Network correlates of sexual health advice seeking and substance use among members of the Los Angeles House and Ball communities
Network correlates of sexual health advice seeking and substance use among members of the Los Angeles House and Ball communities
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DOI：
10.1093/her/cyt152
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发表时间：
2014-04-01
影响因子：
2.4
通讯作者：
Kipke, Michele D.
中科院分区：
文献类型：
--
作者：
Holloway, Ian W.;Schrager, Sheree M.;Kipke, Michele D.
House和Ball社区（HBCs）代表了非洲裔美国男男性行为者和变性人预防人类免疫缺陷病毒的主要背景。本研究旨在了解加州洛杉矶HBC成员的社会支持和性网络的组成和功能（N = 263）。采用基于场所的抽样方法招募参与者，并要求他们报告寻求性健康咨询、饮酒和非法药物使用情况。与性网络成员相比，参与者更倾向于向社会支持网络成员寻求性健康建议[比值比（OR）： 2.50, P < 0.001]。与非众议院议员和社会支持网络成员相比，HBC成员与众议院议员和性网络成员更容易喝醉（OR: 1.57, P < 0.05），更容易使用违禁药物（OR: 1.87, P < 0.10）。为HBC量身定制的健康促进方案应鼓励关于性健康的公开交流；这些干预措施必须包括有关药物使用在性冒险行为中的作用的信息。
House and Ball communities (HBCs), represent a prime context for human immunodeficiency virus prevention with African American young men who have sex with men and transgender persons. This study sought to understand the composition and function of social support and sexual networks of HBC members in Los Angeles, California (N = 263). Participants were recruited using venue-based sampling and asked to report on sexual health advice seeking, alcohol use and illicit substance use. Participants were more likely to seek sexual health advice from social support network members compared with sexual network members [odds ratio (OR): 2.50, P < 0.001]. HBC members were more likely to get drunk (OR: 1.57; P < 0.05) and use illicit substances (OR: 1.87; P < 0.10) with House members and sexual network members compared with non-House members and social support network members. Health promotion programs tailored for the HBC should encourage open communication regarding sexual health; these interventions must include information about the role of substance use in sexual risk taking.