HIV 护理参与中二元协调的概念模型：男男性行为黑人夫妇的定性二元分析。
A Conceptual Model of Dyadic Coordination in HIV Care Engagement Among Couples of Black Men Who Have Sex with Men: A Qualitative Dyadic Analysis.
机构信息
Department of Medicine, University of California San Francisco, 550 16th Street, 3rd Fl, San Francisco, CA, 94158, USA.
Mount Holyoke College, South Hadley, MA, USA.
出版信息
AIDS Behav. 2018 Aug;22(8):2584-2592. doi: 10.1007/s10461-018-2070-0.
Abstract
Among Black men who have sex with men (MSM), HIV incidence is disproportionately high and HIV care engagement is disproportionately low. There may be important opportunities to leverage the primary relationship to improve engagement in HIV care and treatment among Black MSM couples. Using dyadic qualitative analysis of semi-structured, one-on-one interviews, we explored dyadic aspects of HIV care engagement among 14 Black MSM couples in which at least one partner was HIV-positive and identified as a Black cisgender man. Findings showed that men varied in how involved they were in their HIV-positive partner's care and treatment, and in how they reciprocated their partner's involvement. Patterns of dyadic HIV care engagement supported a conceptual model of dyadic coordination that describes Black MSM relationships in terms of two conceptual dimensions of dyadic HIV care engagement, and guides future intervention designs with Black MSM couples.
摘要
在与男性发生性关系的黑人男性（MSM）中，艾滋病毒发病率不成比例地高，而艾滋病毒护理参与率不成比例地低。利用主要关系来提高黑人 MSM 夫妇对艾滋病毒护理和治疗的参与度，可能会有重要的机会。我们使用对 14 对黑人 MSM 夫妇的一对一半结构化访谈的对偶定性分析，探讨了至少一名伴侣为艾滋病毒阳性并被认定为黑人顺性别男性的夫妇中与艾滋病毒护理参与相关的对偶方面。研究结果表明，男性在参与其艾滋病毒阳性伴侣的护理和治疗方面以及在如何回报伴侣的参与方面存在差异。对偶艾滋病毒护理参与模式支持对偶协调的概念模型，该模型根据对偶艾滋病毒护理参与的两个概念维度来描述黑人 MSM 关系，并为未来与黑人 MSM 夫妇的干预设计提供指导。
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