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兄弟姐妹关系对拉丁裔性少数男性行为和性健康的影响。

The Impact of Sibling Relationships on Behavioral and Sexual Health among Latino Sexual Minority Men.

机构信息

Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

St. John's Community Health, Los Angeles, CA, USA.

出版信息

Arch Sex Behav. 2024 Jul;53(7):2751-2763. doi: 10.1007/s10508-024-02832-6. Epub 2024 Mar 29.


DOI:10.1007/s10508-024-02832-6
PMID:38553660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11219362/
Abstract

Pre-exposure prophylaxis (PrEP) is a highly effective method for preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the US initiative. However, there are various barriers that hinder the access and uptake of PrEP among Latino sexual minority men (SMM) at individual, interpersonal, and cultural levels. While the significance of cultural factors in designing and implementing HIV prevention programs for Latino populations has been consistently emphasized in the literature and prioritized by the Centers for Disease Control and Prevention, few studies have directly integrated these cultural factors into their programs. Our study aimed to investigate the potential influence of siblings in promoting the utilization of PrEP for HIV prevention, an area that has received limited attention. We conducted interviews with 31 pairs of siblings between December 2020 and January 2021, which were held in either English or Spanish and lasted approximately 45-60 min. The data were analyzed using a deductive thematic content analysis approach. The interviews revealed several key themes and categories, including: (1) Sibling support for coming out; (2) Types of support that siblings provide to each other for behavior change; (3) Sibling support for PrEP; and (4) The impact of the study interview on the quality of the sibling relationships. Our findings indicated that siblings were willing to provide support for PrEP in various ways, ranging from emotional support for brothers who may be concerned about potential rejection to practical support such as transportation or financial assistance. These results have significant implications for the design of HIV prevention interventions for Latinos. Incorporating siblings or other extended family members into these interventions can facilitate communication between siblings and their brothers, ultimately encouraging the use of PrEP or similar prevention methods. By considering the unique dynamics and support systems within Latino communities, researchers can develop more effective strategies to promote HIV prevention and support the well-being of Latino SMM.

摘要

暴露前预防(PrEP)是预防 HIV 感染的一种非常有效的方法,在美国终结 HIV 流行倡议中发挥着关键作用。然而,在个人、人际和文化层面上,拉丁裔性少数男性(SMM)在获得和使用 PrEP 方面存在各种障碍。尽管文化因素在为拉丁裔人群设计和实施 HIV 预防方案中的重要性在文献中得到了一致强调,并被疾病控制与预防中心(Centers for Disease Control and Prevention)列为优先事项,但很少有研究直接将这些文化因素纳入其方案中。我们的研究旨在调查兄弟姐妹在促进 PrEP 用于 HIV 预防方面的潜在影响,这一领域受到的关注有限。我们在 2020 年 12 月至 2021 年 1 月期间对 31 对兄弟姐妹进行了访谈,访谈可以用英语或西班牙语进行,持续约 45-60 分钟。我们采用演绎主题内容分析法对数据进行分析。访谈揭示了几个关键主题和类别,包括:(1)兄弟姐妹对出柜的支持;(2)兄弟姐妹为彼此提供的行为改变支持类型;(3)兄弟姐妹对 PrEP 的支持;以及(4)研究访谈对兄弟姐妹关系质量的影响。我们的研究结果表明,兄弟姐妹愿意以各种方式提供 PrEP 支持,从为可能担心被拒绝的兄弟提供情感支持,到提供交通或经济援助等实际支持。这些结果对为拉丁裔设计 HIV 预防干预措施具有重要意义。将兄弟姐妹或其他大家庭成员纳入这些干预措施中,可以促进兄弟姐妹之间的沟通,最终鼓励他们使用 PrEP 或类似的预防方法。通过考虑拉丁裔社区中独特的动态和支持系统,研究人员可以制定更有效的策略,促进 HIV 预防并支持拉丁裔 SMM 的福祉。

相似文献

[1]
The Impact of Sibling Relationships on Behavioral and Sexual Health among Latino Sexual Minority Men.

