Stressful or traumatic life events, post-traumatic stress disorder (PTSD) symptoms, and HIV sexual risk taking among men who have sex with men
Stressful or traumatic life events, post-traumatic stress disorder (PTSD) symptoms, and HIV sexual risk taking among men who have sex with men
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DOI：
10.1080/09540120902893258
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发表时间：
2009-01-01
影响因子：
1.7
通讯作者：
Mayer, Kenneth H.
中科院分区：
文献类型：
--
作者：
Reisner, Sari L.;Mimiaga, Matthew J.;Mayer, Kenneth H.
本研究评估了男男性行为者（MSM）在应对压力或创伤性生活事件时的创伤后应激障碍（PTSD）症状及其对艾滋病风险行为和相关心理社会变量的影响。参与者（n = 189; 60%的HIV感染者）谁被招募张贴在社区卫生诊所的通知，并通过修改后的响应驱动的抽样技术完成了行为评估调查。60%的参与者使用惊吓、生理唤醒、愤怒和麻木筛查工具筛查出PTSD症状呈阳性。在控制了种族、性自我认同和艾滋病病毒感染状况后，多变量逻辑回归分析显示，筛查有创伤后应激障碍症状的患者与无保护的肛交行为显著相关。（插入性或接受性）性行为在过去12个月内，超过任何影响，无论是否在这一年中发生创伤/压力事件（调整的比值比[OR] = 2.72; p < 0.02; 95%置信区间[CI] = 1.19-6.20）。此外，有PTSD症状的MSM更可能有临床显著的抑郁症状（校正OR = 3.50; p < 0.001）和/或社交焦虑症状（校正OR = 2.87; p < 0.01; 95%CI = 1.48-5.62）。目前的研究，在其他研究的背景下，记录了高利率的共同发生的心理问题面临的男男性接触者，点的重要性，纳入应对这些问题的艾滋病毒和性传播疾病的预防和护理干预措施。
The present study assessed the presence of post-traumatic stress disorder (PTSD) symptoms in response to stressful or traumatic life events and their impact on HIV risk behaviors and associated psychosocial variables among men who have sex with men (MSM). Participants (n = 189; 60% HIV-infected) who were recruited by notices posted in a community health clinic and via a modified respondent-driven sampling technique completed a behavioral assessment survey. Sixty percentage of participants screened positive for having PTSD symptoms using the startle, physiological arousal, anger, and numbness screening instrument. After controlling for race, sexual self-identification, and HIV status, multivariable logistic regression analyses revealed that screening in for having PTSD symptoms was significantly associated with having engaged in unprotected anal (insertive or receptive) sex in the past 12 months, over and above any effects of whether or not a traumatic/stressful event occurred during the year (adjusted odds ratio [OR] = 2.72; p < 0.02; 95% confidence interval [CI] = 1.19-6.20). In addition, MSM with PTSD symptoms were more likely to have clinically significant depressive symptoms (adjusted OR = 3.50; p < 0.001) and/or symptoms of social anxiety (adjusted OR = 2.87; p < 0.01; 95% CI = 1.48-5.62). The current study, in the context of other research documenting the high rates of co-occurring psychosocial issues facing MSM, points to the importance of incorporating coping with these issues in HIV and sexually transmitted disease prevention and care interventions.