1 Division of Infectious Diseases, The Miriam Hospital and Alpert Medical School of Brown University , Providence, Rhode Island.
2 Division of Infectious Diseases, University of Mississippi Medical Center , Jackson, Mississippi.
LGBT Health. 2015 Sep;2(3):276-81. doi: 10.1089/lgbt.2014.0019. Epub 2014 Oct 30.
This cross-sectional study assessed sexually transmitted infection (STI) prevalence, socio-demographic characteristics, substance use, sexual behaviors, and sexual network profiles among African American sexual minorities in Jackson, Mississippi. Bivariate chi-square tests and generalized estimating equation (GEE) models explored individual and partner-related factors. Compared to their heterosexual counterparts, male African American sexual minorities reported fewer sex partners (odds ratios [OR] 0.33, 95% confidence intervals [CI] 0.16-0.65) and lower concurrency levels (OR 0.42, 95%CI 0.24-0.72). African American sexual minority women reported greater substance abuse, more sex partners (OR 2.54, 95%CI 1.47-4.38), higher concurrency levels (OR 1.81, 95%CI 1.24-2.64), and more transactional sex (OR 2.52, 95%CI 1.25-5.11). These results highlight the need for nuanced STI interventions tailored to African American sexual minorities in Mississippi.
这项横断面研究评估了密西西比州杰克逊市非裔美国性少数群体中的性传播感染（STI）流行率、社会人口特征、物质使用、性行为和性网络特征。单变量卡方检验和广义估计方程（GEE）模型探讨了个体和伴侣相关因素。与异性恋相比，男同性恋非裔美国人性少数群体报告的性伴侣较少（比值比 [OR] 0.33，95%置信区间 [CI] 0.16-0.65），同时并发率较低（OR 0.42，95%CI 0.24-0.72）。非裔美国女同性恋性少数群体报告更多的物质滥用、更多的性伴侣（OR 2.54，95%CI 1.47-4.38）、更高的并发率（OR 1.81，95%CI 1.24-2.64）和更多的性交易（OR 2.52，95%CI 1.25-5.11）。这些结果强调了需要针对密西西比州非裔美国性少数群体制定细致入微的 STI 干预措施。
