McFadden R B, Bouris A M, Voisin D R, Glick N R, Schneider J A
a Department of Medicine , University of Chicago Medicine , Chicago , IL , USA.
AIDS Care. 2014;26(10):1275-82. doi: 10.1080/09540121.2014.911807. Epub 2014 Apr 28.
Rising rates of HIV infection among younger black men who have sex with men (YBMSM) in the USA have generated a public health emergency. Living with HIV requires deep and persistent social support often available only from close confidants. Enlisting endogenous support network members into the care of HIV-infected YBMSM may help shape sustainable supportive environments, leading to long-term improvements in mental and HIV-specific health outcomes. The present study examined trends in support network change over time after new HIV diagnoses among 14 YBMSM. Participants completed a social network survey that utilized sociograms to record support confidants (SCs) preceding HIV diagnosis and at one and nine months postdiagnosis. Reported SCs included family of origin, friends, sex partners, and other associates. Analysis revealed three distinct patterns of change: high gain, high turnover, and stable networks. These patterns offer valuable insights into the social support of YBMSM during the period following diagnosis. This research underscores a growing movement to embrace key support figures in the lives of YBMSM, who may be critical to promoting overall health and adherence to HIV-care.
美国年轻的男同性恋黑人（YBMSM）中艾滋病毒感染率不断上升，已引发了一场公共卫生紧急事件。感染艾滋病毒后需要深厚且持久的社会支持，而这种支持通常只有亲密知己才能提供。让内源性支持网络成员参与到感染艾滋病毒的YBMSM的护理中，可能有助于构建可持续的支持环境，从而长期改善其心理和特定于艾滋病毒的健康状况。本研究调查了14名YBMSM新确诊感染艾滋病毒后支持网络随时间的变化趋势。参与者完成了一项社交网络调查，该调查利用社会关系图记录了艾滋病毒诊断前以及诊断后1个月和9个月时的支持知己（SC）。报告的支持知己包括原生家庭、朋友、性伴侣和其他熟人。分析揭示了三种不同的变化模式：高增长、高更替和稳定网络。这些模式为诊断后时期YBMSM的社会支持提供了有价值的见解。这项研究强调了一个日益壮大的趋势，即接纳YBMSM生活中的关键支持人物，这些人物对于促进整体健康和坚持艾滋病毒护理可能至关重要。
