behav. 2009-8

[5]
Parental monitoring as a moderator of the effect of family sexual communication on sexual risk behavior among adolescents in psychiatric care.

AIDS Behav. 2009-10

[6]
Same race and older partner selection may explain higher HIV prevalence among black men who have sex with men.

AIDS. 2007-11-12

[7]
Explaining disparities in HIV infection among black and white men who have sex with men: a meta-analysis of HIV risk behaviors.

AIDS. 2007-10-1

[8]
Tip of the Iceberg: young men who have sex with men, the Internet, and HIV risk.

Am J Public Health. 2007-6

[9]
Greater risk for HIV infection of black men who have sex with men: a critical literature review.

Am J Public Health. 2006-6

[10]
Risk factors for HIV infection among men who have sex with men.

AIDS. 2006-3-21

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