Brooks R A, Lee S-J, Stover G N, Barkley T W
David Geffen School of Medicine at UCLA, Department of Family Medicine, Los Angeles, CA, USA.
Int J STD AIDS. 2011 Jan;22(1):19-24. doi: 10.1258/ijsa.2010.010178.
This study examined HIV testing behaviours, perceived vulnerability to HIV and correlates of sexual risk behaviours of young adult Latino and African American male gang members in Los Angeles, California. Data were collected from 249 gang members aged 18-26 years. The majority (59%) of gang members reported unprotected vaginal intercourse (UVI) in the past 12 months. Only one-third (33.2%) of gang members had ever been tested for HIV. In our multivariate analysis, gang members who reported UVI were more likely to have engaged in the following behaviours: had sex with someone they just met (adjusted odds ratio [AOR] = 4.51), had sex with someone they think or know had a sexually transmitted infection (STI; AOR = 4.67) or had sex while incarcerated (AOR = 8.92). In addition, gang members with a higher perceived vulnerability to HIV were less likely to report UVI in the previous 12 months (AOR = 0.75). These findings offer implications for development of an HIV prevention intervention for young Latino and African American male gang members.
本研究调查了加利福尼亚州洛杉矶市年轻的拉丁裔和非裔美国男性帮派成员的艾滋病毒检测行为、对艾滋病毒的感知易感性以及性风险行为的相关因素。数据收集自249名年龄在18 - 26岁的帮派成员。大多数(59%)帮派成员报告在过去12个月中有过无保护阴道性交(UVI)。只有三分之一(33.2%)的帮派成员曾接受过艾滋病毒检测。在我们的多变量分析中,报告有过无保护阴道性交的帮派成员更有可能参与以下行为:与刚认识的人发生性行为(调整后的优势比[AOR]=4.51)、与他们认为或知道患有性传播感染(STI)的人发生性行为(AOR = 4.67)或在监禁期间发生性行为(AOR = 8.92)。此外,对艾滋病毒感知易感性较高的帮派成员在过去12个月中报告无保护阴道性交的可能性较小(AOR = 0.75)。这些发现为针对年轻的拉丁裔和非裔美国男性帮派成员制定艾滋病毒预防干预措施提供了启示。