Psychosocial predictors of risky sexual behaviors in African American men: Implications for prevention

Psychosocial predictors of risky sexual behaviors in African American men: Implications for prevention
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DOI:
10.1521/aeap.15.1.5.66.23615
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发表时间:
2003-02-01
影响因子:
1.8
通讯作者:
Obediah, S
Obediah, S
中科院分区:
医学4区
文献类型:
--
作者:
Myers, HF;Javanbakht, M;Obediah, S

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在社区样本的502艾滋病毒阳性和艾滋病毒阴性的非洲裔美国人男性参加了非裔美国人健康项目的性风险的心理预测进行了调查。Poisson回归分析被用来估计心理社会风险和保护因素在预测性风险中的相对贡献,通过性风险行为指数来衡量。HIV阴性男性、男男性行为者(MSM/W)和男男性行为者(MSM)比异性恋者和HIV阳性男性从事更多的高危性行为,但HIV阳性男性的心理社会危险因素负担更重。高心理困扰,艾滋病毒阴性,年龄较大,低社会经济地位(SES),是一个男男性接触者/女是性风险的最佳预测因子。艾滋病毒血清状态和性取向的差异,与高心理困扰是最一致的预测,无论血清状态或性取向。结果证实了先前的研究结果,风险较高的性生活方式之间的男男性接触者/妇女,男性与低SES,和男性谁正在经历显着的心理困扰。
Psychosocial predictors of sexual risk taking were investigated in a community sample of 502 HIV-positive and HIV-negative African American men enrolled in the African American Health Project. Poisson regression analyses were used to estimate the relative contributions of psychosocial risk and protective factors in predicting sexual risk as measured by a sexual risk behavior index. HIV-negative men, men who have sex with men and women (MSM/W), and men who have sex with men (MSM) engaged in more high-risk sexual behaviors than heterosexuals and HIV-positive men, but men who were HIV-positive carried a heavier burden of psychosocial risk factors. High psychological distress, being HIV-negative, older age, low socioeconomic status (SES), and being an MSM/W were the best predictors of sexual risk. HIV serostatus and sexual orientation differences were obtained, with high psychological distress being the most consistent predictor regardless of serostatus or sexual orientation. Results confirm previous findings of riskier sexual lifestyle among MSM/W, men with low SES, and men who are experiencing significant psychological distress.