Holloway Ian W, Rice Eric, Kipke Michele D
Department of Social Welfare, Luskin School of Public Affairs, University of California, Los Angeles, 3250 Public Affairs Building, Box 951656, Los Angeles, CA, 90095-1656, USA,
Prev Sci. 2014 Jun;15(3):419-27. doi: 10.1007/s11121-014-0462-6.
In the USA, human immunodeficiency virus (HIV) incidence rates continue to increase among young gay, bisexual, and other men have sexual intercourse with men. Young men who have sex with men (YMSM) indicate interest in HIV prevention programming that is implemented in the social venues that they frequent when they want to socialize with other men. We sought to understand YMSM venues as a networked space to provide insights into venue-based HIV prevention intervention delivery. The present study used survey data reported by 526 YMSM (ages 18-24) in 2005 to conduct a venue-based social network analysis. The latter sought to determine if the structure and composition of the networks in Los Angeles could be used to facilitate the delivery of HIV prevention messages to YMSM. Degree of person sharing between venues was used to demonstrate interconnectivity between venues classified as low risk (e.g., coffee shops) and high risk (e.g., bars and clubs) by a Community Advisory Board. Sixty-five percent of the 110 venues nominated were bars and clubs. Nearly all YMSM were connected by a single venue and over 87 % were connected by the six most central venues. A handful of highly connected low-risk venues was central to the venue network and connected to popular high-risk venues. Venue-based network analysis can inform tailored HIV prevention messaging for YMSM. Targeted delivery of prevention messaging at low-risk centralized venues may lead to widespread diffusion among venue-attending YMSM.
在美国，年轻男同性恋者、双性恋者以及与其他男性发生性行为的男性中，人类免疫缺陷病毒（HIV）的发病率持续上升。与男性发生性行为的年轻男性（YMSM）对在他们社交时经常光顾的社交场所实施的HIV预防项目表现出兴趣。我们试图将YMSM的社交场所理解为一个网络空间，以便深入了解基于场所的HIV预防干预措施的实施情况。本研究使用了526名年龄在18至24岁之间的YMSM在2005年报告的调查数据，进行了基于场所的社会网络分析。后者旨在确定洛杉矶网络的结构和组成是否可用于促进向YMSM传递HIV预防信息。场所之间人员共享的程度被用来证明社区咨询委员会分类为低风险（如咖啡店）和高风险（如酒吧和俱乐部）的场所之间的相互联系。在被提名的110个场所中，65%是酒吧和俱乐部。几乎所有的YMSM都通过一个场所相连，超过87%的人通过六个最核心的场所相连。少数高度相连的低风险场所是场所网络的核心，并与受欢迎的高风险场所相连。基于场所的网络分析可为针对YMSM的HIV预防信息提供参考。在低风险的集中场所针对性地传递预防信息可能会导致在光顾这些场所的YMSM中广泛传播。
