Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA.
Center for Data & Digital Scholarship, University Libraries, University of Colorado Boulder, Boulder, CO, USA.
Health Psychol Rev. 2024 Jun;18(2):299-318. doi: 10.1080/17437199.2023.2236180. Epub 2023 Aug 7.
Considerable research has examined how involvement in gay-affiliated communities is associated with sexual health behaviours in sexual minority men (i.e., gay, bisexual, and other men who have sex with men), yet findings in this domain are often contradictory and inconclusive. This systematic review aimed to (a) synthesise the related empirical literature, and (b) identify potential factors driving inconsistent findings. Peer-reviewed publications were included if they contained quantitative data and at least one measure of the statistical association between gay community involvement and sexual health behaviour. The search strategy was implemented in six databases and returned 6,409 articles, of which 86 met the inclusion criteria. There was considerable heterogeneity in how gay community involvement was assessed across studies. Although gay community involvement was consistently associated with greater engagement in behaviours across studies, the association between gay community involvement and behaviours appeared to depend on how gay community involvement was conceptualised and measured (e.g., nightlife involvement vs. political activism). Findings emphasise a need for studies that employ validated measures that reflect the multidimensional nature of gay community involvement, as well as research designs better suited to address the causal effects of community involvement on HIV/STI transmission and prevention.
大量研究考察了同性恋相关社区的参与如何与性少数群体男性（即男同性恋者、双性恋者和其他与男性发生性关系的男性）的性健康行为相关，但这一领域的研究结果往往相互矛盾且没有定论。本系统综述旨在：(a) 综合相关的实证文献，以及 (b) 确定导致不一致发现的潜在因素。如果包含定量数据和同性恋社区参与与性行为之间统计关联的至少一项衡量标准，则将包含定量数据的同行评审出版物纳入研究范围。搜索策略在六个数据库中实施，返回了 6409 篇文章，其中 86 篇符合纳入标准。在研究中，同性恋社区参与的评估方式存在很大的异质性。尽管同性恋社区的参与与性行为的参与度普遍呈正相关，但同性恋社区参与和性行为之间的关联似乎取决于同性恋社区参与的概念化和衡量方式（例如，夜生活参与与政治活动）。研究结果强调需要采用反映同性恋社区参与多维性质的经过验证的衡量标准的研究，以及更适合解决社区参与对 HIV/性传播感染传播和预防的因果影响的研究设计。
