Department of Prevention and Community Health, George Washington University School of Public Health, Washington, DC, USA.
J Urban Health. 2013 Apr;90(2):314-22. doi: 10.1007/s11524-012-9690-x.
This study aimed to examine racial discrimination and relation to sexual risk for HIV among a sample of urban black and African American men. Participants of this cross-sectional study were black and African American men (N = 703) between the ages of 18 and 65 years, recruited from four urban clinical sites in the northeast. Multivariate logistic regression models were used to analyze the relation of reported racial discrimination to the following: (1) sex trade involvement, (2) recent unprotected sex, and (3) reporting a number of sex partners in the past 12 months greater than the sample average. The majority of the sample (96%) reported racial discrimination. In adjusted analyses, men reporting high levels of discrimination were significantly more likely to report recent sex trade involvement (buying and/or selling) (adjusted odds ratio (AOR) range = 1.7-2.3), having recent unprotected vaginal sex with a female partner (AOR = 1.4, 95% confidence interval (CI), 1.1-2.0), and reporting more than four sex partners in the past year (AOR = 1.4, 95% CI, 1.1-1.9). Findings highlight the link between experiences of racial discrimination and men's sexual risk for HIV.
这项研究旨在调查城市黑人和非裔美国男性群体中种族歧视与艾滋病毒性风险的关系。本横断面研究的参与者为年龄在 18 至 65 岁之间的黑人和非裔美国男性（N=703），他们来自东北部的四个城市临床站点。多变量逻辑回归模型用于分析报告的种族歧视与以下方面的关系：（1）性交易参与，（2）最近无保护性行为，以及（3）报告过去 12 个月中性伴侣数量超过样本平均水平。该样本的大多数（96%）报告了种族歧视。在调整后的分析中，报告高水平歧视的男性更有可能报告最近的性交易参与（购买和/或出售）（调整后的优势比（AOR）范围为 1.7-2.3），最近与女性伴侣发生无保护的阴道性行为（AOR=1.4，95%置信区间（CI），1.1-2.0），以及过去一年中报告的性伴侣超过四个（AOR=1.4，95%CI，1.1-1.9）。研究结果强调了种族歧视经历与男性艾滋病毒性风险之间的联系。
