Hart Trevor A, Noor Syed W, Adam Barry D, Vernon Julia R G, Brennan David J, Gardner Sandra, Husbands Winston, Myers Ted
Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
AIDS Behav. 2017 Oct;21(10):3035-3046. doi: 10.1007/s10461-016-1669-2.
Syndemics research shows the additive effect of psychosocial problems on high-risk sexual behavior among gay and bisexual men (GBM). Psychosocial strengths may predict less engagement in high-risk sexual behavior. In a study of 470 ethnically diverse HIV-negative GBM, regression models were computed using number of syndemic psychosocial problems, number of psychosocial strengths, and serodiscordant condomless anal sex (CAS). The number of syndemic psychosocial problems correlated with serodiscordant CAS (RR = 1.51, 95% CI 1.18-1.92; p = 0.001). When adding the number of psychosocial strengths to the model, the effect of syndemic psychosocial problems became non-significant, but the number of strengths-based factors remained significant (RR = 0.67, 95% CI 0.53-0.86; p = 0.002). Psychosocial strengths may operate additively in the same way as syndemic psychosocial problems, but in the opposite direction. Consistent with theories of resilience, psychosocial strengths may be an important set of variables predicting sexual risk behavior that is largely missing from the current HIV behavioral literature.
综合征研究表明，社会心理问题对男同性恋者和双性恋男性（GBM）的高危性行为具有累加效应。社会心理优势可能预示着较少参与高危性行为。在一项对470名不同种族的HIV阴性GBM的研究中，使用综合征社会心理问题数量、社会心理优势数量和血清学不一致的无保护肛交（CAS）来计算回归模型。综合征社会心理问题的数量与血清学不一致的CAS相关（风险比率=1.51，95%置信区间1.18-1.92；p=0.001）。当将社会心理优势数量添加到模型中时，综合征社会心理问题的影响变得不显著，但基于优势的因素数量仍然显著（风险比率=0.67，95%置信区间0.53-0.86；p=0.002）。社会心理优势可能与综合征社会心理问题以相同的方式累加起作用，但方向相反。与复原力理论一致，社会心理优势可能是一组预测性风险行为的重要变量，而这在当前的HIV行为文献中基本缺失。
