Anticipated HIV Stigma and Delays in Regular HIV Testing Behaviors Among Sexually-Active Young Gay, Bisexual, and Other Men Who Have Sex with Men and Transgender Women
Anticipated HIV Stigma and Delays in Regular HIV Testing Behaviors Among Sexually-Active Young Gay, Bisexual, and Other Men Who Have Sex with Men and Transgender Women
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DOI：
10.1007/s10461-017-2005-1
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发表时间：
2018-02-01
影响因子：
4.4
通讯作者：
Miller, Robin Lin
中科院分区：
文献类型：
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作者：
Gamarel, Kristi E.;Nelson, Kimberly M.;Miller, Robin Lin
青年男同性恋、双性恋和其他男男性行为者（YGBMSM）以及青年变性妇女受艾滋病毒/艾滋病影响的比例过高。生物医学预防战略的成功取决于定期进行艾滋病毒检测;然而，YGBMSM和年轻变性妇女接受检测的人数有限。预期的艾滋病毒耻辱-预期的排斥反应，作为血清转换的结果-可能是一个重大的障碍，以测试。招募了YGBMSM（n = 719，95.5%）和15-24岁的年轻跨性别女性（n = 33，4.4%）的横断面样本参加一次性调查。大约三分之一的年轻人在过去6个月内没有接受过测试。在一个多变量模型中，预期的艾滋病毒污名和报告非同性恋身份与推迟定期艾滋病毒检测的几率增加有关。未来的研究和干预措施是必要的，以解决艾滋病毒的耻辱，以增加定期艾滋病毒检测YGBMSM和变性妇女。
Young gay, bisexual and other men who have sex with men (YGBMSM) and young transgender women are disproportionately affected by HIV/AIDS. The success of biomedical prevention strategies is predicated on regular HIV testing; however, there has been limited uptake of testing among YGBMSM and young transgender women. Anticipated HIV stigma-expecting rejection as a result of seroconversion- may serve as a significant barrier to testing. A cross-sectional sample of YGBMSM (n = 719, 95.5%) and young transgender women (n = 33, 4.4%) ages 15-24 were recruited to participate in a one-time survey. Approximately one-third of youth had not tested within the last 6 months. In a multivariable model, anticipated HIV stigma and reporting a non-gay identity were associated with an increased odds of delaying regular HIV testing. Future research and interventions are warranted to address HIV stigma, in order to increase regular HIV testing among YGBMSM and transgender women.