Taylor Tonya N, Joseph Michael, Henny Kirk D, Pinto Angelo R, Agbetor Francis, Camilien Brignel, Williams Kim M, Browne Ruth C, White Marilyn, Gousse Yolene, Brown Humberto, Taylor Raekiela D, Wilson Tracey E
SUNY Downstate Medical Center, Medicine/STAR Program.
SUNY Downstate Medical Center, School of Public Health.
J Health Dispar Res Pract. 2014;7(6):1-25.
To describe HIV risk factors among adult heterosexual Black men recruited from four barbershops located in high HIV seroprevalent neighborhoods of Brooklyn, NY. Data on HIV-risk related behaviors and other characteristics were collected from barbershop clients. All participants (n=60) completed brief risk assessments; and a subset (n=22) also completed focus groups and/or individual interviews. Of the subset of 22 men, 68% were US born, 59% had been in jail/prison, 32% were unemployed; and during the 3 months before the interviews, 68% reported at least two partners and 45% reported unprotected vaginal or anal sex with two or more women. Emergent themes included: 1) the psychological function of multiple partnerships; 2) calculated risk taking regarding condom use; 3) the role of emotional attachment and partner trust in condom use; 4) low perceived HIV risk and community awareness; and 5) lack of relationship between HIV testing and safer sex practices. Interventions among heterosexual Black men should focus not only on increasing HIV awareness and reducing sexual risk, but also on contextual and interpersonal factors that influence sexual risk.
描述从纽约布鲁克林艾滋病毒血清阳性率高的社区的四家理发店招募的成年异性恋黑人男性中的艾滋病毒风险因素。从理发店顾客那里收集了与艾滋病毒风险相关行为及其他特征的数据。所有参与者（n = 60）都完成了简短的风险评估；一部分人（n = 22）还完成了焦点小组讨论和/或个人访谈。在这22名男性中，68% 出生在美国，59% 曾入狱，32% 失业；在访谈前的3个月里，68% 的人报告至少有两个性伴侣，45% 的人报告与两名或更多女性发生过无保护的阴道或肛交。新出现的主题包括：1）多个性伴侣的心理作用；2）在使用避孕套方面的冒险算计；3）情感依恋和伴侣信任在使用避孕套方面的作用；4）对艾滋病毒风险的低认知和社区意识；5）艾滋病毒检测与安全性行为之间缺乏关联。针对异性恋黑人男性的干预措施不仅应侧重于提高艾滋病毒意识和降低性风险，还应关注影响性风险的背景和人际因素。
