Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, U.S. Centers for Disease Control and Prevention, 1600 Clifton Rd MS-37, Atlanta, GA, 30333, USA.
University of California, San Francisco, San Francisco, CA, USA.
AIDS Behav. 2019 Sep;23(9):2361-2374. doi: 10.1007/s10461-019-02499-4.
In contrast to intervention studies that assess psychosocial factors only as mediators or moderators of HIV risk, the present study assessed the effects of an Mpowerment-based community-level intervention on psychosocial determinants (e.g., depressive symptoms, sexual stigma) of HIV risk behavior among young black MSM. Approximately 330 respondents were surveyed annually for 4 years in each of two sites. General linear models examined change across time between the intervention and comparison communities, and participation effects in the intervention site. Social diffusion (spreading information within networks) of safer sex messages (p < 0.01) and comfort with being gay (p < 0.05) increased with time in intervention versus control. Cross-sectionally, intervention participants responded more favorably (p < 0.05) on social diffusion and depressive symptoms, but less favorably (p < 0.01) on sex in difficult situations and attitudes toward condom use. Findings suggest a need to address broader health issues of MSM as well as sexual risk.
与仅评估心理社会因素作为 HIV 风险的中介或调节因素的干预研究相反，本研究评估了基于 Mpowerment 的社区层面干预对年轻黑人男男性行为者 HIV 风险行为的心理社会决定因素（例如抑郁症状、性污名）的影响。在两个地点的每一个地点，大约有 330 名受访者在 4 年内每年进行一次调查。一般线性模型检验了干预组和对照组之间随时间的变化，以及干预组的参与效果。安全性行为信息在网络内传播（在网络内传播信息）（p < 0.01）和对同性恋的舒适感（p < 0.05）随着时间的推移在干预组与对照组之间增加。在横截面上，干预组参与者在社会扩散（p < 0.05）和抑郁症状方面的反应更为积极，但在困难情况下的性行为和对避孕套使用的态度方面（p < 0.01）的反应则更为消极。研究结果表明，需要解决男男性行为者的更广泛的健康问题以及性风险问题。
