美国南部男男性行为者在线电子健康干预中并发的流行状况。
Co-occurring Epidemic Conditions Among Southern U.S. Black Men Who Have Sex with Men in an Online eHealth Intervention.
机构信息
Department of Health Behavior, University of North Carolina Chapel Hill, 170 Rosenau Hall, CB #7400, Chapel Hill, NC, 27599, USA.
Department of Family and Community Health, University of Pennsylvania, Philadelphia, USA.
出版信息
AIDS Behav. 2023 Feb;27(2):641-650. doi: 10.1007/s10461-022-03799-y. Epub 2022 Aug 20.
Black men who have sex with men (BMSM) face disproportionately higher risks for adverse sexual health outcomes compared to their non-Hispanic White counterparts. This disparity can be attributable to overlapping and intersecting risk factors at the individual and structural levels and can be understood through syndemic theory. Using longitudinal data from the HealthMPowerment trial (n = 363), six conditions related to stigma syndemics were indexed as a cumulative risk score: high alcohol use, polydrug use, depression and anxiety symptomology, and experiences of racism and sexual minority stigma. Using Poisson regression, we found a positive association between baseline risk scores and sexual risk behavior (b: 0.32, SE: 0.03, p < 0.001). Using a Generalized Estimating Equation, we also found a 0.23 decrease in the within-participant risk scores at 3-month follow-up (SE: 0.10, p < 0.020). Future work examining how care and prevention trials improve health outcomes in this population is needed.
与非西班牙裔白人相比，男男性行为者（BMSM）面临更高的不良性健康结局风险。这种差异可以归因于个体和结构层面上重叠和交叉的风险因素，并可以通过综合征理论来理解。利用健康增强试验（HealthMPowerment trial）的纵向数据（n=363），将与耻辱综合征相关的六种情况作为累积风险评分进行索引：大量饮酒、多药滥用、抑郁和焦虑症状，以及种族主义和性少数群体耻辱感的经历。使用泊松回归，我们发现基线风险评分与性行为风险之间存在正相关（b：0.32，SE：0.03，p<0.001）。使用广义估计方程，我们还发现参与者在 3 个月随访时的内部风险评分下降了 0.23（SE：0.10，p<0.020）。需要开展未来的研究，以检验关怀和预防试验如何改善这一人群的健康结局。
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