Risk reduction for HIV-positive African American and Latino men with histories of childhood sexual abuse.
Risk reduction for HIV-positive African American and Latino men with histories of childhood sexual abuse.
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DOI：
10.1007/s10508-008-9366-5
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发表时间：
2008-10
影响因子：
3.8
通讯作者：
Liu, Honghu
中科院分区：
文献类型：
--
作者：
Williams, John K.;Wyatt, Gail E.;Rivkin, Inna;Ramamurthi, Hema Codathi;Li, Xiaomin;Liu, Honghu
虽然艾滋病毒流行对与男性发生性行为的非裔美国人和拉丁裔男性(MSM)的影响不成比例，但很少有艾滋病毒预防干预措施侧重于与男性和女性发生性行为的非裔美国人和拉丁裔男性(MSMW)。针对HIV阳性的非洲裔美国人和拉丁裔MSM和有儿童期性虐待史(CSA)的MSMW的干预措施更少，这一群体可能容易发生高危性行为、有多个性伴侣和抑郁症。男性健康项目是一项小型随机临床试验，以社会学习理论为指导，以减少高危性行为、性伴数量和抑郁症状为目标，比较了两种为期6个疗程的男性性健康干预措施(S-HIM)和标准健康促进对照(SHP)的效果。结果是基于对基线、3个月和6个月随访的“意向治疗”分析。作为一个整体，样本报告了从基线到测试后，以及从3个月到6个月的随访期间，性危险行为和性伴侣数量的减少，尽管从基线到测试后，性风险行为的减少是显著的，只有S-他的参与者显著减少。抑郁症状在不同条件下没有显著差异，但总样本在6个月时显著下降。这些发现突显了解决少数民族男子的性决策和心理调整的重要性，同时对CSA历史和性少数地位保持敏感，并表明需要制定额外的战略，随着时间的推移提高艾滋病毒风险的降低。
While the HIV epidemic has disproportionately affected African American and Latino men who have sex with men (MSM), few HIV prevention interventions have focused on African American and Latino men who have sex with both men and women (MSMW). Even fewer interventions target HIV-positive African American and Latino MSM and MSMW with histories of childhood sexual abuse (CSA), a population that may be vulnerable to high-risk sexual behaviors, having multiple sexual partners, and depression. The Men’s Health Project, a small randomized clinical trial, compared the effects of two 6-session interventions, the Sexual Health Intervention for Men (S-HIM), guided by social learning theory and aimed at decreasing high-risk sexual behaviors, number of sexual partners, and depressive symptoms, and a standard health promotion control (SHP).A community sample of 137 HIV-positive gay and non-gay identifying African American and Latino MSM and MSMW with histories of CSA was recruited. Results were based on an “intent to treat” analyses of baseline to post, 3 and 6 month follow-ups. The sample as a whole reported reductions in sexual risk behaviors and number of sexual partners from baseline to post-test, and from the 3 to 6 month follow-ups, although the decrease in sexual risk behavior from baseline to post-test was significant only for S-HIM participants. No significant differences between conditions were reported for depressive symptoms, but the total sample reported a significant decrease at 6 months. These findings highlight the importance of addressing sexual decision-making and psychological adjustment for ethnic men, while being sensitive to CSA histories and sexual minority status, and suggest the need to develop additional strategies to heighten HIV risk reduction over time.
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影响因子：
2.3
作者：
de Arellano, MA;Waldrop, AE;Mannarino, AR
通讯作者：
Mannarino, AR
影响因子：
3.3
作者：
COLE, CH;BARNEY, EE
通讯作者：
BARNEY, EE
影响因子：
4.8
作者：
FINKELHOR, D;HOTALING, G;SMITH, C
通讯作者：
SMITH, C
DOI：
10.1037/10785-012
发表时间：
2004-01-01
期刊：
FROM CHILD SEXUAL ABUSE TO ADULT SEXUAL RISK1: TRAUMA, REVICTIMIZATION AND INTERVENTION
影响因子：
--
作者：
Chin, D;Wyatt, GE;Myers, HF
通讯作者：
Myers, HF
影响因子：
1.8
作者：
Bingham, TA;Harawa, NT;Valleroy, LA
通讯作者：
Valleroy, LA