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探索美国纽约市曾被监禁的黑人男性中的无保护性行为。

: Exploring Condomless Sex among Formerly Incarcerated Black Men in New York City, USA.

机构信息

Sandra Rosenbaum School of Social Work, University of Wisconsin-Madison.

College of Medicine, University of Florida.

出版信息

J Sex Res. 2022 May-Jun;59(5):662-670. doi: 10.1080/00224499.2021.2004083. Epub 2021 Dec 2.


DOI:10.1080/00224499.2021.2004083
PMID:34854792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9118125/
Abstract

More than 600,000 incarcerated individuals are released annually in the United States; a large proportion are Black men incarcerated for drug-related offenses, including drug use and possession. Formerly incarcerated Black men report elevated rates of condomless sex and sexually transmitted infections, including human immunodeficiency virus (HIV). The purpose of this study was to explore condom usage among Black men who were formerly incarcerated for drug-related offenses and living in New York City (NYC). Using a semi-structured interview guide, in-depth interviews were conducted with 26 formerly incarcerated Black men. Interviews were audio-recorded, transcribed, and entered into NVivo, then manually coded utilizing thematic analysis methods. The following four themes were identified: partner type and length of the relationship affected condom use; diminished pleasure was a barrier for condom use; challenges with ill-fitting and poor-quality condoms; and the withdrawal method was used as an HIV prevention technique. Our findings suggest that formerly incarcerated Black men are engaging in condomless sex post-incarceration. Greater exposure to prevention messages and targeted interventions with content that includes interpersonal and condom use skill-building, methods to increase pleasurable condom use, information on HIV and STI transmission modes, and access to pre-exposure prophylaxis (PrEP) may be beneficial for this population.

摘要

超过 60 万名被监禁者每年在美国获释;其中很大一部分是因与毒品有关的罪行(包括吸毒和持有毒品)而被监禁的黑人男性。以前被监禁的黑人男性报告说,他们无保护措施的性行为和性传播感染(包括艾滋病毒)的比率很高。本研究的目的是探讨在纽约市(NYC)居住的因与毒品有关的罪行而被监禁的黑人男性的 condom 使用情况。研究人员使用半结构化访谈指南,对 26 名以前因毒品犯罪而被监禁的黑人男性进行了深入访谈。访谈内容进行了录音、转录,并输入 NVivo,然后利用主题分析方法进行手动编码。确定了以下四个主题:伴侣类型和关系的长短影响 condom 的使用;快感的减少是 condom 使用的障碍;避孕套不合适和质量差的挑战;以及 withdrawal 方法被用作 HIV 预防技术。我们的研究结果表明,以前被监禁的黑人男性在监禁后进行了无 condom 的性行为。更多地接触预防信息和有针对性的干预措施,其内容包括人际关系和 condom 使用技能的培养、增加愉快 condom 使用的方法、关于 HIV 和性传播感染传播模式的信息,以及获得暴露前预防(PrEP),可能对这一人群有益。

相似文献

[1]
: Exploring Condomless Sex among Formerly Incarcerated Black Men in New York City, USA.

J Sex Res. 2022

[2]
Sexual communication is associated with condom use by sexually active incarcerated adolescents.

J Adolesc Health. 1994-7

[3]
Condom use among criminally-involved adolescents.

AIDS Care. 1994

[4]
Condom use relative to knowledge of sexually transmitted disease prevention, method of birth control, and past or present infection.

J Community Health. 1994-12

[5]
The effectiveness of video-based interventions in promoting condom acquisition among STD clinic patients.

Sex Transm Dis. 1995

[6]
Female sex workers incarcerated in New York City jails: prevalence of sexually transmitted infections and associated risk behaviors.

Sex Transm Infect. 2013-6

[7]
Condom use with primary partners among injecting drug users in Bangkok, Thailand and New York City, United States.

AIDS. 1993-6

[8]
Resilience, condom use self-efficacy, internalized homophobia, and condomless anal sex among black men who have sex with men, New York City.

PLoS One. 2019-4-24

[9]
Why do men who have sex with men practice condomless sex? A systematic review and meta-synthesis.

BMC Infect Dis. 2022-11-14

[10]
Use of the "NYC Condom" among people who use drugs.

J Urban Health. 2014-6

本文引用的文献

[1]
The sexualised use of cannabis among young sexual minority men: "I'm actually enjoying this for the first time".

Cult Health Sex. 2021-7

[2]
Evaluating the Feasibility of Implementing an HIV Prevention Intervention for Incarcerated African American Men: Lessons Learned From a Pilot Study.

Health Promot Pract. 2020-9

[3]
Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men - 23 Urban Areas, 2017.

MMWR Morb Mortal Wkly Rep. 2019-9-20

[4]
How Cannabis Alters Sexual Experience: A Survey of Men and Women.

J Sex Med. 2019-8-22

[5]
Association of HIV Preexposure Prophylaxis With Incidence of Sexually Transmitted Infections Among Individuals at High Risk of HIV Infection.

JAMA. 2019-4-9

[6]
Effectiveness of a Couple-Based HIV and Sexually Transmitted Infection Prevention Intervention for Men in Community Supervision Programs and Their Female Sexual Partners: A Randomized Clinical Trial.

JAMA Netw Open. 2019-3-1

[7]
Adaptation of an Evidence-Based Intervention to Reduce HIV Risk in an Underserved Population: Young Minority Men in New York City Jails.

AIDS Educ Prev. 2019-4

[8]
Substance use disorders and sexual behavior; the effects of alcohol and drugs on patients' sexual thoughts, feelings and behavior.

Addict Behav. 2018-7-6

[9]
Return to illicit drug use post-incarceration among formerly incarcerated Black Americans.

Drugs (Abingdon Engl). 2018

[10]
Neighborhood Crime and Sexual Transmission Risk Behavior among Black Men Living with HIV.

J Health Care Poor Underserved. 2018

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