Fujimoto Kayo, Wang Peng, Kuhns Lisa M, Ross Michael W, Williams Mark L, Garofalo Robert, Klovdahl Alden S, Laumann Edward O, Schneider John A
*Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX †Centre for Transformative Innovation, Faculty of Business and Law, Swinburne University of Technology, Hawthorn, Victoria, Australia ‡Division of Adolescent Medicine, Ann & Robert H. Lurie Children's Hospital §Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL ∥Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN ¶Department of Health Policy & Management, College of Public Health & Social Work, Florida International University, Miami, FL #Department of Sociology **Departments of Medicine and Public Health Sciences, University of Chicago, Chicago, IL.
Med Care. 2017 Feb;55(2):102-110. doi: 10.1097/MLR.0000000000000595.
Young men who have sex with men (YMSM) have the highest rates of human immunodeficiency virus (HIV) infection in the United States. Decades into the HIV epidemic, the relationships that YMSM-serving health and social organizations have with one another has not been studied in depth.
The aim of this study was to examine the competition, collaboration, and funding source structures of multiplex organization networks and the mechanisms that promote fruitful relationships among these organizations.
The study data collection method was a survey of health and social organizations from 2013-2014 in 2 cities, Chicago, IL and Houston, TX.
Study participants were representatives from 138 health and social organizations.
Responses to survey questions were used to reconstruct competition, collaboration, and combined competition-collaboration networks.
While taking into consideration the collaborative relationships among organizations, we provide statistical evidence that organizations of similar type, similar social media use patterns, comparable patterns of funding, and similar network contexts tended to compete with one another. This competition was less likely to be accompanied by any sort of collaboration if the organizations shared common funding sources.
Competition that excludes potential collaboration may be detrimental to mobilizing the collective efforts that serve local YMSM communities. System-level interventions may provide promising approaches to scaling-up HIV prevention and treatment efforts so as to encourage organizations to form partnerships with otherwise competing providers.
在美国，与男性发生性关系的年轻男性（YMSM）感染人类免疫缺陷病毒（HIV）的比例最高。在艾滋病流行的几十年间，为YMSM提供服务的健康和社会组织之间的关系尚未得到深入研究。
本研究旨在探讨多重组织网络的竞争、合作和资金来源结构，以及促进这些组织之间建立富有成效关系的机制。
研究数据收集方法是对2013 - 2014年伊利诺伊州芝加哥市和得克萨斯州休斯敦市的健康和社会组织进行调查。
研究参与者是138个健康和社会组织的代表。
对调查问卷问题的回答被用于重建竞争、合作以及竞争与合作相结合的网络。
在考虑组织间合作关系的同时，我们提供了统计证据表明，类型相似、社交媒体使用模式相似、资金模式可比以及网络背景相似的组织往往会相互竞争。如果这些组织共享共同的资金来源，这种竞争不太可能伴随着任何形式的合作。
排除潜在合作的竞争可能不利于调动为当地YMSM社区服务的集体努力。系统层面的干预措施可能为扩大艾滋病毒预防和治疗工作提供有前景的方法，从而鼓励组织与原本相互竞争的提供者建立伙伴关系。
