Patterns of Social Affiliations and Healthcare Engagement Among Young, Black, Men Who Have Sex With Men.
Patterns of Social Affiliations and Healthcare Engagement Among Young, Black, Men Who Have Sex With Men.
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DOI：
10.1007/s10461-016-1668-3
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发表时间：
2018-03
影响因子：
4.4
通讯作者：
Schneider JA
中科院分区：
文献类型：
--
作者：
Behler RL;Cornwell BT;Schneider JA
很少有人研究个人的社会关系——他们与朋友见面和进行非正式社会互动的场所——如何影响他们对公共卫生服务的参与。我们调查了与这些地方的联系如何影响获取信息和暴露于寻求健康的行为。利用来自芝加哥618名年轻黑人男男性行为者（YBMSM）的纵向数据，我们确定了连接YBMSM的不同社交场所。然后，我们研究了YBMSM在这个网络中的联系如何影响他们接受艾滋病毒预防和治疗服务以及接触前预防（PrEP）的知识。我们的研究结果表明，YBMSM在芝加哥场馆网络中的位置决定了他们获得的与健康相关的服务类型，包括人口统计、结构和社区协变量。与该市同性恋聚居区有联系的男性最有可能了解PrEP，而与黑人社区有联系的男性则表现出更好的艾滋病治疗效果。需要在同性恋聚集地以外的场所与男同性恋者进行接触。
Little work has examined how individuals’ social affiliations-- the venues in which they meet friends and engage in informal social interaction– influence their engagement with public health services. We investigate how links to these local places shape access to information and exposure to health-seeking behavior. Using longitudinal data from a respondent-driven sample of 618 young black men who have sex with men (YBMSM) in Chicago, we identify different sets of social venues that connect YBMSM. We then examine how YBMSM’s connections within this network influence their receipt of HIV prevention and treatment services and knowledge of pre-exposure prophylaxis (PrEP). Our results show that YBMSM’s positions within Chicago’s venue network shape the types of health-related services they access, net of demographic, structural, and community covariates. Men with affiliations that are linked to the city’s gay enclave are most likely to know about PrEP, while men with affiliations that are predominately in the black community demonstrate improved HIV treatment outcomes. Outreach engaging MSM beyond venues in gay enclaves is needed.
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