Psychosocial vulnerability and HIV-related sexual risk among men who have sex with men and women in the United States.
Psychosocial vulnerability and HIV-related sexual risk among men who have sex with men and women in the United States.
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DOI：
10.1007/s10508-014-0346-7
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发表时间：
2015-02
影响因子：
3.8
通讯作者：
Khan, Maria R.
中科院分区：
文献类型：
--
作者：
Dyer, Typhanye P.;Regan, Rotrease;Pacek, Lauren R.;Acheampong, Abenaa;Khan, Maria R.
在美国，艾滋病毒集中在男男性行为者(MSM)中，其中一些人有女性伴侣(MSMW)。MSMW受到心理社会脆弱性的影响不成比例，如抑郁症和物质使用，这些都会增加性传播感染(STI)和艾滋病毒风险。有必要对男男性接触者的心理社会脆弱性和艾滋病毒相关性行为风险进行研究，以减少男男性接触者之间的感染传播，并防止与女性伴侣搭桥。我们分析了国家青少年健康纵向研究第四波(2007-2008)的数据，以评估MSMW人群的心理社会脆弱性和艾滋病毒风险承担。根据一生和过去一年的性行为，我们将男性归类为发生过性行为：仅限女性(MSW)、仅限男性(MSMO)或MSMW，并进一步细化了MSMW的分类，包括过去12个月仅限男性伴侣、过去12个月仅限女性伴侣、过去12个月既有男性伴侣又有女性伴侣(N=6945)。我们比较了五类男性的心理社会脆弱性特征和与艾滋病毒相关的危险行为。与MSW和MSMO相比，MSMW更有可能报告抑郁、自杀、药物使用和监禁。与MSW相比，目前有女性伴侣的MSW发生无保护措施的性行为、交换性行为和性传播感染的几率更大。过去一年有男性伴侣的MSMW在过去一年有更多或同时拥有多个伴侣的几率更大。在MSMW中，艾滋病毒风险和心理社会脆弱性因素增加，MSMW是减少艾滋病毒风险的优先人群。减少艾滋病毒风险的干预措施应该解决这一问题，并解决MSMW中性伙伴关系的异质性。
In the U.S., HIV is concentrated among men who have sex with men (MSM), some of whom have had female partners (MSMW). MSMW are disproportionately impacted by psychosocial vulnerabilities, like depression and substance use that increase sexually transmitted infection (STI) and HIV risk. Research on psychosocial vulnerability and HIV-related sexual risk among MSMW is warranted to reduce infection transmission among MSM and to prevent bridging to female partners. We analyzed data from Wave IV (2007–2008) of the National Longitudinal Study of Adolescent Health to assess psychosocial vulnerability and HIV risk-taking among MSMW. Using lifetime and past year sexual activity, we classified men as ever having sex with: women only (MSW), men only (MSMO) or MSMW, with further refined categorization of MSMW with male only partners in the past 12 months, only female partners in the past 12 months, and both male and female partners in the past 12 months (N = 6,945). We compared psychosocial vulnerability characteristics and HIV-related risk behaviors among the five categories of men. MSMW were more likely to report depression, suicidality, substance use, and incarceration than MSW and MSMO. Compared to MSW, MSMW with current female partners had greater odds of unprotected sex, exchange sex, and STI. MSMW with male partners in the past year had greater odds of multiple or concurrent partners in the past year. HIV risk and psychosocial vulnerability factors are elevated among MSMW, a priority population for HIV risk reduction. HIV risk reduction interventions should address this and heterogeneity of sexual partnerships among MSMW.
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影响因子：
4.4
作者：
Friedman, M. Reuel;Kurtz, Steven P.;Buttram, Mance E.;Wei, Chongyi;Silvestre, Anthony J.;Stall, Ron
通讯作者：
Stall, Ron
影响因子：
1.7
作者：
D'Anna LH;Margolis AD;Warner L;Korosteleva OA;O'Donnell L;Rietmeijer CA;Klausner JD;Nomura W;Malotte CK;Safe City Study Group
通讯作者：
Safe City Study Group
影响因子：
3.3
作者：
Briere, John;Kaltman, Stacey;Green, Bonnie L.
通讯作者：
Green, Bonnie L.
与男性发生性关系的艾滋病毒阳性年轻人之间的性风险行为和降低风险信念。
影响因子：
4.4
作者：
Bruce, Douglas;Harper, Gary W.;Suleta, Katie
通讯作者：
Suleta, Katie
影响因子：
12.7
作者：
Halkitis PN;Kapadia F;Siconolfi DE;Moeller RW;Figueroa RP;Barton SC;Blachman-Forshay J
通讯作者：
Blachman-Forshay J