Department of Health Behavior, School of Public Health, Texas A&M University, College Station, TX, USA.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave., Suite 1400, Chicago, IL, 60611, USA.
Arch Sex Behav. 2024 Jul;53(7):2765-2775. doi: 10.1007/s10508-024-02840-6. Epub 2024 Mar 25.
In the United States, HIV prevalence is increasing in rural areas, specifically among rural adolescent sexual minority males (ASMM). However, it is unclear what HIV sexual risk behaviors rural ASMM engage in and what HIV preventative services they utilize. This study aimed to (1) document the lifetime HIV sexual risk behaviors and service utilization of rural ASMM and (2) compare rural-urban differences in the prevalence of HIV sexual risk behaviors and service utilization. We analyzed data collected from 1615 ASMM who participated in a baseline survey for an online HIV prevention program from April 2018 to June 2020. We compared the prevalence of lifetime HIV sexual risk behaviors and HIV healthcare utilization among rural and urban participants via descriptive statistics, chi-square tests, linear and logistic regressions, and zero-inflated Poisson regressions. These analyses indicated that rural ASMM were more likely than urban ASMM to engage in condomless sex when they had anal sex. Rural ASMM could benefit from offline and online evidence-based HIV prevention interventions, especially interventions that increase condom use.
在美国，艾滋病毒的流行率在农村地区上升，特别是在农村青少年性少数男性（ASMM）中。然而，目前尚不清楚农村 ASMM 参与了哪些艾滋病毒性行为风险，以及他们利用了哪些艾滋病毒预防服务。本研究旨在：（1）记录农村 ASMM 的终生艾滋病毒性行为风险和服务利用情况；（2）比较农村和城市地区艾滋病毒性行为风险和服务利用的流行率差异。我们分析了 2018 年 4 月至 2020 年 6 月期间，1615 名参与在线艾滋病毒预防计划基线调查的 ASMM 收集的数据。我们通过描述性统计、卡方检验、线性和逻辑回归以及零膨胀泊松回归，比较了农村和城市参与者的终生艾滋病毒性行为风险和艾滋病毒保健服务利用的流行率。这些分析表明，农村 ASMM 在进行肛交时，无保护性行为的可能性比城市 ASMM 更高。农村 ASMM 可以从线下和线上的基于证据的艾滋病毒预防干预措施中受益，特别是那些增加避孕套使用的干预措施。
