School of Nursing, University of Pennsylvania, 418 Curie Blvd, Suite 222L, Philadelphia, PA, 19104, USA.
AIDS Behav. 2020 Oct;24(10):2781-2796. doi: 10.1007/s10461-020-02798-1.
Network factors have been proposed as potential drivers of racial disparities in HIV among Black and Latino men who have sex with men (MSM). This review aimed to synthesize the extant literature on networks and racial disparities in HIV among MSM and identify potential directions for future research. We searched databases for peer-reviewed articles published between January 1, 2008 and July 1, 2018. Articles were included if the sample was comprised primarily of racial/ethnic minority MSM and measured one or more network characteristics. (n = 25). HIV prevalence in networks, social support, and structural barriers were linked to disparities in HIV for Black MSM. Future research should focus on intervention development around social support and other strategies for risk reduction within networks. Given the contribution of structural factors to racial/ethnic HIV disparities, network-level interventions should be paired with policies that improve access to housing, jobs, and education for MSM.
网络因素被认为是导致黑人和拉丁裔男男性行为者(MSM)中艾滋病毒种族差异的潜在因素。本综述旨在综合现有关于 MSM 中网络和艾滋病毒种族差异的文献,并确定未来研究的潜在方向。我们在数据库中搜索了 2008 年 1 月 1 日至 2018 年 7 月 1 日期间发表的同行评审文章。如果样本主要由少数族裔 MSM 组成,并且测量了一个或多个网络特征,则纳入文章。(n=25)。网络中的 HIV 流行率、社会支持和结构障碍与黑人群体中的 HIV 差异有关。未来的研究应集中在社会支持和网络内其他风险降低策略的干预措施的发展上。鉴于结构因素对种族/族裔艾滋病毒差异的贡献,网络层面的干预措施应与改善 MSM 获得住房、工作和教育机会的政策相结合。