Human immunodeficiency virus testing and risk behaviors among young men who have sex with men in Los Angeles County.
Human immunodeficiency virus testing and risk behaviors among young men who have sex with men in Los Angeles County.
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DOI：
10.4278/ajhp.090203-arb-43
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发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Kipke MD
中科院分区：
文献类型：
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作者：
Schrager SM;Wong CF;Weiss G;Kipke MD
This study investigated HIV testing and risk behaviors in a longitudinal sample of young men who have sex with men (YMSM). Data come from the Healthy Young Men's (HYM) study, comprising five waves of non-experimental survey data collection every six months between February 2005 and January 2008. Participants were recruited from public venues in Los Angeles County in which YMSM spend time. 526 participants (24% African American, 37% Caucasian, 39% Latino; mean age = 20.14 years, range = 18 to 24 years) were enrolled. Retention was 93%. Testing recency was assessed with a four-point ordinal scale. HIV-risk behaviors were operationalized as binary measures of unprotected anal intercourse (UAI) with multiple partners or partners with unknown or discordant serostatus, club drug use, and illicit drug use over the prior three months. Correlations, Cochran's Q tests, and repeated measures ANOVA were performed in SPSS. Analyses included all data available at each wave. No significant correlations emerged between testing recency and sex risk at any wave. Repeated measures ANOVA showed significant positive, linear change in HIV testing recency over time, but no significant changes emerged for sex risk or drug use. Although participation in testing increased, there was no corresponding change in HIV-risk behavior. Initiatives may need to target risk behavior separately and specifically in order to reduce these behaviors among YMSM.
