Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men
Association of co-occurring psychosocial health problems and increased vulnerability to HIV/AIDS among urban men who have sex with men
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DOI：
10.2105/ajph.93.6.939
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发表时间：
2003-06-01
影响因子：
12.7
通讯作者：
Catania, JA
中科院分区：
文献类型：
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作者：
Stall, R;Mills, TC;Catania, JA
目标.我们测量了一组心理社会健康问题对男男性行为者（MSM）艾滋病风险增加的累加效应。我们在芝加哥、洛杉矶、纽约和旧金山进行了一个横断面的MSM家庭概率电话抽样。城市男男性接触者的心理社会健康问题存在高度相关性。更多的健康问题与高危性行为和HIV感染显著正相关。男男性行为者的艾滋病预防绝大多数只关注性风险。男男性接触者的其他健康问题不仅本身很重要，而且可能相互作用，增加艾滋病毒的风险。通过解决男男性行为者更广泛的健康问题，同时关注性风险，艾滋病毒预防可能会变得更有效。
Objectives. We measured the extent to which a set of psychosocial health problems have an additive effect on increasing HIV risk among men who have sex with men (MSM).Methods. We conducted a cross-sectional household probability telephone sample of MSM in Chicago, Los Angeles, New York, and San Francisco.Results. Psychosocial health problems are highly intercorrelated among urban MSM. Greater numbers of health, problems are significantly and positively associated with high-risk sexual behavior and HIV infection.Conclusions. AIDS prevention among MSM has overwhelmingly focused on sexual risk alone. Other health problems among MSM not only are important in their own right, but also may interact to increase HIV risk. HIV prevention might become more effective by addressing the broader health concerns of MSM while also focusing on sexual risks.