Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington
Immigrant Status and Sexual Orientation Disclosure: Implications for HIV/STD Prevention Among Men Who Have Sex with Men in Seattle, Washington
复制标题
DOI：
10.1007/s10461-020-02831-3
复制
发表时间：
2020-03-13
影响因子：
4.4
通讯作者：
Kerani，Roxanne P.
中科院分区：
文献类型：
--
作者：
Lee，Jane J.;Katz，David A.;Kerani，Roxanne P.
男男性行为者（MSM）受到艾滋病毒的影响不成比例，可能会避免向他人透露他们的性取向。随着美国对移民身份的高度关注，外国出生的男男性接触者可能会特别关注披露他们的性取向。我们试图研究如何移民身份与男男性接触者的性取向披露，并评估披露对艾滋病毒/性病预防成果分层出生的影响。我们分析了2014年和2017年西雅图地区MSM调查的数据，这些调查来自国家艾滋病毒行为监测（NHBS）系统。外国出生的男男性接触者比美国人更不可能-出生的男男性接触者向非男同性恋、女同性恋或双性恋的朋友（85.0%对95.5%; p < .001）或家庭成员（80.5%对91.3%; p < .001）透露自己的性取向。此外，向医疗保健提供者披露信息显着增加了外国出生和美国出生的人在过去12个月内进行艾滋病毒检测的可能性。天生的男男性接触者调查结果强调，需要更好地了解风险和利益的披露在外国出生的男男性行为者。未来的研究可能会探讨如何应对和反应，以披露外国出生的男男性接触者的形状艾滋病毒的风险和预防途径。
Men who have sex with men (MSM) are disproportionately affected by HIV and may avoid disclosing their sexual preferences to others. With heightened attention on immigrant status in the United States, foreign-born MSM may be particularly concerned about disclosing their sexual orientation. We sought to examine how immigrant status is associated with sexual orientation disclosure among MSM and to assess the impact of disclosure on HIV/STD prevention outcomes stratified by nativity. We analyzed data from the 2014 and 2017 Seattle-area surveys of MSM from the National HIV Behavioral Surveillance (NHBS) system. Foreign-born MSM were less likely than U.S.-born MSM to have disclosed their sexuality to friends who are not gay, lesbian, or bisexual (85.0% vs. 95.5%; p < .001) or to family members (80.5% vs. 91.3%; p < .001). Further, disclosure to one’s health care provider significantly increased the likelihood of having tested for HIV in the past 12 months among foreign-born and U.S.-born MSM. Findings highlight the need to better understand the risks and benefits of disclosure among foreign-born MSM. Future research may explore how responses and reactions to disclosure among foreign-born MSM shape pathways to HIV risk and prevention.