Department of Psychology, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.
Health Psychology and Clinical Science Doctoral Program, Graduate Center of CUNY, New York, NY, USA.
AIDS Behav. 2018 Sep;22(9):2788-2796. doi: 10.1007/s10461-018-2091-8.
The Young Men's Health Project (YMHP) has shown efficacy in reducing drug use and condomless anal sex (CAS) with casual partners among young gay, bisexual and other men who have sex with men (YGBMSM). The study examined whether relationship status at the time of intervention predicted response to YMHP by comparing baseline (pre-intervention) and follow-up (3, 6, 9, and 12 months post-intervention) data from the original trial. A group of 13 partnered YGBMSM who received YMHP was compared to a matched subsample of single YGBMSM. Among single men, drug use declined significantly at all follow-ups. Among partnered men, drug use was largely stable. While significant reductions were observed at 9 month assessment, 3, 6, and 12 month use did not differ significantly from baseline. Regardless of relationship status, CAS with casual partners declined significantly at 12 month follow-up. Results suggest the incorporation of components which address relationship factors, particularly those associated with drug use, may enhance benefits of YMHP for partnered YGBMSM.
年轻人健康计划（YMHP）已被证明在减少年轻男同性恋、双性恋和其他与男性发生性关系的男性（YGBMSM）中的药物使用和与偶然伴侣的无保护肛交（CAS）方面具有疗效。该研究通过比较原始试验的基线（干预前）和随访（干预后 3、6、9 和 12 个月）数据，研究了干预时的关系状况是否预示着对 YMHP 的反应。与接受 YMHP 的一组 13 名有伴侣的 YGBMSM 相比，对单 YGBMSM 的匹配亚样本进行了比较。在单身男性中，药物使用在所有随访中均显著下降。在有伴侣的男性中，药物使用基本稳定。虽然在 9 个月的评估中观察到显著减少，但 3、6 和 12 个月的使用与基线相比没有显著差异。无论关系状况如何，与偶然伴侣的 CAS 在 12 个月的随访中显著下降。研究结果表明，纳入解决关系因素的成分，特别是与药物使用相关的成分，可能会增强 YMHP 对有伴侣的 YGBMSM 的益处。
