Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA 15260, USA.
AIDS Behav. 2011 Apr;15 Suppl 1:S25-9. doi: 10.1007/s10461-011-9895-0.
Men who have sex with men experience high rates of psychosocial health problems such as depression, substance use, and victimization that may be in part the result of adverse life experiences related to cultural marginalization and homophobia. These psychosocial health conditions interact to form a syndemic which may be driving HIV risk within this population. However, MSM also evidence great resilience to both the effects of adversity and the effects of syndemics. Investigating and harnessing these natural strengths and resiliencies may enhance HIV prevention and intervention programs thereby providing the additional effectiveness needed to reverse the trends in HIV infection among MSM.
男男性行为者经历着较高的心理社会健康问题，如抑郁、物质使用和受害，这在一定程度上可能是由于与文化边缘化和恐同相关的不利生活经历造成的。这些心理社会健康状况相互作用形成了一个综合征，这可能是导致该人群中 HIV 风险的原因。然而，MSM 也对逆境和综合征的影响表现出了很强的适应能力。研究和利用这些自然优势和适应能力，可以增强 HIV 预防和干预计划，从而提供扭转男男性行为者中 HIV 感染趋势所需的额外效果。
