Sexual Networking and HIV/STI Prevention Among Men who have Sex with Men and Identify as Persons of Color in the Era of COVID-19 in Boston, MA: Qualitative Findings from the National HIV Behavioral Surveillance Project.
Sexual Networking and HIV/STI Prevention Among Men who have Sex with Men and Identify as Persons of Color in the Era of COVID-19 in Boston, MA: Qualitative Findings from the National HIV Behavioral Surveillance Project.
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马萨诸塞州波士顿 COVID-19 时代男男性行为者和有色人种的性网络和 HIV/STI 预防：国家 HIV 行为监测项目的定性调查结果。
DOI：
10.1007/s10461-023-04238-2
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发表时间：
2024
影响因子：
4.4
通讯作者：
Psaros,Christina
中科院分区：
文献类型：
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作者：
O'Cleirigh,Conall;Foley,JacklynD;Stanton,AmeliaM;McKetchnie,SamanthaM;Gulbicki,LaurenR;Muten,Jennifer;Chai,Peter;Fitch,Calvin;Onofrey,Shauna;Klevens,RMonina;Psaros,Christina
在美国，男男性行为者和有色人种（有色男男性行为者）受到艾滋病毒的严重影响。 COVID-19 大流行可能会影响性网络行为并扰乱获得性医疗保健的机会，从而不成比例地加剧有色男男性接触者之间与艾滋病毒相关的差异。目前的研究探讨了 COVID-19 对马萨诸塞州波士顿有色人种男同性恋者的性网络和 HIV/性传播感染 (STI) 预防行为的影响。通过国家艾滋病行为监测 (NHBS) 项目 2020-2021 年波士顿样本进行了 18 次半结构化访谈。符合资格的参与者年满 18 岁，被认定为男性或出生时被指定为男性的非二元性别人士和有色人种，并认可与男性发生性关系。访谈采用归纳和演绎方法进行编码，并使用主题分析提取主题。当参与者被问及 COVID-19 对性网络和 HIV/STI 预防的影响时，出现了以下主题：(1) 对 COVID-19 公共卫生指南的不同解释，(2) 为满足社会和性需求而改变行为，(3) 获得 HIV/STI 预防服务的机会受到限制或改变； (4) 避免医疗预约。总体而言，这一流行病影响了有色男男性行为者的性网络和艾滋病毒/性传播感染预防行为。尽管性网络的变化各不相同，但大多数参与者减少了面对面的网络，增加了约会应用程序的使用，并优先考虑长期关系。尽管放松了限制，这些影响可能会持续存在，并应为性网络指导和干预措施的调整提供参考，以减轻有色人种社区中与艾滋病毒相关的差异。
Men who have sex with men and identify as persons of color (MSM of color) are significantly impacted by HIV in the United States. The COVID-19 pandemic may have disproportionately exacerbated HIV-related disparities among MSM of color by affecting sexual networking behaviors and disrupting access to sexual health care. The current study explored the impact of COVID-19 on sexual networking and HIV/sexually transmitted infection (STI) prevention behaviors among MSM of color in Boston, MA. Eighteen semi-structured interviews were conducted via the 2020–2021 Boston sample of the National HIV Behavioral Surveillance (NHBS) project. Eligible participants were at least 18 years old, identified as a man or non-binary person assigned male at birth and as a person of color, and endorsed ever having sex with men. Interviews were coded using inductive and deductive approaches, and themes were extracted using thematic analysis. When participants were asked about the impact of COVID-19 on sexual networking and HIV/STI prevention, the following themes emerged: (1) differing interpretations of COVID-19 public health guidance, (2) behavior change to meet social and sexual needs, (3) limited or changed access to HIV/STI prevention services; and (4) avoidance of healthcare appointments. Overall, the pandemic affected sexual networking and HIV/STI prevention behaviors among MSM of color. Though changes in sexual networking varied, most participants decreased in-person networking, increased dating app use, and prioritized longer-term relationships. Despite loosening of restrictions, these impacts may persist and should inform the adaptation of sexual networking guidance and interventions to mitigate HIV-related disparities in communities of color.