非裔美国男男性行为者中的艾滋病灭绝论信仰和医疗不信任的健康与社会文化相关因素。
The Health and Sociocultural Correlates of AIDS Genocidal Beliefs and Medical Mistrust Among African American MSM.
机构信息
Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, 2071 N. Summit, Milwaukee, WI, 53202, USA.
Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA.
出版信息
AIDS Behav. 2018 Jun;22(6):1814-1825. doi: 10.1007/s10461-016-1657-6.
Abstract
This study examined social and health-related correlates of AIDS conspiracy theories among 464 African American men who have sex with men (MSM). Exploratory factor analysis revealed two subscales within the AIDS conspiracy beliefs scale: medical mistrust and AIDS genocidal beliefs. Multiple regression analyses revealed medical mistrust and AIDS genocidal beliefs were both associated negative condom use attitudes and higher levels of internalized homonegativity. Medical mistrust was also associated with lower knowledge of HIV risk reduction strategies. Finally, we conducted bivariate regressions to examine the subsample of participants who reported being HIV-positive and currently taking HIV antiretroviral therapy (ART) to test associations between sexual behavior and HIV treatment and AIDS conspiracy theories. Among this subsample, medical mistrust was associated with having a detectable viral load and not disclosing HIV-status to all partners in the previous 3 months. Collectively, these findings have implications for HIV prevention and treatment for African American MSM.
摘要
这项研究调查了 464 名与男性发生性关系的非裔美国男性（MSM）中艾滋病阴谋论的社会和健康相关因素。探索性因素分析显示，艾滋病阴谋信念量表有两个分量表：医疗不信任和艾滋病种族灭绝信念。多元回归分析显示，医疗不信任和艾滋病种族灭绝信念都与负面的 condom 使用态度和更高水平的内化同性恋消极态度相关。医疗不信任也与对 HIV 降低风险策略的了解程度较低有关。最后，我们进行了二元回归分析，以检验报告 HIV 阳性且目前正在接受 HIV 抗逆转录病毒治疗（ART）的参与者亚组，以检验性行为与 HIV 治疗和艾滋病阴谋论之间的关联。在这个亚组中，医疗不信任与病毒载量可检测以及在过去 3 个月内未向所有性伴侣透露 HIV 状况有关。总的来说，这些发现对非裔美国 MSM 的 HIV 预防和治疗具有重要意义。
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