Behavioral Health and Criminal Justice Research Division, RTI International, 121 W. 27th Street, Suite 1001, New York, NY 10001, USA.
J Community Health. 2013 Oct;38(5):894-9. doi: 10.1007/s10900-013-9695-8.
Native Americans in the United States are not typically regarded as a most at-risk population for HIV or other sexually transmitted infections (STIs), despite emerging evidence which suggests otherwise. As a result, Native Americans lack access to key prevention services and programs. In planning prevention programs for this unique population, however, it is important to take into account the cultural factors that may be implicated in health risk behaviors. Historical Loss is a type of historical trauma that has been reported in Native Americans, and which may be related to health behaviors. We examined whether Historical Loss was associated with sexual risk behaviors in a sample of 120 American Indian men living in Fort Peck Reservation in northeastern Montana who completed questions regarding Historical Loss and sexual risk behaviors. Symptoms of Historical Loss that reflected Anxiety/Depression and Anger/Avoidance were associated with an increased likelihood of individuals' having sex with multiple concurrent partners. Health interventions that aim to address HIV/STI prevention should take symptoms of Historical Loss into account, as Historical Loss could be a potential factor that will mitigate HIV, STI, and pregnancy prevention efforts in this population.
美国的美洲原住民通常不被视为感染艾滋病毒或其他性传播感染（STI）的高风险人群，尽管有新的证据表明情况并非如此。因此，美洲原住民无法获得关键的预防服务和计划。然而，在为这一独特人群规划预防计划时，重要的是要考虑可能与健康风险行为有关的文化因素。历史丧失是一种在美洲原住民中报告的历史创伤，可能与健康行为有关。我们在蒙大拿州东北部的 Fort Peck 保留地生活的 120 名美国印第安男性中，检查了历史丧失是否与性风险行为有关，这些男性完成了有关历史丧失和性风险行为的问题。反映焦虑/抑郁和愤怒/回避的历史丧失症状与个体与多个同时发生的伴侣发生性关系的可能性增加有关。旨在解决艾滋病毒/性传播感染预防问题的健康干预措施应该考虑到历史丧失的症状，因为历史丧失可能是影响该人群艾滋病毒、性传播感染和怀孕预防工作的一个潜在因素。
