Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, 2071 N. Summit Ave., Milwaukee, WI, 53202, USA.
Medical College of Wisconsin, Institute for Health Equity, Milwaukee, USA.
AIDS Behav. 2021 Mar;25(3):758-772. doi: 10.1007/s10461-020-03040-8. Epub 2020 Sep 17.
The United States (US) is on track to achieve the 90-90-90 targets set forth by UNAIDS and the National HIV/AIDS strategy, yet significant racial disparities in HIV care outcomes remain, particularly for young Black men who have sex with men (YBMSM). Research has demonstrated that various types of violence are key aspects of syndemics that contribute to disparities in HIV risk. However, little research has looked collectively at cumulative violent experiences and how those might affect HIV treatment and care outcomes. Drawing on extant literature and theoretical underpinnings of syndemics, we provide a conceptual model that highlights how continuous traumatic violence experienced by YBMSM may affect HIV outcomes and contribute to racial disparities in HIV outcomes. The findings of this focused review suggest a need for research on how continuous exposure to various types of violence influence HIV prevention and treatment outcomes for young Black MSM.
美国（US）有望实现联合国艾滋病规划署和国家艾滋病病毒/艾滋病战略提出的 90-90-90 目标，但艾滋病毒护理结果仍存在显著的种族差异，特别是对于与男性发生性关系的年轻黑人男性（YBMSM）。研究表明，各种类型的暴力是导致艾滋病毒风险差异的综合征的关键方面。然而，很少有研究综合考虑累积的暴力经历，以及这些经历如何影响艾滋病毒治疗和护理结果。借鉴现有文献和综合征的理论基础，我们提供了一个概念模型，强调了 YBMSM 持续经历的持续创伤性暴力如何影响艾滋病毒结果，并导致艾滋病毒结果的种族差异。这项重点审查的结果表明，需要研究持续接触各种类型的暴力如何影响年轻黑人男性的艾滋病毒预防和治疗结果。
