Prediction of HIV Sexual Risk Behaviors Among Disadvantaged African American Adults Using a Syndemic Conceptual Framework.
Prediction of HIV Sexual Risk Behaviors Among Disadvantaged African American Adults Using a Syndemic Conceptual Framework.
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DOI：
10.1007/s10461-015-1134-7
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发表时间：
2016-02
影响因子：
4.4
通讯作者：
Elifson KW
中科院分区：
文献类型：
--
作者：
Nehl EJ;Klein H;Sterk CE;Elifson KW
这篇论文的重点是关于弱势非裔美国成年人的社区样本中的HIV性风险行为。其目的是在一个共同的概念框架内检查与性行为艾滋病毒危险行为相关的多种因素。在佐治亚州亚特兰大，对1535人进行了面对面的、计算机辅助的结构化访谈。双变量分析表明，艾滋病毒、性风险和其他因素之间存在很高的关系。多因素模型的结果显示，性别、性取向、关系状况、自尊、使用避孕套的自我效能感、被调查者高性行为和伴侣高性行为是无避孕套性行为的显著预测因素。此外，危险行为的多变量相加模型表明，健康风险的数量显著增加了无避孕套性行为的风险。艾滋病毒性行为的这种交集及其与其他各种行为、社会人口统计学和心理功能因素的关联，有助于解释这一样本的非裔美国成年人中的艾滋病毒风险行为，并突显了对多种健康行为和问题进行研究和实践的必要性。
The focus of this paper is on HIV sexual risk taking among a community-based sample of disadvantaged African American adults. The objective is to examine multiple factors associated with sexual HIV risk behaviors within a syndemic conceptual framework. Face-to-face, computer-assisted, structured interviews were conducted with 1,535 individuals in Atlanta, Georgia. Bivariate analyses indicated a high level of relationships among the HIV sexual risks and other factors. Results from multivariate models indicated that gender, sexual orientation, relationship status, self-esteem, condom use self-efficacy, sex while the respondent was high, and sex while the partner was high were significant predictors of condomless sex. Additionally, a multivariate additive model of risk behaviors indicated that the number of health risks significantly increased the risk of condomless sex. This intersection of HIV sexual risk behaviors and their associations with various other behavioral, socio-demographics, and psychological functioning factors helps explain HIV risk-taking among this sample of African American adults and highlights the need for research and practice that accounts for multiple health behaviors and problems.