Syndemic Conditions Reinforcing Disparities in HIV and Other STIs in an Urban Sample of Behaviorally Bisexual Latino Men.

Syndemic Conditions Reinforcing Disparities in HIV and Other STIs in an Urban Sample of Behaviorally Bisexual Latino Men.
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流行病加剧了城市双性恋拉丁裔男性样本中艾滋病毒和其他性传播感染的差异。

DOI:
10.1007/s10903-017-0568-6
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发表时间:
2018-04
影响因子:
1.9
通讯作者:
Isabel Fernandez M
Isabel Fernandez M
中科院分区:
医学4区
文献类型:
--
作者:
Muñoz-Laboy M;Martinez O;Levine EC;Mattera BT;Isabel Fernandez M

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Syndemics研究为了解与男性发生性关系的拉丁裔男性的性风险做出了巨大贡献。然而,这类工作通常将行为上双性恋的男性数据与有纯同性伴侣的男性数据结合起来。本研究使用148名行为双性恋拉丁裔男性的横断面数据,探讨了综合因素-多种药物使用,儿童期性虐待和抑郁症-对性风险行为和STI发病率的影响。大约三分之一的参与者报告了多种药物的使用,22%的人报告了儿童期性虐待,26%的人筛查了临床显著的抑郁症状。发病因素的增加与终生性传播感染发病率和与男性无安全套接受性肛交的几率增加相关;然而,该模型不能预测与男性无安全套插入性肛交或无安全套阴道性交。需要做出更多努力来探索不同的机制,包括但不限于影响这一人群性风险的综合影响。
Syndemics research has made great contributions to understanding sexual risk among Latino men who have sex with men. However, such work often combines data for behaviorally bisexual men with data for men with exclusively same-sex partners. Using cross-sectional data from 148 behaviorally bisexual Latino men, this study explored the impact of syndemic factors - polydrug use, childhood sexual abuse, and depression - on sexual risk behaviors and STI incidence. Approximately one-third of participants reported polydrug use, 22% reported childhood sexual abuse, and 26% screened for clinically significant depressive symptoms. An increase in syndemic factors was associated with increased odds of lifetime STI incidence and condomless receptive anal intercourse with men; however, the model did not predict condomless insertive anal intercourse with men or condomless vaginal intercourse. More efforts are needed to explore the varying mechanisms, including but not restricted to the combined impact of syndemic conditions, that influence sexual risk in this population.
纽约市男男性行为拉丁裔男性样本中与成人艾滋病毒性行为危险行为相关的综合症因素。
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