Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men.
Psychosocial risk factors for HIV sexual risk among Indian men who have sex with men.
复制标题
DOI：
10.1080/09540121.2012.749340
复制
发表时间：
2013
期刊：
影响因子：
1.7
通讯作者：
Safren SA
中科院分区：
文献类型：
--
作者：
Mimiaga MJ;Biello KB;Sivasubramanian M;Mayer KH;Anand VR;Safren SA
与印度一般人口相比，印度男男性行为者（MSM）感染艾滋病毒的风险增加。社会心理因素可能是唯一与印度男男性行为者之间的艾滋病毒风险，并可能缓和标准的艾滋病毒预防方法的有益影响。在印度孟买的150名男男性行为者中进行了精神病学诊断访谈和心理社会和性风险评估。采用逻辑回归分析研究精神疾病和心理社会问题与近期性风险行为的关系。25%的参与者报告在与男性的最后一次性接触中进行了无保护的肛交（UAS）。与女性结婚的男性在与男性的最后一次性接触中更有可能进行UAS（35%对17%，p = 0.018）。在多变量模型中，参与UAS的重要预测因素是当前的重度抑郁症（调整后的比值比[AOR] = 2.61; 95%置信区间[CI] 1.07，6.39）和压力性生活事件的数量（AOR = 0.91; 95% CI 0.83，0.99）。酒精依赖、焦虑和自尊与从事无人机服务无关。与没有抑郁症的MSM相比，患有抑郁症的印度MSM参与UAS的几率更高。印度男男性接触者的艾滋病毒预防计划可能会受益于纳入治疗或精神健康问题的分类。
Indian men who have sex with men (MSM) are at increased risk for HIV compared to the general Indian population. Psychosocial factors may be uniquely associated with HIV risk among Indian MSM and may moderate the beneficial impact of standard HIV prevention approaches. Psychiatric diagnostic interviews and psychosocial and sexual risk assessments were conducted among 150 MSM in Mumbai, India. Logistic regression was employed to examine the association of psychiatric disorders and psychosocial problems to recent sexual risk behavior. Twenty-five percent of participants reported engaging in unprotected anal sex (UAS) during their last sexual contact with a man. Men who were married to a woman were more likely to have engaged in UAS during their last sexual contact with a man (35% vs. 17%, p = 0.018). In multivariable models, significant predictors of engaging in UAS were current major depression (adjusted odds ratio [AOR] = 2.61; 95% confidence interval [CI] 1.07, 6.39) and number of stressful life events (AOR = 0.91; 95% CI 0.83, 0.99). Alcohol dependence, anxiety, and self-esteem were not associated with engaging in UAS. Indian MSM with depression are at higher odds of engaging in UAS compared to MSM without depression. HIV prevention programs for Indian MSM may benefit from incorporating treatment or triage for mental health problems.
登录
查看更多内容
影响因子：
3.8
作者：
Wong, Carolyn F.;Kipke, Michele D.;Weiss, George;McDayitt, Bryce
通讯作者：
McDayitt, Bryce
DOI：
10.1080/13548500903334754
发表时间：
2009-12
期刊：
Psychology, health & medicine
影响因子：
--
作者：
Safren SA;Thomas BE;Mimiaga MJ;Chandrasekaran V;Menon S;Swaminathan S;Mayer KH
通讯作者：
Mayer KH
影响因子：
3.6
作者：
Adam, BD;Husbands, W;Maxwell, J
通讯作者：
Maxwell, J
DOI：
10.1097/00126334-200403010-00014
发表时间：
2004-03-01
影响因子：
3.6
作者：
Go, VF;Srikrishnan, AK;Celentano, DD
通讯作者：
Celentano, DD
影响因子：
1.8
作者：
Thomas, Beena;Mimiaga, Matthew J.;Safren, Steven A.
通讯作者：
Safren, Steven A.