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地理和网络因素在男男性行为者中艾滋病毒感染种族差异中的作用:一项自我中心网络研究

The Role of Geographic and Network Factors in Racial Disparities in HIV Among Young Men Who have Sex with Men: An Egocentric Network Study.

作者信息

Mustanski Brian, Birkett Michelle, Kuhns Lisa M, Latkin Carl A, Muth Stephen Q

机构信息

Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N Michigan Ave, Suite 2700, Chicago, IL, 60611, USA,

出版信息

AIDS Behav. 2015 Jun;19(6):1037-47. doi: 10.1007/s10461-014-0955-0.

Abstract

The objective of this study was to characterize and compare individual and sexual network characteristics of Black, White, and Latino young men who have sex with men (YMSM) as potential drivers of racial disparities in HIV. Egocentric network interviews were conducted with 175 diverse YMSM who described 837 sex partners within 167 sexual-active egos. Sexual partner alter attributes were summarized by ego. Descriptives of ego demographics, sexual partner demographics, and network characteristics were calculated by race of the ego and compared. No racial differences were found in individual engagement in HIV risk behaviors or concurrent sexual partnership. Racial differences were found in partner characteristics, including female gender, non-gay sexual orientations, older age, and residence in a high HIV prevalence neighborhood. Racial differences in relationship characteristics included type of relationships (i.e., main partner) and strength of relationships. Network characteristics also showed differences, including sexual network density and assortativity by race. Most racial differences were in the direction of effects that would tend to increase HIV incidence among Black YMSM. These data suggest that racial disparities in HIV may be driven and/or maintained by a combination of racial differences in partner characteristics, assortativity by race, and increased sexual network density, rather than differences in individual's HIV risk behaviors.

摘要

本研究的目的是描述和比较与男性发生性行为的黑人、白人及拉丁裔青年男性(YMSM)的个人及性网络特征,这些特征可能是导致HIV种族差异的潜在因素。对175名不同的YMSM进行了自我中心网络访谈,他们在167个性活跃的自我个体中描述了837个性伴侣。性伴侣的属性由自我个体进行总结。根据自我个体的种族计算自我个体人口统计学、性伴侣人口统计学及网络特征的描述性数据并进行比较。在个体参与HIV风险行为或同时存在的性伴侣关系方面未发现种族差异。在伴侣特征方面发现了种族差异,包括女性性别、非同性恋性取向、年龄较大以及居住在HIV高流行社区。关系特征方面的种族差异包括关系类型(即主要伴侣)和关系强度。网络特征也存在差异,包括性网络密度和按种族的同配性。大多数种族差异的影响方向倾向于增加黑人YMSM中的HIV发病率。这些数据表明,HIV的种族差异可能是由伴侣特征、按种族的同配性以及性网络密度增加等种族差异的组合驱动和/或维持的,而不是个体HIV风险行为的差异。

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