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宗教与灵性对男男性行为者中艾滋病毒综合征的影响:一项系统综述与概念模型

Religion and Spirituality's Influences on HIV Syndemics Among MSM: A Systematic Review and Conceptual Model.

作者信息

Lassiter Jonathan M, Parsons Jeffrey T

机构信息

Center for HIV/AIDS Educational Studies and Training (CHEST), 142 West 36th Street, 9th Floor, New York, NY, 10018, USA.

Doctoral Program in Public Health, The Graduate Center of CUNY, New York, NY, USA.

出版信息

AIDS Behav. 2016 Feb;20(2):461-72. doi: 10.1007/s10461-015-1173-0.

Abstract

This paper presents a systematic review of the quantitative HIV research that assessed the relationships between religion, spirituality, HIV syndemics, and individual HIV syndemics-related health conditions (e.g. depression, substance abuse, HIV risk) among men who have sex with men (MSM) in the United States. No quantitative studies were found that assessed the relationships between HIV syndemics, religion, and spirituality. Nine studies, with 13 statistical analyses, were found that examined the relationships between individual HIV syndemics-related health conditions, religion, and spirituality. Among the 13 analyses, religion and spirituality were found to have mixed relationships with HIV syndemics-related health conditions (6 nonsignificant associations; 5 negative associations; 2 positive associations). Given the overall lack of inclusion of religion and spirituality in HIV syndemics research, a conceptual model that hypothesizes the potential interactions of religion and spirituality with HIV syndemics-related health conditions is presented. The implications of the model for MSM's health are outlined.

摘要

本文对定量艾滋病研究进行了系统综述,该研究评估了美国男男性行为者(MSM)中宗教、灵性、艾滋病综合征群以及与个体艾滋病综合征群相关的健康状况(如抑郁、药物滥用、艾滋病风险)之间的关系。未发现评估艾滋病综合征群、宗教和灵性之间关系的定量研究。发现有9项研究(进行了13次统计分析)考察了与个体艾滋病综合征群相关的健康状况、宗教和灵性之间的关系。在这13次分析中,宗教和灵性与艾滋病综合征群相关的健康状况呈现出复杂的关系(6项无显著关联;5项负相关;2项正相关)。鉴于艾滋病综合征群研究总体上缺乏对宗教和灵性的纳入,本文提出了一个概念模型,该模型假设了宗教和灵性与艾滋病综合征群相关健康状况之间的潜在相互作用。概述了该模型对男男性行为者健康的影响。

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