Jeffries William L, Johnson Oshea D
At the time this study was conducted, William L. Jeffries IV was with the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA. Oshea D. Johnson was with the Department of Sociology, Morehouse College, Atlanta.
Am J Public Health. 2015 Dec;105(12):2466-72. doi: 10.2105/AJPH.2015.302780. Epub 2015 Oct 15.
We examined associations between homonegative attitudes and HIV and other sexually transmitted infection (HIV/STI) risk behaviors among sexually active US men.
We used the 2006-2010 National Survey of Family Growth (n = 10 403) and multivariable logistic regression models to examine homonegative attitudes in relation to condom use, number of past-year sex partners, HIV/STI testing, and STI diagnoses.
Among men who had sex with men, homonegative attitudes were associated with lower odds of condom use during anal sex with women (before the past year) and past-year STI testing. Among men who had sex with men and women, homonegative attitudes were associated with lower odds of condom use during vaginal sex and sex with men, having 4 or more partners, and HIV testing ever. Among men who had sex with women, homonegative attitudes were associated with lower odds of condom use during vaginal sex and sex with men (before the past year), HIV testing ever, and contracting herpes, human papillomavirus, or syphilis.
Homonegative attitudes may promote HIV/STI acquisition and transmission among sexually active men of all sexual orientations. Interventions should address homonegative attitudes in the United States.
我们研究了美国性活跃男性中对同性恋的负面态度与艾滋病毒及其他性传播感染（HIV/STI）风险行为之间的关联。
我们使用了2006 - 2010年全国家庭成长调查（n = 10403）以及多变量逻辑回归模型，来研究与使用避孕套、过去一年性伴侣数量、HIV/STI检测及性传播感染诊断相关的对同性恋的负面态度。
在男男性行为者中，对同性恋的负面态度与（过去一年之前）与女性肛交时使用避孕套的较低几率以及过去一年的性传播感染检测相关。在有过男女性行为的男性中，对同性恋的负面态度与阴道性交和与男性性行为时使用避孕套的较低几率、有4个或更多性伴侣以及曾经进行过艾滋病毒检测相关。在有过异性性行为的男性中，对同性恋的负面态度与阴道性交和与男性性行为时（过去一年之前）使用避孕套的较低几率、曾经进行过艾滋病毒检测以及感染疱疹、人乳头瘤病毒或梅毒相关。
对同性恋的负面态度可能会促进所有性取向的性活跃男性感染和传播HIV/STI。美国的干预措施应解决对同性恋的负面态度问题。
