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测量城市男同性恋、双性恋和其他与男性发生性关系的男性的家庭、社会和性邻居影响的方法。

Methods to measure the impact of home, social, and sexual neighborhoods of urban gay, bisexual, and other men who have sex with men.

机构信息

Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, New York, New York, United States of America.

出版信息

PLoS One. 2013 Oct 16;8(10):e75878. doi: 10.1371/journal.pone.0075878. eCollection 2013.

Abstract

Men who have sex with men (MSM) accounted for 61% of new HIV diagnoses in the United States in 2010. Recent analyses indicate that socio-structural factors are important correlates of HIV infection. NYCM2M was a cross-sectional study designed to identify neighborhood-level characteristics within the urban environment that influence sexual risk behaviors, substance use and depression among MSM living in New York City. The sample was recruited using a modified venue-based time-space sampling methodology and through select websites and mobile applications. This paper describes novel methodological approaches used to improve the quality of data collected for analysis of the impact of neighborhoods on MSM health. Previous research has focused predominately on residential neighborhoods and used pre-determined administrative boundaries (e.g., census tracts) that often do not reflect authentic and meaningful neighborhoods. This study included the definition and assessment of multiple neighborhoods of influence including where men live (home neighborhood), socialize (social neighborhood) and have sex (sexual neighborhood). Furthermore, making use of technological advances in mapping, we collected geo-points of reference for each type of neighborhood and identified and constructed self-identified neighborhood boundary definitions. Finally, this study collected both perceived neighborhood characteristics and objective neighborhood conditions to create a comprehensive, flexible and rich neighborhood-level set of covariates. This research revealed that men perceived their home, social and sexual neighborhoods in different ways. Few men (15%) had the same home, social and sexual neighborhoods; for 31%, none of the neighborhoods was the same. Of the three types of neighborhoods, the number of unique social neighborhoods was the lowest; the size of sexual neighborhoods was the smallest. The resultant dataset offers the opportunity to conduct analyses that will yield context-specific and nuanced understandings of the relations among neighborhood space, and the well-being and health of urban MSM.

摘要

男男性行为者(MSM)占 2010 年美国新诊断出的 HIV 感染者的 61%。最近的分析表明,社会结构因素是 HIV 感染的重要相关因素。NYCM2M 是一项横断面研究,旨在确定城市环境中的邻里特征,这些特征影响居住在纽约市的男男性行为者的性行为风险、药物使用和抑郁情况。该样本是通过修改后的基于地点的时空抽样方法以及特定网站和移动应用程序招募的。本文介绍了一些新颖的方法,这些方法用于提高分析邻里对男男性行为者健康影响的数据质量。先前的研究主要集中在居住邻里,使用预先确定的行政边界(例如,普查区),这些边界往往不能反映真实和有意义的邻里。本研究包括定义和评估多个影响邻里,包括男性居住的地方(家庭邻里)、社交的地方(社交邻里)和发生性行为的地方(性邻里)。此外,利用制图技术的进步,我们为每种邻里类型收集了参考地理点,并确定和构建了自我认同的邻里边界定义。最后,本研究收集了邻里的感知特征和客观条件,以创建一个全面、灵活和丰富的邻里层面协变量集。这项研究表明,男性对他们的家庭、社交和性邻里的看法不同。很少有男性(15%)有相同的家庭、社交和性邻里;对于 31%的男性来说,没有一个邻里是相同的。在这三种邻里类型中,社交邻里的数量最少;性邻里的规模最小。由此产生的数据集提供了机会,可以进行分析,从而获得关于邻里空间与城市男男性行为者的健康和福祉之间关系的具体和细致的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba49/3797712/f48b93e4615e/pone.0075878.g001.jpg

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