Unprotected sex among heterosexually active homeless men: results from a multi-level dyadic analysis.
Unprotected sex among heterosexually active homeless men: results from a multi-level dyadic analysis.
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DOI：
10.1007/s10461-012-0366-z
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发表时间：
2013-06
影响因子：
4.4
通讯作者：
Golinelli, Daniela
中科院分区：
文献类型：
--
作者：
Kennedy, David P.;Wenzel, Suzanne L.;Brown, Ryan;Tucker, Joan S.;Golinelli, Daniela
艾滋病毒是无家可归者面临的一个严重的公共卫生问题。与其他无家可归者相比，与妇女发生性关系的无家可归男子在艾滋病毒风险文献中受到的关注较少。本研究采用多层次模型调查的背景下，无保护的性行为之间的异性恋活跃的无家可归的男子在洛杉矶的贫民窟地区。基于对305名随机选择的男性的访谈，他们讨论了665名最近的女性性关系，该项目调查了过去6个月内在伙伴关系，个人和社会网络层面上无保护性行为的相关性。几种不同的关系亲密程度和缺乏关于艾滋病毒/避孕套的沟通与无保护性行为有关。控制关系因素，男性对避孕套的负面态度，心理健康，以及男性性伴侣的数量较多，也与无保护措施的性行为与女性合作伙伴。我们讨论了这些发现对健康干预的影响。
HIV is a serious public health problem for homeless populations. Homeless men who have sex with women have received less attention in the HIV risk literature than other homeless populations. This research uses multi-level modeling to investigate the context of unprotected sex among heterosexually active homeless men in the Skid Row area of Los Angeles. Based on interviews with 305 randomly selected men who discussed 665 of their recent female sexual relationships, this project investigates the correlates of unprotected sex during the past 6 months at the partnership, individual, and social network levels. Several different measures of relationship closeness and lack of communication about HIV/condoms were associated with unprotected sex. Controlling for relationship factors, men’s negative attitudes towards condoms, mental health, and higher number of male sex partners also were associated with having unprotected sex with female partners. We discuss the implications of these findings for health interventions.
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