Exploring sexual health among young Black men who have sex with men in New York City.
Exploring sexual health among young Black men who have sex with men in New York City.
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探索纽约市男男性行为的年轻黑人男性的性健康。
DOI：
10.1093/her/cyw013
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发表时间：
2016
影响因子：
2.4
通讯作者：
Wilson,PA
中科院分区：
文献类型：
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作者：
Martos,AJ;Valera,P;Bockting,WO;Wilson,PA
在美国，与男性发生性行为的年轻黑人男性（YBMSM）约占艾滋病毒感染总数的10%，但占总人口的比例不到1%。满足他们独特需求的干预措施很少，而那些采取了狭隘的、基于风险的预防框架的干预措施。我们分析了来自兄弟连接研究的定性数据，以探索Robinsonet等人开发的性健康模型（SHM）（性健康模型：应用性学方法预防艾滋病毒）。2002年健康教育；（17:43-57）可作为男同性恋者艾滋病预防的框架。内容分析确定了SHM中的五个关键主题：(i)种族/民族，包括YBMSM的文化多样性和独特挑战；（ii）披露，作为自我认同的持续过程，而不是“出柜”的单一实例；（三）在习俗、行为和健康方面的性别；（四）日常挑战、微侵犯和严重歧视；(5)自我、韧性和认同。技术代表了SHM的一个新组成部分，可能与YBMSM相关。男同性恋者需要全面的性健康计划，而不是典型的艾滋病毒框架。量身定制的SHM可用于在研究和干预中确定和解决YBMSM的特定性健康需求。
Young Black men who have sex with men (YBMSM) account for approximately 10% of the total HIV infection in the United States but represent <1% of the population. Few interventions exist that address their unique needs, and those that do adopt a narrow, risk-based framework for prevention. Qualitative data from the Brothers Connect Study were analyzed to explore how a Sexual Health Model (SHM) developed by Robinsonet al.(The sexual health model: application of a sexological approach to HIV prevention.Health Educ Res2002; 17:43–57) could be used as a framework for HIV prevention in YBMSM. Content analysis identified five key themes within SHM: (i) race/ethnicity, including the cultural diversity and unique challenges of YBMSM; (ii) disclosure, as the ongoing process of self-identification rather than a single instance of ‘coming out’; (iii) sex, in terms of practices, behaviors and health; (iv) daily challenges, microaggressions and acute instances of discrimination; and (v) the self, resilience and identity. Technology represents a new component for the SHM that may be relevant to YBMSM. YBMSM are in need of comprehensive sexual health programs that go beyond typical HIV frameworks. A tailored SHM could be used for identifying and addressing the specific sexual health needs of YBMSM in research and intervention.