Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City.
Individual, psychosocial, and social correlates of unprotected anal intercourse in a new generation of young men who have sex with men in New York City.
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DOI：
10.2105/ajph.2012.300963
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发表时间：
2013-05
影响因子：
12.7
通讯作者：
Blachman-Forshay J
中科院分区：
文献类型：
--
作者：
Halkitis PN;Kapadia F;Siconolfi DE;Moeller RW;Figueroa RP;Barton SC;Blachman-Forshay J
我们研究了纽约市与男性发生性关系的年轻男性中个人、社会心理和社会因素与无保护肛交（UAI）的关系。使用来自592名参与正在进行的前瞻性队列研究的男男性行为年轻男性的基线评估数据，我们进行了多变量logistic回归分析，以检查协变量与最近与同性伴侣进行UAI的可能性之间的关联。19%的人报告最近与同性伴侣发生UAI。在多变量模型中，目前与另一名男子的关系（调整后的比值比[AOR] = 4.87），逮捕史（AOR = 2.01），更大的居住不稳定性（AOR = 1.75）和不稳定的住房或无家可归（AOR = 3.10）与最近的UAI相关。虽然在双变量分析中，高水平的同性恋社区亲和力和低内化的同性恋恐惧症与UAI有关，但这些关联在多变量分析中并不持久。在新一代男男性行为的年轻男子中，社会心理和社会产生的条件与UAI的关联保证了艾滋病毒预防方案和政策解决易导致性风险行为的结构性因素。
We examined associations of individual, psychosocial, and social factors with unprotected anal intercourse (UAI) among young men who have sex with men in New York City. Using baseline assessment data from 592 young men who have sex with men participating in an ongoing prospective cohort study, we conducted multivariable logistic regression analyses to examine the associations between covariates and likelihood of recently engaging in UAI with same-sex partners. Nineteen percent reported recent UAI with a same-sex partner. In multivariable models, being in a current relationship with another man (adjusted odds ratio [AOR] = 4.87), an arrest history (AOR = 2.01), greater residential instability (AOR = 1.75), and unstable housing or homelessness (AOR = 3.10) was associated with recent UAI. Although high levels of gay community affinity and low internalized homophobia were associated with engaging in UAI in bivariate analyses, these associations did not persist in multivariable analyses. Associations of psychosocial and socially produced conditions with UAI among a new generation of young men who have sex with men warrant that HIV prevention programs and policies address structural factors that predispose sexual risk behaviors.