RAND Corporation, Santa Monica, CA, USA.
AIDS Behav. 2013 Jun;17(5):1655-67. doi: 10.1007/s10461-012-0366-z.
HIV is a serious public health problem for homeless populations. Homeless men who have sex with women have received less attention in the HIV risk literature than other homeless populations. This research uses multi-level modeling to investigate the context of unprotected sex among heterosexually active homeless men in the Skid Row area of Los Angeles. Based on interviews with 305 randomly selected men who discussed 665 of their recent female sexual relationships, this project investigates the correlates of unprotected sex during the past 6 months at the partnership, individual, and social network levels. Several different measures of relationship closeness and lack of communication about HIV/condoms were associated with unprotected sex. Controlling for relationship factors, men's negative attitudes towards condoms, mental health, and higher number of male sex partners also were associated with having unprotected sex with female partners. We discuss the implications of these findings for health interventions.
艾滋病毒是无家可归人群面临的一个严重公共卫生问题。与其他无家可归人群相比，在艾滋病毒风险文献中，与女性发生性关系的无家可归男性受到的关注较少。本研究使用多层次模型调查了洛杉矶 Skid Row 地区异性恋活跃的无家可归男性发生无保护性行为的背景。该项目基于对 305 名随机选择的男性进行的访谈，这些男性讨论了他们最近的 665 段女性性关系，在伙伴关系、个人和社交网络层面上调查了过去 6 个月无保护性行为的相关因素。一些不同的关系亲密程度和缺乏关于艾滋病毒/避孕套的沟通的衡量标准与无保护性行为有关。在控制了关系因素后，男性对避孕套的消极态度、心理健康和更多的男性性伴侣也与与女性伴侣发生无保护性行为有关。我们讨论了这些发现对健康干预措施的影响。
