HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions.
HIV in young men who have sex with men: a review of epidemiology, risk and protective factors, and interventions.
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DOI：
10.1080/00224499.2011.558645
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发表时间：
2011-03
影响因子：
3.6
通讯作者：
Grov C
中科院分区：
文献类型：
--
作者：
Mustanski BS;Newcomb ME;Du Bois SN;Garcia SC;Grov C
流行病学研究发现，与男性发生性关系的年轻男性（YMSM）代表了美国每年感染艾滋病毒的大多数年轻人，此外，他们是近年来感染率上升的少数风险群体之一。除了流行率和感染率方面的这些差异外，对这一人群的预防和干预研究也不公平。本文的目的是回顾现有的YMSM文献艾滋病流行病学，相关的风险，和干预研究。我们的结论是，有前途的未来方向的基础研究，包括集中在多个集群的健康问题，促进恢复力的过程，家庭的影响，和节俭的风险模型的发展的作用。在干预研究方面，我们认为，有前途的未来方向包括基于互联网的干预提供，整合生物医学和行为的方法，以及超越个人层面的干预措施，以解决伙伴关系，结构，社区和网络因素。
Epidemiological studies have found that young men who have sex with men (YMSM) represent the majority of young people infected with HIV annually in the U.S. Further, they are one of the few risk groups to show an increase in the rate of infections in recent years. In addition to these disparities in prevalence and infection rates, there is an inequity in prevention and intervention research on this population. The purpose of this article is to review the existing YMSM literature on HIV epidemiology, correlates of risk, and intervention research. We conclude that promising future directions for basic research include a focus on multiple clustering health issues, processes that promote resiliency, the role of family influences, and the development of parsimonious models of risk. In terms of intervention research, we suggest that promising future directions include Internet-based intervention delivery, integration of biomedical and behavioral approaches, and interventions that go beyond the individual level to address partnership, structural, community, and network factors.
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