Epidemic Intelligence Service, Division of Applied Sciences, Scientific Education and Professional Development Program Office, Centers for Disease Control and Prevention, 1600 Clifton Road MS E-37, Atlanta, GA 30333, USA.
AIDS Behav. 2013 May;17(4):1442-53. doi: 10.1007/s10461-012-0189-y.
We investigated whether the experience of homophobic events increases the odds of engaging in unprotected anal intercourse (UAI) among black men who have sex with men (MSM) and whether social integration level buffered the association. Participants (N = 1,154) reported homophobic events experienced in the past 12 months. Social integration measures included social support, closeness with family members and friends, attachment to the black gay community, openness about sexuality within religious communities, and MSM social network size. Logistic regression analyses indicated that experiencing homophobia was associated with (1) UAI among men not previously diagnosed with HIV and (2) sexual HIV transmission risk behavior among men who knew they were HIV-infected. None of the social integration measures buffered these associations. Homophobia may promote acquisition and transmission of HIV infection among black MSM. Interventions are needed to reduce homophobia experienced by black MSM.
我们研究了恐同事件的经历是否会增加与男性发生性关系的黑人男性（MSM）进行无保护肛交（UAI）的可能性，以及社会融合程度是否缓冲了这种关联。参与者（N=1154）报告了过去 12 个月中经历的恐同事件。社会融合措施包括社会支持、与家庭成员和朋友的亲近程度、对黑人同性恋社区的依恋、在宗教社区内对性取向的开放程度以及 MSM 社交网络规模。逻辑回归分析表明，经历恐同事件与（1）未被诊断出感染 HIV 的男性进行 UAI 以及（2）知道自己感染 HIV 的男性的性传播 HIV 风险行为有关。社会融合措施都没有缓冲这些关联。恐同可能会促进黑人 MSM 获得和传播 HIV 感染。需要采取干预措施来减少黑人 MSM 经历的恐同。
