Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts.
Stigma, discrimination, and substance use among an urban sample men who have sex with men in Massachusetts.
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马萨诸塞州城市男男性行为者的耻辱感、歧视和药物使用情况。
DOI：
10.1080/09540121.2019.1683807
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发表时间：
2020-03
期刊：
影响因子：
1.7
通讯作者：
O'Cleirigh C
中科院分区：
文献类型：
--
作者：
Batchelder AW;Klevens M;Fitch C;McKetchnie SM;Mayer KH;O'Cleirigh C
那些交叉身份或特征受到社会污名的男男性行为者 (MSM) 感染艾滋病毒的风险存在差异。然而，身份、歧视和耻辱的具体方面与艾滋病毒危险行为之间的关系需要进行更深入的调查，以制定更有效的干预措施。波士顿 2014 年国家 HIV 行为监测 MSM 周期的数据用于评估社会人口统计、结构因素、物质使用、歧视、HIV 耻辱和无套肛交伴侣数量之间的关联。在总样本 (n=382) 中，17.6% 的人报告了言语虐待，8.3% 的人报告了工作场所歧视，2.6% 的人报告了健康歧视，3.8% 的人报告了人身攻击。艾滋病毒耻辱感因种族、性取向和收入而异。有药物治疗史的人报告健康歧视和身体攻击的可能性分别是 9.47 (OR 95% CI: 2.09, 42.79) 和 8.29 (OR 95% CI: 2.27, 30.21) 倍。使用负二项逻辑回归，健康歧视和身体攻击调节了物质使用与无套肛交伴侣数量之间的关系，使得那些经历过健康歧视或身体攻击和物质使用的人报告了更多的伴侣。即使在马萨诸塞州，身份或特征在社会中被边缘化的男男性行为者也会遭受歧视和耻辱。最值得注意的是，经历医疗保健歧视或身体攻击都与使用药物的 MSM 的性危险行为增加有关。减少艾滋病毒传播需要减少对最弱势群体，特别是那些使用药物的群体的歧视和耻辱。
Men who have sex with men (MSM) whose intersecting identities or characteristics are stigmatized by society are differentially at risk for acquiring HIV. However, the relationships between specific aspects of identity, discrimination and stigma, and HIV risk behaviors require greater investigation to develop more effective interventions. Data from Boston’s 2014 National HIV Behavioral Surveillance MSM cycle were used to assess associations between socio-demographics, structural factors, substance use, discrimination, HIV-stigma, and number of condomless anal sex partners. Of the total sample (n=382), 17.6% reported verbal abuse, 8.3% work-place discrimination, 2.6% health discrimination, and 3.8% physical assault. HIV-stigma beliefs differed by race, sexual-orientation, and income. Those with histories of drug treatment were 9.47 (OR 95%CI: 2.09, 42.79) and 8.29 (OR 95%CI: 2.27, 30.21) times more likely to report health discrimination and physical assault, respectively. Using negative binomial logistic regression, health discrimination and physical assault moderated relationships between substance use and number of condomless anal sex partners such that those who experienced health discrimination or physical assault and substance use reported more partners. Even in Massachusetts, MSM with identities or characteristics marginalized in society disproportionately experience discrimination and stigma. Most notably, experiencing healthcare discrimination or physical assault were both associated with increased sexual risk behavior among MSM who use substances. Decreasing HIV transmission requires reducing discrimination and stigma among those most vulnerable, particularly those using substances.
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影响因子：
12.7
作者：
Eaton LA;Driffin DD;Kegler C;Smith H;Conway-Washington C;White D;Cherry C
通讯作者：
Cherry C
影响因子：
3.8
作者：
McGarrity, Larissa A.;Huebner, David M.
通讯作者：
Huebner, David M.
DOI：
10.1080/13691058.2016.1216604
发表时间：
2017-03
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Parker CM;Garcia J;Philbin MM;Wilson PA;Parker RG;Hirsch JS
通讯作者：
Hirsch JS
影响因子：
2.6
作者：
Flanders, Corey E.;Tarasoff, Lesley A.;Gos, Giselle
通讯作者：
Gos, Giselle
影响因子：
2.3
作者：
Jones, Audrey L.;Hausmann, Leslie R. M.;Gordon, Adam J.
通讯作者：
Gordon, Adam J.