Stress and Coping Among HIV-Positive Barebackers
Stress and Coping Among HIV-Positive Barebackers
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DOI：
10.1007/s10461-009-9586-2
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发表时间：
2009-08-01
影响因子：
4.4
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
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作者：
Kelly, Brian C.;Bimbi, David S.;Parsons, Jeffrey T.
HIV阳性的男男性接触者可能会报告高危行为，包括吸毒和故意的无保护肛交，作为应对的一种手段。我们在同性恋社区活动中招募了不同的HIV阳性男性样本（n = 66）。其中三分之一的人自称是无鞍者。裸奔者更有可能报告吸毒和在毒品影响下的性行为（即，P.P.）。除此之外，那些被认定为无鞍者的人也倾向于报告更大的耻辱感，同性恋相关的压力，自责相关的应对方式和药物滥用应对方式。提供者必须关注压力和应对问题，以吸引可能对传统的减少风险努力没有反应的男子。
HIV-positive MSM may report high-risk behaviors-including drug use and intentional unprotected anal sex-as a means of coping. We recruited a diverse sample of HIV-positive men (n = 66) at gay community events. One third of these men self-identified as barebackers. Barebackers were more likely to report drug use and sex under the influence of drugs (i.e., PnP). Beyond this, those who identified as barebackers also tended to report greater stigma, gay-related stress, self-blame-related coping, and substance abuse coping. Providers must attend to issues of stress and coping to engage men who may not respond to traditional risk reduction efforts.