Sönmez İbrahim, Berg Rigmor C, Yazıcılaroğlu Sami Sarper, Thurlby Natalie, Schmidt Axel J
Political and Social Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
FHI, Oslo, Norway.
Int J Sex Health. 2022 Jul 11;34(4):644-657. doi: 10.1080/19317611.2022.2094043. eCollection 2022.
This study aimed to understand how the association between internalized homonegativity (IH) and sexual risk behavior differed in Spain ( = 3,336) and Turkey ( = 550). : We used multigroup structural equation modeling. : HIV and pre-exposure prophylaxis (PrEP) knowledge mediated the relationship between IH and sexual risk behavior among MSM in Spain, but not among men in Turkey. Higher HIV/PrEP knowledge was associated with higher sexual risk behavior among MSM in Spain, while among MSM in Turkey the association was in the opposite direction. : The meaning of safe-sex may differ across contexts, and this should be taken into consideration when tailoring HIV prevention programs.
本研究旨在了解内化同性恋消极态度(IH)与性风险行为之间的关联在西班牙(n = 3336)和土耳其(n = 550)有何不同。我们使用了多组结构方程模型。艾滋病病毒(HIV)和暴露前预防(PrEP)知识介导了西班牙男男性行为者(MSM)中IH与性风险行为之间的关系,但在土耳其男性中并非如此。在西班牙,较高的HIV/PrEP知识与男男性行为者较高的性风险行为相关,而在土耳其的男男性行为者中,这种关联方向相反。安全性行为的含义可能因背景而异,在制定HIV预防计划时应考虑到这一点。