Bowleg Lisa, Neilands Torsten B, Tabb Loni Philip, Burkholder Gary J, Malebranche David J, Tschann Jeanne M
Department of Psychology, The George Washington University, 2125 G Street, NW, Washington, DC, 20052, USA,
AIDS Behav. 2014 Nov;18(11):2207-18. doi: 10.1007/s10461-014-0803-2.
The effects of neighborhood context on sexual risk behavior are understudied, particularly for Black heterosexual men who do not inject drugs or report heavy drug use. Evidence of a generalized HIV epidemic (>1 %) among Black heterosexuals in low-income urban U.S. communities underscores the importance of examining the effects of neighborhood context on Black heterosexual men's sexual risk, however. We used structural equation modeling to test the pathways between neighborhood context (neighborhood disorder, personal violence, neighborhood threats), depression, substance use, and sexual risk behavior. Participants were 526 self-identified Black heterosexual men, ages 18-45, recruited via randomized venue-based probability sampling in Philadelphia, PA. Analyses of model fit statistics from Mplus indicated statistically significant direct pathways between neighborhood context, depression, substance use, and sexual risk behavior. The total indirect effect of neighborhood context on sexual risk behavior through substance use was also significant. The study's results highlight a need for more research on neighborhood context and sexual HIV risk, and for multilevel interventions to address the effects of negative neighborhood context on Black heterosexual men's sexual HIV risk.
邻里环境对性风险行为的影响尚未得到充分研究,尤其是对于不注射毒品或未报告大量吸毒情况的黑人异性恋男性而言。然而,美国低收入城市社区中黑人异性恋者中普遍存在的艾滋病毒疫情(>1%)的证据凸显了研究邻里环境对黑人异性恋男性性风险影响的重要性。我们使用结构方程模型来测试邻里环境(邻里混乱、个人暴力、邻里威胁)、抑郁、物质使用和性风险行为之间的路径。参与者为526名自我认定的18至45岁黑人异性恋男性,通过在宾夕法尼亚州费城基于场所的随机概率抽样招募。来自Mplus的模型拟合统计分析表明,邻里环境、抑郁、物质使用和性风险行为之间存在统计学上显著的直接路径。邻里环境通过物质使用对性风险行为的总间接影响也很显著。该研究结果强调需要对邻里环境和性艾滋病毒风险进行更多研究,并需要采取多层次干预措施来应对负面邻里环境对黑人异性恋男性性艾滋病毒风险的影响。
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