年轻黑人女性与其社交网络成员之间的性健康交流。
Sexual Health Communication Among Young Black Women and Their Social Network Members.
作者信息
Craddock Jaih B
机构信息
University of Maryland, Baltimore.
出版信息
J Soc Social Work Res. 2020 Winter;11(4):569-589. doi: 10.1086/711701. Epub 2020 Dec 14.
OBJECTIVE
Young Black women (YBW) are at high risk of HIV infection. Although sexual health communication in social networks has been shown to help prevent HIV among high-risk populations, sexual health communication between YBW and their social network members (SNMs) has been insufficiently studied.
METHOD
Egocentric social-network-level and individual-level data were collected from 78 YBW ages 18-25 to examine their sexual health communication. Multilevel multivariable logistic regression models assessed the association among individual sexual risk behaviors, SNM characteristics, and sexual health communication.
RESULTS
Participants nominated an average of 14 SNMs ( = 1,068). Friends were most frequently nominated (55%). YBW communicated to 55% of their SNMs about sex, to 32% regarding condom use, and to 21% regarding HIV testing. If SNMs provided emotional support, YBW were 4 times more likely to talk with them about sex and HIV testing and 2 times more likely to talk about condom use.
CONCLUSIONS
These results indicate that before developing or adopting HIV interventions geared toward YBW, we need to assess how and with whom YBW are communicating about sexual health to better inform those interventions.
目的
年轻黑人女性（YBW）感染艾滋病毒的风险很高。尽管社交网络中的性健康交流已被证明有助于预防高危人群中的艾滋病毒，但YBW与其社交网络成员（SNM）之间的性健康交流尚未得到充分研究。
方法
从78名年龄在18至25岁的YBW中收集以自我为中心的社交网络层面和个人层面的数据，以检查她们的性健康交流情况。多层次多变量逻辑回归模型评估了个体性风险行为、SNM特征和性健康交流之间的关联。
结果
参与者平均提名了14名SNM（n = 1,068）。朋友被提名的频率最高（55%）。YBW与55%的SNM交流过性方面的话题，与32%的人交流过避孕套使用情况，与21%的人交流过艾滋病毒检测情况。如果SNM提供情感支持，YBW与他们谈论性和艾滋病毒检测的可能性会高出4倍，谈论避孕套使用的可能性会高出2倍。
结论
这些结果表明，在制定或采用针对YBW的艾滋病毒干预措施之前，我们需要评估YBW如何以及与谁交流性健康问题，以便更好地为这些干预措施提供信息。
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