Hirshfield Sabina, Lewis Kristen E, Silver Michael, Gordon Rachel J
Department of Medicine, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA.
Department of Epidemiology, Columbia University, New York, NY, USA.
AIDS Behav. 2022 Apr;26(4):1321-1331. doi: 10.1007/s10461-021-03489-1. Epub 2021 Oct 26.
This cross-sectional study sought to determine whether HIV-related interpersonal stigma was associated with the presence of sexual compulsivity (SC) in a national online sample of 936 men who have sex with men (MSM) living with HIV who reported recent suboptimal adherence to their antiretroviral therapy (ART) or virologic non-suppression. A modest association was found between perceptions of HIV-related interpersonal stigma and SC that was partially mediated by current mental health symptoms. White MSM were significantly more likely than Black MSM to report SC or HIV-related interpersonal stigma. Findings signal the need for therapeutic interventions that include behavioral and/or pharmacologic therapy to address overlapping intervention targets, including mental health, substance use, and sexual health. Future research should assess temporality of HIV-related interpersonal stigma and SC, as well as racial differences in relation to these constructs.
这项横断面研究旨在确定在一个全国性的在线样本中，与艾滋病毒相关的人际耻辱感是否与性强迫行为（SC）有关。该样本包括936名感染艾滋病毒的男男性行为者（MSM），他们报告最近抗逆转录病毒疗法（ART）依从性欠佳或病毒学未得到抑制。研究发现，对与艾滋病毒相关的人际耻辱感的认知与性强迫行为之间存在适度关联，且当前心理健康症状在一定程度上起到了中介作用。白人男男性行为者比黑人男男性行为者更有可能报告性强迫行为或与艾滋病毒相关的人际耻辱感。研究结果表明，需要采取包括行为和/或药物治疗在内的治疗干预措施，以解决包括心理健康、物质使用和性健康在内的重叠干预目标。未来的研究应评估与艾滋病毒相关的人际耻辱感和性强迫行为的时间顺序，以及这些构念方面的种族差异。
