O'Cleirigh Conall, Traeger Lara, Mayer Kenneth H, Magidson Jessica F, Safren Steven A
Fenway Health, Boston, MA ; Massachusetts General Hospital and Harvard Medical School, Boston, MA.
J Gay Lesbian Ment Health. 2013 Jan 1;17(3):314-326. doi: 10.1080/19359705.2012.755142.
This study evaluated whether specific anxiety disorders increased the likelihood of sexual transmission risk behavior (TRB) in younger (ages 20-29) versus older (ages 30+) HIV positive gay and bisexual men. Participants completed screening measures for Posttraumatic Stress Disorder (PTSD), Social Phobia, and Panic Disorder, and an assessment of recent TRB Moderated regression analyses indicated that PTSD was associated with greater risk of TRB in younger but not older men, independent of HIV disease stage or treatment status. Efficacy of secondary HIV prevention efforts for younger men may be augmented by addressing the context of trauma history and consequent mental health issues.
本研究评估了特定焦虑症是否会增加年轻（20 - 29岁）与年长（30岁及以上）的HIV阳性男同性恋者和双性恋男性发生性传播风险行为（TRB）的可能性。参与者完成了创伤后应激障碍（PTSD）、社交恐惧症和惊恐障碍的筛查量表，以及近期TRB的评估。调节回归分析表明，PTSD与年轻男性而非年长男性更高的TRB风险相关，且独立于HIV疾病阶段或治疗状态。针对年轻男性的二级HIV预防措施的效果可能会通过解决创伤史背景及随之而来的心理健康问题而得到增强。
