Stigma and Sexual Health Risk in HIV-Positive African American Young Men Who Have Sex with Men
Stigma and Sexual Health Risk in HIV-Positive African American Young Men Who Have Sex with Men
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DOI：
10.1089/apc.2010.0020
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发表时间：
2010-08-01
影响因子：
4.9
通讯作者：
Rudy, Bret J.
中科院分区：
文献类型：
--
作者：
Radcliffe, Jerilynn;Doty, Nathan;Rudy, Bret J.
了解与男性发生性关系的年轻艾滋病毒阳性非洲裔美国男子所经历的多种形式的耻辱以及他们如何与性风险行为相关，对于设计有效的艾滋病毒预防方案至关重要。这项对40名非洲裔美国年轻男男性接触者的研究发现，90%的受访者经历过性少数群体的耻辱，88%经历过艾滋病毒的耻辱，78%经历过双重耻辱。性少数耻辱的特点是社会回避的经验，艾滋病毒的耻辱，羞耻。高艾滋病耻辱感的个人更有可能在高或醉酒时进行无保护的性行为。污名和性行为之间的关联进行了研究;青年赞同较高水平的性少数耻辱从事插入肛交。个人赞同更多的艾滋病毒耻辱报告更容易接受肛交。这些研究结果支持发展的耻辱知情的二级预防干预非洲裔美国人艾滋病毒阳性的年轻男男性行为者。
Understanding the multiple forms of stigma experienced by young HIV-positive African American men who have sex with men and how they relate to sexual risk behaviors is essential to design effective HIV prevention programs. This study of 40 African American young MSM found that 90% of those surveyed experienced sexual minority stigma, 88% experienced HIV stigma, and 78% experienced dual stigma. Sexual minority stigma was characterized by experiences of social avoidance, and HIV stigma, by shame. Individuals with high HIV stigma were significantly more likely to engage in unprotected sex while high or intoxicated. Associations between stigma and sexual practices were examined; youth endorsing higher levels of sexual minority stigma engaged in less insertive anal intercourse. Individuals endorsing more HIV stigma reported more receptive anal intercourse. These findings support the development of stigma-informed secondary prevention interventions for African American HIV-positive young MSM.