Arch Sex Behav. 2024-7

[2]
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Cochrane Database Syst Rev. 2008-7-16

[3]
Barriers and Facilitators to Accessing PrEP and Other Sexual Health Services Among Immigrant Latino Men Who Have Sex with Men in Los Angeles County.

Arch Sex Behav. 2024-10

[4]
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2025-1

[5]
Preferences for on-demand/intermittent/event-driven and long-acting injectable (LAI) HIV pre-exposure prophylaxis (PrEP) among HIV-negative Black gay, bisexual, and other sexual minority men in the United States: A qualitative study.

PLoS One. 2025-6-30

[6]
Peer Influence on Motivation to Use Pre-Exposure Prophylaxis Among Latino Sexual Minority Men in Miami, Florida: A Network Autocorrelation Model.

AIDS Patient Care STDS. 2024-8

[7]
Latino Sexual Minority Men's Pre-Exposure Prophylaxis Modality Preferences: A Latent Class Analysis.

AIDS Patient Care STDS. 2025-2

[8]
A Mixed Methods Investigation Examining the PrEP Cascade Among 13-18-Year-Old Latino Adolescent Sexual Minority Men.

J Racial Ethn Health Disparities. 2024-7-12

[9]
Characterizing the Communication Networks of Spanish- and English-Speaking Latinx Sexual Minority Men and Their Roles in Pre-Exposure Prophylaxis Uptake.

J Health Commun. 2024-7-2

[10]
The Effects of MyChoices and LYNX Mobile Apps on HIV Testing and Pre-Exposure Prophylaxis Use by Young US Sexual Minority Men: Results From a National Randomized Controlled Trial.

JMIR Public Health Surveill. 2025-2-5

引用本文的文献

[1]
Understanding sociocultural influences in sexual health promotion and HIV protection among Latinx sexually minoritized men: A qualitative study.

PLoS One. 2025-4-23

[2]
A Mixed Methods Investigation Examining the PrEP Cascade Among 13-18-Year-Old Latino Adolescent Sexual Minority Men.

J Racial Ethn Health Disparities. 2024-7-12

本文引用的文献

[1]
Intersectional forms of racism and sexual minority stress are associated with alcohol use among Latinx sexual minority men with greater Hispanic/Latinx cultural orientation.

Am J Drug Alcohol Abuse. 2023-3-4

[2]
Complex Outness Patterns Among Sexual Minority Youth: A Latent Class Analysis.

J Youth Adolesc. 2022-4

[3]
Cultural Influences on Sibling Relationships, Roles, and Self-Concept in the Context of Autism: Perspectives of Latino/a/x and non-Latino/a/x Siblings.

J Autism Dev Disord. 2022-9

[4]
Birth Order and First Sexual Experience: Do Siblings Influence Sexual Debut in Adolescents?

Arch Sex Behav. 2021-8

[5]
Siblings as buffers: Social problems and internalizing and externalizing behaviors across early adolescence.

J Fam Psychol. 2021-10

[6]
PrEP discontinuation among Latino/a and Black MSM and transgender women: A need for PrEP support services.

PLoS One. 2020-11-5

[7]
HIV Testing Among Latino Emerging Adults: Examining Associations with Familism Support, Nativity, and Gender.

J Immigr Minor Health. 2020-10

[8]
Growth in Proportion and Disparities of HIV PrEP Use Among Key Populations Identified in the United States National Goals: Systematic Review and Meta-analysis of Published Surveys.

J Acquir Immune Defic Syndr. 2020-8-1

[9]
Identity as Resistance: Identity Formation at the Intersection of Race, Gender Identity, and Sexual Orientation.

Psychol Women Q. 2020-3

[10]
Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students.

PLoS One. 2018-3-19

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