Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60608, USA.
J Sex Res. 2011 Mar;48(2-3):218-53. doi: 10.1080/00224499.2011.558645.
Epidemiological studies have found that young men who have sex with men (YMSM) represent the majority of young people infected with HIV annually in the United States. Further, they are one of the few risk groups to show an increase in the rate of infections in recent years. In addition to these disparities in prevalence and infection rates, there is an inequity in prevention and intervention research on this population. The purpose of this article is to review the existing YMSM literature on HIV epidemiology, correlates of risk, and intervention research. The article concludes that promising future directions for basic research include a focus on multiple clustering health issues, processes that promote resiliency, the role of family influences, and the development of parsimonious models of risk. In terms of intervention research, the article suggests that promising future directions include Internet-based intervention delivery, integration of biomedical and behavioral approaches, and interventions that go beyond the individual level to address partnership, structural, community, and network factors.
流行病学研究发现,在美国,每年感染艾滋病病毒的年轻人中,男男性行为者(MSM)占大多数。此外,近年来,他们是少数感染率上升的风险群体之一。除了流行率和感染率方面的差异外,在针对这一人群的预防和干预研究方面也存在不公平现象。本文旨在回顾现有的关于男男性行为者艾滋病病毒流行病学、风险因素和干预研究的文献。文章总结认为,未来基础研究有希望的方向包括关注多个聚集的健康问题、促进韧性的过程、家庭影响的作用,以及开发简约的风险模型。在干预研究方面,文章提出,未来有希望的方向包括基于互联网的干预措施的提供、生物医学和行为方法的整合,以及超越个体层面解决伙伴关系、结构、社区和网络因素的干预措施。
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