Promoting the sexual health of MSM in the context of comorbid mental health problems.
Promoting the sexual health of MSM in the context of comorbid mental health problems.
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在合并的心理健康问题的背景下促进MSM的性健康。
DOI：
10.1007/s10461-011-9898-x
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发表时间：
2011-04
影响因子：
4.4
通讯作者：
O'Cleirigh, Conall M.
中科院分区：
文献类型：
--
作者：
Safren, Steven A.;Blashill, Aaron J.;O'Cleirigh, Conall M.
尽管艾滋病毒预防干预措施对高危男同性恋、双性恋和其他男男性行为者（MSM）的效果中等，但MSM仍然是美国最大的新艾滋病毒感染者群体和最多的艾滋病毒感染者。环境因素，如性少数的压力，增加了MSM的心理健康问题的脆弱性。这些心理健康问题可能会阻碍持续进行自我保健健康行为，如降低性风险。我们认为以下观察结果对于确定男男性行为者中艾滋病毒预防的优先事项至关重要：（1）同性恋、双性恋和其他男男性行为者的心理健康问题发生率高于一般人群的估计;（2）这些心理健康问题相互共存，相互作用，增加了艾滋病毒的风险;共病的心理健康问题可能会影响预防计划的效果，将心理健康问题的治疗纳入预防计划可能会提高计划的效力。针对高危男男性行为者的新型预防干预措施，将规划与治疗共同发生和干扰的心理健康问题相结合，是提高预防干预效果和有效性的最有希望的途径。通过解决重大的心理健康问题，并支持在个人和社区层面的广泛预防工作，也有可能改善同性恋，双性恋和其他男男性行为者的整体生活质量和公共心理健康。
Despite the moderate efficacy of HIV prevention interventions for at risk gay, bisexual, and other men who have sex with men (MSM), MSM continue to represent the largest group of new HIV infections and the largest number of individuals living with HIV in the US. Environmental factors such as sexual minority stress increase the vulnerability of MSM for mental health problems. These mental health problems can be a barrier to consistently engaging in self-care health behaviors such as sexual risk reduction. We consider the following observations critical to identifying priorities for HIV prevention among MSM: (1) gay, bisexual and other MSM have higher rates of mental health problems than general population estimates; (2) these mental health problems co-occur with each other and interact synergistically to increase HIV risk; and (3) comorbid mental health problems may compromise the impact of prevention programs, and integrating treatment of mental health issues into prevention programs may improve program efficacy. Novel prevention interventions for at risk MSM that integrate programming with the treatment of co-occurring and interfering mental health issues are the most promising avenue to increase prevention intervention efficacy and effectiveness. By addressing significant mental health issues and supporting broad based prevention efforts at the individual and community level, there is also the potential to improve the overall quality of life and public mental health of gay, bisexual, and other MSM.
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在探索研究中，儿童性虐待与MSM之间的艾滋病毒冒险行为和感染高度相关。
DOI：
10.1097/qai.0b013e3181a24b38
发表时间：
2009-07-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Mimiaga MJ;Noonan E;Donnell D;Safren SA;Koenen KC;Gortmaker S;O'Cleirigh C;Chesney MA;Coates TJ;Koblin BA;Mayer KH
通讯作者：
Mayer KH
影响因子：
1.6
作者：
Blashill, Aaron J.;Hughes, Honore M.
通讯作者：
Hughes, Honore M.
DOI：
10.1037/a0014583
发表时间：
2009-04-01
期刊：
PSYCHOLOGY OF MEN & MASCULINITY
影响因子：
--
作者：
Blashill, Aaron J.;Powlishta, Kimberly K.
通讯作者：
Powlishta, Kimberly K.
影响因子：
4.4
作者：
Meade, Christina S.;Kershaw, Trace S.;Sikkema, Kathleen J.
通讯作者：
Sikkema, Kathleen J.
影响因子：
4.2
作者：
Crepaz, N;Marks, G
通讯作者：
Marks, G