A Multidimensional Model of Sexual Empowerment Among Young Black Men Who have Sex with Men: A Latent Profile Analysis.

A Multidimensional Model of Sexual Empowerment Among Young Black Men Who have Sex with Men: A Latent Profile Analysis.
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与男性发生性关系的年轻黑人男性性赋权的多维模型:一个潜在的侧面分析。

DOI:
10.1007/s10461-020-03031-9
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发表时间:
2021-03
期刊:
影响因子:
4.4
通讯作者:
Hightow-Weidman L
Hightow-Weidman L
中科院分区:
医学2区
文献类型:
--
作者:
Choi SK;Bauermeister J;Muessig K;Ennett S;Boynton MH;Hightow-Weidman L

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性赋权是艾滋病毒预防干预措施设计的一项关键战略,但其衡量标准在概念上是同质的。到目前为止,没有研究探讨是否年轻的黑人男性与男性发生性关系(YBMSM)表现出异质性的性权力。使用随机对照试验(N=275,HIV阴性YBMSM)的基线数据,我们将YBMSM分类为性授权配置文件的基础上使用的五个指标的潜在配置文件分析和评估之间的关联性授权配置文件和污名相关的经验,使用多项逻辑回归。确定了三个概况:具有安全性行为意图的心理赋权(概况1);具有安全性行为意图的心理赋权(概况2);以及没有安全性行为意图的心理赋权(概况3)。YBMSM报告较少的耻辱相关的经验更可能是配置文件1比配置文件2和配置文件3。为了增强YBMSM的权能,需要基于性赋权概况的干预措施,针对赋权的心理/行为方面并解决污名化问题。
Sexual empowerment is a key strategy in HIV prevention intervention design, yet its measurement has been conceptualized as homogeneous. To date, no studies have examined whether young Black men who have sex with men (YBMSM) exhibit heterogeneity across sexual empowerment. Using baseline data from a randomized controlled trial (N=275, HIV-negative YBMSM), we classified YBMSM into sexual empowerment profiles based on five indicators using a latent profile analysis and assessed the associations between the sexual empowerment profiles and stigma-related experiences using multinomial logistic regression. Three profiles were identified: psychologically empowered with safer sex intentions (profile 1); psychologically disempowered with safer sex intentions (profile 2); and psychologically disempowered without safer sex intentions (profile 3). YBMSM reporting fewer stigma-related experiences were more likely to be profile 1 than profile 2 and profile 3. To empower YBMSM, interventions based on sexual empowerment profile targeting the psychological/behavioral aspects of empowerment and addressing stigma are needed.
DOI: 10.1016/0749-5978(91)90020-t
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