Interest in couples-based voluntary HIV counseling and testing in a national U.S. sample of gay and bisexual men: the role of demographic and HIV risk factors.

Interest in couples-based voluntary HIV counseling and testing in a national U.S. sample of gay and bisexual men: the role of demographic and HIV risk factors.
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DOI:
10.1007/s10508-013-0226-6
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发表时间:
2014-01
影响因子:
3.8
通讯作者:
Parsons, Jeffrey T.
Parsons, Jeffrey T.
中科院分区:
法学2区
文献类型:
--
作者:
Rendina, H. Jonathon;Breslow, Aaron S.;Grov, Christian;Ventuneac, Ana;Starks, Tyrel J.;Parsons, Jeffrey T.

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主要的伙伴关系是可能发生艾滋病毒传播的一种情况,迄今为止,对男同性恋和双性恋男子来说,这一问题没有得到充分解决,但很少有研究关注以夫妇为基础的自愿艾滋病咨询和检测(CVCT)的可接受性我们在这项研究中的目的是探讨CVCT在美国全国1532名同性恋和双性恋男性样本中的可接受性使用色情网站我们研究了人口统计学的作用(即,地理区域、年龄、关系状况、性取向、种族/民族)和HIV风险(即,药物使用、性伴侣数量、无保护肛交、性角色认同和性强迫)因素,这些因素可能与全样本和有伴侣男性中的CVCT相关。我们发现,单身男性比有伴侣的男性对CVCT表现出更高的兴趣,而年龄越大,有伴侣的男性对CVCT的兴趣越低。性取向和种族/民族的交叉也与CVCT兴趣显著相关,黑人双性恋男性的比例高于白色双性恋男性。这些研究结果表明,CVCT的使用受艾滋病毒风险因素的影响可能小于受人口因素的影响,并且年轻的同性恋和双性恋有色人种男性(艾滋病毒感染率持续上升)可能是对CVCT最感兴趣的群体。
Main partnerships represent one context in which HIV transmission may occur that has been insufficiently addressed to date for gay and bisexual men, but few studies have focused on the acceptability of couples-based voluntary HIV counseling and testing (CVCT) for male couples in the U.S. Our aim in this study was to explore the acceptability of CVCT among a national U.S. sample of 1532 gay and bisexual men surveyed online using a sexual networking site. We examined the role of demographic (i.e., geographic region, age, relationship status, sexual orientation, race/ethnicity) and HIV risk (i.e., substance use, number of sexual partners, unprotected anal intercourse, sexual role identity, and sexual compulsivity) factors that may be associated with CVCT among the full sample and among partnered men separately. We found that single men expressed higher interest in CVCT than partnered men and that greater age was more strongly associated with lower interest in CVCT for partnered men than for single men. The intersection of sexual orientation and race/ethnicity was also significantly associated with CVCT interest, with a higher proportion of Black bisexual men being interested than White bisexual men. These findings suggest that the uptake of CVCT may be less impacted by HIV risk factors than by demographic factors and that young gay and bisexual men of color–for whom rates of HIV continue to rise–may be the group with the highest levels of interest in CVCT.
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