男同性恋身份与男男性行为的黑人和拉丁裔男性的艾滋病毒风险。

Gay Identity and HIV Risk for Black and Latino Men Who Have Sex with Men.

作者信息

Henny Kirk D, Nanin Jose, Gaul Zaneta, Murray Ashley, Sutton Madeline Y

机构信息

Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Mailstop E-45, Atlanta, GA 30329, USA.

Community Health Program at Kingsborough Community College, City University York, New York City, NY, USA.

出版信息

Sex Cult. 2018 Mar;22(1):258-270. doi: 10.1007/s12119-017-9465-3. Epub 2017 Oct 19.

Abstract

Strong gay identity among white men who have sex with men (MSM) has been associated with decreased HIV risk, but data for black and Latino MSM (BLMSM) are inconclusive. We examined gay identity and HIV risk among BLMSM to inform social and structural HIV intervention strategies. BLMSM were administered a computerized survey as part of an HIV research study during 2011-2012 conducted in New York City. We used a brief scale of Gay Identity Questionnaire. After data analysis, Stage I (not fully accepting) and Stage II (fully accepting) gay identity were determined based on participant responses. We used logistic regression to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the association between gay identity with HIV risk and social determinant factors. Among 111 self-identified BLMSM (median age = 32 years, 68.4% with some college or higher education), 34.2 reported receptive anal sex without condoms in the previous three months. Gay Identity Questionnaire Scale assessment indicated that 22 (19.8%) were Stage I, and 85 (76.6%) were Stage II in this BLMSM sample. Stage II gay identity was more likely seen among BLMSM with high involvement in the gay community (aOR 3.2; CI 1.00, 10.26) and less likely among BLMSM who exchanged sex for food or shelter (aOR 0.15; CI 0.02, 0.98). Fully accepting gay identity may be protective for BLMSM as it relates to transactional sex; these factors warrant further research and consideration as part of HIV prevention strategies.

摘要

与男性发生性行为的白人男性(男男性行为者)中强烈的同性恋身份认同与降低的艾滋病毒感染风险相关,但黑人及拉丁裔男男性行为者(BLMSM)的数据尚无定论。我们研究了BLMSM中的同性恋身份认同与艾滋病毒感染风险,以为艾滋病毒社会和结构干预策略提供信息。作为2011年至2012年在纽约市进行的一项艾滋病毒研究的一部分,对BLMSM进行了计算机化调查。我们使用了一份简短的同性恋身份问卷量表。经过数据分析,根据参与者的回答确定了第一阶段(不完全接受)和第二阶段(完全接受)的同性恋身份。我们使用逻辑回归来计算同性恋身份与艾滋病毒感染风险及社会决定因素之间关联的调整优势比(aOR)和95%置信区间(CI)。在111名自我认定的BLMSM中(中位年龄 = 32岁,68.4%接受过某种大学教育或更高教育),34.2%报告在过去三个月中有无保护措施的接受肛交行为。同性恋身份问卷量表评估表明,在这个BLMSM样本中,22人(19.8%)处于第一阶段,85人(76.6%)处于第二阶段。在高度参与同性恋社区的BLMSM中更可能出现第二阶段的同性恋身份认同(aOR 3.2;CI 1.00,10.26),而在以性交易换取食物或住所的BLMSM中则不太可能出现(aOR 0.15;CI 0.02,0.98)。完全接受同性恋身份认同可能对BLMSM在与交易性行为相关方面具有保护作用;这些因素作为艾滋病毒预防策略的一部分值得进一步研究和考虑。

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