Division of Epidemiology and Psychosocial Research, National Institute of Psychiatry Ramon de la Fuente Muñiz, Mexico City, Mexico.
Division of Graduate Studies and Research, Faculty of Psychology, National Autonomous University of Mexico, Mexico City, Mexico.
BMC Infect Dis. 2024 Jun 10;24(1):574. doi: 10.1186/s12879-024-09456-0.
We conducted a systematic review to explore the relationship between perceived risk for HIV acquisition and sexual HIV exposure among sexual and gender minorities. We included 39 studies divided into (i) correlations or associations, (ii) models using sexual HIV exposure as the outcome, and (iii) models using perceived risk for HIV acquisition as the outcome. The sample size range was from 55 to 16,667 participants, primarily cisgender men who have sex with men (73.3%) and White (51.3%). Sexual HIV exposure and perceived risk for HIV acquisition assessments and recall time frames across studies differed markedly. Most of studies (84.6%) found significant correlations, comparisons, or associations between different levels of perceived risk for HIV acquisition and high sexual HIV exposure. In addition, 51.3% of studies reported other variables associated with high sexual HIV exposure (i.e., misuse of substances or alcohol) or with high perceived risk for HIV acquisition (i.e., younger age). In conclusion, the association between perceived risk for HIV acquisition and sexual HIV exposure has shown to be consistent. However, the assessment for perceived risk for HIV acquisition should include more components of perception (i.e., an affective component), or for sexual HIV exposure should consider the different estimated sexual per-acts probability of acquiring HIV.
我们进行了一项系统评价，旨在探讨性少数群体（SGM）对 HIV 感染风险的感知与性传播 HIV 暴露之间的关系。我们纳入了 39 项研究，分为（i）相关性或关联，（ii）以性传播 HIV 暴露为结果的模型，以及（iii）以对 HIV 感染风险的感知为结果的模型。样本量范围从 55 到 16667 名参与者，主要为顺性别男性同性恋者（73.3%）和白人（51.3%）。各项研究的性传播 HIV 暴露和对 HIV 感染风险的感知评估以及回忆时间框架差异显著。大多数研究（84.6%）发现，对 HIV 感染风险的不同感知水平与高性传播 HIV 暴露之间存在显著相关性、比较或关联。此外，51.3%的研究报告了与高性传播 HIV 暴露（即滥用药物或酒精）或与高对 HIV 感染风险的感知（即年龄较小）相关的其他变量。总之，对 HIV 感染风险的感知与性传播 HIV 暴露之间的关联一直是一致的。然而，对 HIV 感染风险的感知评估应该包括更多感知成分（即情感成分），或者对性传播 HIV 暴露的评估应该考虑到不同的估计性接触获得 HIV 的概率。
