Department of Medicine, University of Chicago, 5841 South Maryland Avenue, MC 5065, Chicago, IL, 60637, USA.
AIDS Behav. 2014 Feb;18(2):335-45. doi: 10.1007/s10461-013-0677-8.
Younger Black men who have sex with men (BMSM) ages 16-29 have the highest rates of HIV in the United States. Despite increased attention to social and sexual networks as a framework for biomedical intervention, the role of measured network positions, such as bridging and their relationship to HIV risk has received limited attention. A network sample (N = 620) of BMSM respondents (N = 154) and their MSM and transgendered person network members (N = 466) was generated through respondent driven sampling of BMSM and elicitation of their personal networks. Bridging status of each network member was determined by a constraint measure and was used to assess the relationship between this bridging and unprotected anal intercourse (UAI), sex-drug use (SDU), group sex (GS) and HIV status within the network in South Chicago. Low, moderate and high bridging was observed in 411 (66.8 %), 81 (13.2 %) and 123 (20.0 %) of the network. In addition to age and having sex with men only, moderate and high levels of bridging were associated with HIV status (aOR 3.19; 95 % CI 1.58-6.45 and aOR 3.83; 95 % CI 1.23-11.95, respectively). Risk behaviors observed including UAS, GS, and SDU were not associated with HIV status, however, they clustered together in their associations with one another. Bridging network position but not risk behavior was associated with HIV status in this network sample of younger BMSM. Socio-structural features such as position within the network may be important when implementing effective HIV prevention interventions in younger BMSM populations.
在美国,16-29 岁的与男性发生性关系的年轻黑人男性(BMSM)的 HIV 感染率最高。尽管越来越关注社会和性网络作为生物医学干预的框架,但衡量网络位置(如桥梁)及其与 HIV 风险的关系的作用受到的关注有限。通过对 BMSM 进行受访者驱动抽样和征集他们的个人网络,生成了一个 BMSM 受访者(N=154)及其 MSM 和跨性别者网络成员(N=466)的网络样本(N=620)。每个网络成员的桥梁状态通过约束测量来确定,并用于评估这种桥梁状态与无保护肛交(UAI)、性用药(SDU)、群交(GS)和网络内 HIV 状态之间的关系在南芝加哥。在网络中观察到低、中和高桥梁状态分别在 411 名(66.8%)、81 名(13.2%)和 123 名(20.0%)网络成员中。除了年龄和只与男性发生性关系外,中度和高度的桥梁状态与 HIV 状态相关(调整后的优势比 3.19;95%置信区间 1.58-6.45 和调整后的优势比 3.83;95%置信区间 1.23-11.95)。观察到的风险行为包括 UAS、GS 和 SDU,与 HIV 状态无关,但它们在彼此之间的关联中聚集在一起。在这个年轻 BMSM 的网络样本中,桥梁网络位置而不是风险行为与 HIV 状态相关。在年轻的 BMSM 人群中实施有效的 HIV 预防干预措施时,社会结构特征(如网络中的位置)可能很重要。
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