Hotton Anna L, Keene Lance, Corbin Dennis E, Schneider John, Voisin Dexter R
School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
School of Social Service Administration, University of Chicago, Chicago, IL, USA.
J Gay Lesbian Soc Serv. 2018;30(1):64-81. doi: 10.1080/10538720.2017.1408518. Epub 2017 Dec 26.
Blackgay men must navigate identities and stigmas related to being gay and Black, and report higher HIV incidence relative to their white male counterparts although they report lower rates of drug use and risky sexual behaviors. This study examined whether closeness to the gay or Black community correlated with HIV related risk and protective behaviors. Data were drawn from uConnect, a population-based cohort study of YBMSM on Chicago's South Side. The sample consists of 618 Black MSM ranging in age from 16-29. Cross sectional measures for this study include Black and gay community closeness, drug use, sexual risk behaviors, HIV testing and health promotion behaviors. Closeness with the gay community was associated with greater PrEP knowledge as well as participating in health promotion programs along with higher rates of transactional sex and having sex under the influence of substances, and increased odds of self-reported HIV seropositivity. Involvement in the Black community was associated with lower odds of reporting being HIV positive. Findings suggest that programs and initiatives are needed to help promote the positive aspects of the Black and gay communities, while minimizing the negative correlates of such involvements.
黑人男同性恋者必须应对与身为同性恋者和黑人相关的身份认同及耻辱感，而且相对于白人男性同伴，他们报告的艾滋病毒感染率更高，尽管他们报告的吸毒率和危险性行为发生率较低。本研究考察了与同性恋群体或黑人社区的亲近程度是否与艾滋病毒相关的风险及保护行为存在关联。数据取自uConnect，这是一项针对芝加哥南区年轻黑人男同性恋者的基于人群的队列研究。样本包括618名年龄在16至29岁之间的黑人男男性行为者。本研究的横断面测量指标包括与黑人和同性恋群体的亲近程度、吸毒情况、性风险行为、艾滋病毒检测及健康促进行为。与同性恋群体的亲近程度与更高的暴露前预防知识水平、参与健康促进项目、更高的交易性行为发生率以及在药物影响下发生性行为有关，同时自我报告艾滋病毒血清阳性的几率也增加。参与黑人社区事务与报告艾滋病毒呈阳性的几率较低有关。研究结果表明，需要开展相关项目和举措，以帮助促进黑人和同性恋社区的积极方面，同时尽量减少此类参与的负面关联因素。
