HIV risk behavior patterns, predictors, and sexually transmitted disease prevalence in the social networks of young Roma (Gypsy) men in Sofia, Bulgaria
HIV risk behavior patterns, predictors, and sexually transmitted disease prevalence in the social networks of young Roma (Gypsy) men in Sofia, Bulgaria
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DOI：
10.1097/01.olq.0000204533.20324.56
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发表时间：
2006-08-01
影响因子：
3.1
通讯作者：
Petrova, Elena
中科院分区：
文献类型：
--
作者：
Kabakchieva, Elena;Vassileva, Sylvia;Petrova, Elena
目的和目标。本研究研究的预测高风险的性行为和性传播疾病（STD）的患病率之间的罗姆人（吉普赛人）的社交网络在索菲亚，Bulgaria.Study Design：五十四个社会活跃的个人，接近在罗姆人附近的场地，招募成员（n = 296）自己的网络到研究。参与者完成了社会计量学和风险行为访谈，并进行了衣原体，淋病，梅毒，和trichonas.Results测试：在过去的一年中，男性平均有7个合作伙伴。59%的人在过去3个月内有多个伴侣。73%的人报告最近无保护的阴道性交和51%的无保护的肛交。59%的男性在过去一年中与其他男性发生过性关系。22%的人患有其中一种性病。个人所属的社会网络在预测性风险行为中占23%至27%的方差。结论：一个人的社会网络是HIV风险行为最有力的预测因子。针对整个社交网络的艾滋病毒/性传播疾病预防干预措施特别有希望。
Objectives and Goal. This research studied predictors of high-risk sexual practices and sexually transmitted disease (STD) prevalence among Roma (Gypsy) men's social networks in Sofia, Bulgaria.Study Design: Fifty-four socially active individuals, approached in Roma neighborhood venues, recruited members (n = 296) of their own networks into the study. Participants completed sociometric and risk behavior interviews and were tested for chlamydia, gonorrhea, syphilis, and trichomonas.Results: Men had a mean of 7 partners in the past year. Fifty-nine percent had multiple partners in the past 3 months. Seventy-three percent reported recent unprotected vaginal and 51% unprotected anal intercourse. Fifty-nine percent of men had sex with other men in the past year. Twenty-two percent had one of the STDs. The social network to which an individual belonged accounted for 23% to 27% of variance in predicting sexual risk behavior.Conclusions: One's social network was the most powerful predictor of HIV risk behavior. HIV/STD prevention interventions directed toward entire social networks are especially promising.