洛杉矶“豪斯与舞会”社群成员中寻求性健康建议与物质使用的网络关联。
Network correlates of sexual health advice seeking and substance use among members of the Los Angeles House and Ball communities.
作者信息
Holloway Ian W, Schrager Sheree M, Wong Carolyn F, Dunlap Shannon L, Kipke Michele D
机构信息
Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, CA 90095, USA, Division of Adolescent Medicine, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA, Community, Health Outcomes, & Intervention Research Program, The Saban Research Institute, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA and Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA.
出版信息
Health Educ Res. 2014 Apr;29(2):306-18. doi: 10.1093/her/cyt152. Epub 2014 Jan 21.
House and Ball communities (HBCs), represent a prime context for human immunodeficiency virus prevention with African American young men who have sex with men and transgender persons. This study sought to understand the composition and function of social support and sexual networks of HBC members in Los Angeles, California (N = 263). Participants were recruited using venue-based sampling and asked to report on sexual health advice seeking, alcohol use and illicit substance use. Participants were more likely to seek sexual health advice from social support network members compared with sexual network members [odds ratio (OR): 2.50, P < 0.001]. HBC members were more likely to get drunk (OR: 1.57; P < 0.05) and use illicit substances (OR: 1.87; P < 0.10) with House members and sexual network members compared with non-House members and social support network members. Health promotion programs tailored for the HBC should encourage open communication regarding sexual health; these interventions must include information about the role of substance use in sexual risk taking.
豪斯和鲍尔社区（HBCs）是针对与男性发生性行为的非裔美国青年和跨性别者开展人类免疫缺陷病毒预防工作的主要场所。本研究旨在了解加利福尼亚州洛杉矶市HBC成员的社会支持和性网络的构成及功能（N = 263）。采用基于场所的抽样方法招募参与者，并要求他们报告寻求性健康建议、饮酒和使用非法药物的情况。与性网络成员相比，参与者更有可能向社会支持网络成员寻求性健康建议[优势比（OR）：2.50，P < 0.001]。与非豪斯成员和社会支持网络成员相比，HBC成员与豪斯成员及性网络成员一起时更容易喝醉（OR：1.57；P < 0.05）和使用非法药物（OR：1.87；P < 0.10）。为HBC量身定制的健康促进项目应鼓励就性健康进行开放交流；这些干预措施必须包括关于药物使用在性风险行为中的作用的信息。
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