Mental health and HIV risk in men who have sex with men.
Mental health and HIV risk in men who have sex with men.
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DOI：
10.1097/qai.0b013e3181fbc939
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发表时间：
2010-12
期刊：
影响因子：
--
通讯作者：
Stall RD
中科院分区：
文献类型：
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作者：
Safren SA;Reisner SL;Herrick A;Mimiaga MJ;Stall RD
在美国，针对男男性行为者 (MSM) 的循证艾滋病毒预防干预措施在减少艾滋病毒性危险行为方面具有中等效果。心理健康和心理社会问题对 MSM 人群影响尤为严重，并且与 HIV 传播风险行为有关，也可能干扰 HIV 行为干预措施的采用。此外，鉴于许多 MSM 经常同时出现抑郁、药物滥用和暴力等心理健康和心理社会问题（例如，作为“综合症”），可能需要采取联合预防措施，或类似于治疗“鸡尾酒”的预防“鸡尾酒”，以解决相互作用导致艾滋病毒风险升高的心理和行为机制。此类干预措施应纳入一个整体框架，以解决男男性行为者的性健康和整体福祉。解决同时发生的心理社会风险因素很容易提高当前艾滋病毒预防干预措施的效果，并使 MSM 更有效地采取措施。
Evidence-based HIV prevention interventions with men who have sex with men (MSM) in the United States have moderate effect sizes in reducing HIV sexual risk behavior. Mental health and psychosocial problems, which both disproportionately affect MSM populations and are implicated in HIV transmission risk behaviors, also likely interfere with the uptake of HIV behavioral interventions. Moreover, given that mental health and psychosocial problems such as depression, substance use, and violence frequently co-occur for many MSM (eg, as “syndemic conditions”), what is probably needed are combination prevention efforts, or prevention “cocktails,” similar to treatment “cocktails,” that address the psychological and behavioral mechanisms that interact to produce elevated risk for HIV. Such interventions should incorporate a holistic framework to address the sexual health and overall well-being of MSM. Addressing co-occurring psychosocial risk factors is apt to improve effect sizes of current HIV prevention interventions and allow for more effective uptake by MSM.