Network overlap and knowledge of a partner's HIV status among young men who have sex with men.
Network overlap and knowledge of a partner's HIV status among young men who have sex with men.
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男男性行为青年的网络重叠和对伴侣艾滋病毒状况的了解。
DOI：
10.1080/09540121.2019.1601672
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发表时间：
2019
期刊：
影响因子：
1.7
通讯作者：
Schneider,JohnA
中科院分区：
文献类型：
--
作者：
Imahashi,Mayumi;Fujimoto,Kayo;Kuhns,LisaM;Amith,Muhammad;Schneider,JohnA
对于艾滋病毒感染者来说，向其伴侣透露艾滋病毒状况可能是心理和情绪压力的来源。与男性发生性关系的年轻男子（YMSM）可获得的关于血清状况披露的信息很少。本研究利用社交网络和性网络数据，探讨了YMSM向社交和性伴侣披露艾滋病病毒感染状况的情况。受访者驱动的抽样被用来收集数据，从YMSM年龄在16-29岁，得克萨斯州休斯顿和芝加哥，伊利诺伊州。从2014年到2016年收集了746名受访者和2035名社交和/或性伴侣的社交网络数据，其中27.9%的人艾滋病毒血清阳性，9.4%的伴侣与受访者有性和社会联系（重叠网络状态），90.6%的人与受访者有性或社会联系。根据被调查者对其性伴侣艾滋病感染状况的了解程度进行广义估计方程分析。结果表明，与其伴侣有重叠性和社会关系的受访者不知道其伴侣的HIV感染状况的可能性较小（AOR = 0.2695%CI：0.18-0.40）。结果突出了重叠的伙伴关系和知识的合作伙伴的艾滋病毒感染状况YMSM之间的关联。这些发现是有用的，当选择潜在的网络成员披露艾滋病毒的状态和支持YMSM的健康和福祉。
For individuals living with HIV, disclosure of HIV status to their partners can be a source of psychological and emotional stress. Minimal information about serostatus disclosure is available for young men who have sex with men (YMSM). This study examined the disclosure of HIV status to social and sexual partners among YMSM using social and sexual network data. Respondent-driven sampling was used to collect data from YMSM aged 16–29 in Houston, Texas and Chicago, Illinois. Social network data from 746 respondents and 2035 social and/or sexual partners were collected from 2014 to 2016, of whom 27.9% were HIV seropositive, with 9.4% of their partners being both sexually and socially connected to respondents (overlapping network status), and 90.6% either sexually or socially connected. Generalized estimating equation analysis was conducted based on respondents’ knowledge of their sexual partners’ HIV status. Results showed that respondents with overlapping sexual and social relationships with their partners were less likely to not know their partners’ HIV status (AOR = 0.26 95% CI: 0.18–0.40). Results highlight the association between overlapping partnership and knowledge of partner’s HIV status among YMSM. These findings are useful when selecting potential network members to disclose HIV status and support YMSM’s health and well-being.