Johns Hopkins University, School of Nursing, Baltimore, MD, USA.
Us Helping Us Inc, Washington, DC, USA.
AIDS Care. 2020 Dec;32(12):1602-1609. doi: 10.1080/09540121.2020.1772455. Epub 2020 May 31.
Black gay, bisexual, and other Black sexual minority men (BSMM) continue to experience negative health outcomes along the HIV prevention and treatment continuum, especially in the U.S. Deep South. The purpose of this study is to identify sexual risk and healthcare utilization profiles behaviors among BSMM in the Deep South. Guided by the Behavioral Model for Vulnerable Populations, latent class analysis was used to identify sexual risk and healthcare utilization profiles using data from 348 individuals in Jackson, MS and Atlanta, GA. Multinomial logistic regression was used to identify the correlates of class membership. A 3-class solution was identified: Class 1 (Substance using, Low Testers); Class 2 (Condom using testers), and Class 3 (Casual Partner Testers). Class 1 had the highest conditional probabilities of drug (75%) and alcohol (84%) use before sex and the lowest probability of STI and HIV testing. Class 2 had the highest probabilities of condom use and a 65% probability of seeing a healthcare provider. Class 3 had the highest probability of inconsistent condom use and seeing a healthcare provider in the previous 12 months (76%). Findings support the need for targeted interventions tailored to BSMM of different sexual risk and healthcare utilization behaviors.
黑人男同性恋、双性恋和其他黑人性少数群体男性（BSMM）在艾滋病毒预防和治疗连续体中继续经历负面健康结果，尤其是在美国南部腹地。本研究的目的是确定南部腹地 BSMM 的性风险和医疗保健利用特征行为。本研究以弱势群体行为模型为指导，使用来自密西西比州杰克逊和佐治亚州亚特兰大的 348 名个体的数据，使用潜在类别分析来确定性风险和医疗保健利用特征。使用多项逻辑回归来确定类别成员的相关性。确定了 3 个类别解决方案：类别 1（使用药物，低测试者）；类别 2（使用避孕套，测试者）和类别 3（随意伴侣测试者）。类别 1 在性行为前使用毒品（75%）和酒精（84%）的可能性最高，性传播感染和艾滋病毒检测的可能性最低。类别 2 使用避孕套的可能性最高，有 65%的可能性去看医疗保健提供者。类别 3 在过去 12 个月中使用避孕套不规律和去看医疗保健提供者的可能性最高（76%）。研究结果支持针对不同性风险和医疗保健利用行为的 BSMM 制定有针对性的干预措施的必要性。
