Country level homophobia and protective sexual health behaviours among HIV negative or untested men who have sex with men in 45 countries.
Country level homophobia and protective sexual health behaviours among HIV negative or untested men who have sex with men in 45 countries.
复制标题
45 个国家艾滋病毒呈阴性或未经检测的男男性行为者中的国家级恐同症和保护性性健康行为。
DOI：
10.1080/09540121.2020.1766662
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发表时间：
2020
期刊：
影响因子：
1.7
通讯作者：
Bourne,Adam
中科院分区：
文献类型：
--
作者：
Melendez-Torres,GJ;Noori,Teymur;Pharris,Anastasia;Spiteri,Gianfranco;Garner,Alex;Alba,Beatrice;Bourne,Adam
尽管有新的、有效的生物医学技术来预防艾滋病毒的传播，但社会和结构性因素仍然影响着同性恋、双性恋和其他男男性行为者获得安全的性健康服务的机会。在本文中，我们描述了一项试点分析的结果，该分析旨在通过一项大型在线调查从45个国家招募的艾滋病毒阴性男性样本中确定国家一级同性恋恐惧症，个人一级性化药物使用和关键性健康保护行为之间的关系。对与艾滋病毒和性传播感染检测史、暴露前预防（PrEP）使用、暴露后预防（PEP）和参与性化药物使用有关的问题的回答被视为广义线性混合效应模型中的因变量，该模型采用logit链接分析，国家一级的同性恋恐惧症（来自最近公布的国际指数）作为因变量。共有9，356名受访者的数据被纳入分析。总体而言，在仇视同性恋程度高的国家，对已知保护性健康的行为的总体接受率明显较低。这份文件是独一无二的，它将国家一级的同性恋恐惧症的强有力措施与大规模、多国一级的健康保护行为联系起来。
Despite new, effective biomedical technologies to prevent the transmission of HIV, social and structural factors still impact the opportunity for gay, bisexual and other men who have sex with men (GBMSM) to access safe sexual health services. Within this paper we describe findings of a pilot analysis that seeks to identify relationships between country level homophobia, individual-level sexualised drug use and key sexual health protective behaviours in a sample of HIV negative men from 45 countries recruited via a large online survey. Responses to questions relating to HIV and STI testing history, use of pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP) and engagement in sexualised drug use were treated as dependent variables within generalised linear mixed-effects model with logit link analysis, with country level homophobia (drawn from a recently published international index) operating as the dependent variable. In total, data from 9,356 respondents were included for analysis. Overall, uptake of behaviours known to be protective of sexual health overall was significantly lower in countries with high levels of homophobia. This paper is unique in linking a robust measure of country-level homophobia to engagement in health protective behaviours on a large-scale, multi-country level basis.