The Intersection of Age and HIV Status for Black Sexual Minority Men (BSMM): A Social Network Analysis.
The Intersection of Age and HIV Status for Black Sexual Minority Men (BSMM): A Social Network Analysis.
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黑人性少数男性 (BSMM) 的年龄和艾滋病毒状况的交集：社交网络分析。
DOI：
10.1007/s10461-023-04127-8
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发表时间：
2024
影响因子：
4.4
通讯作者：
Tobin,KarinE
中科院分区：
文献类型：
--
作者：
Clair,CatherineA;Volpi,Connor;Dunn,Deborah;Latkin,CarlA;Tobin,KarinE
治疗方面的进步提高了艾滋病毒感染者的预期寿命。然而，有一个集中在年龄和艾滋病毒状况的交叉点，特别是对老年黑人性少数男性（SMM）谁是不成比例地受到艾滋病毒的影响的文献缺乏。本研究的目的是研究交叉影响的年龄和艾滋病毒感染状况对黑人SMM社交网络的样本从社会网络和预防研究。参与者年龄在18岁或以上，被确定为顺性别黑人或非裔美国人，自我认定为SMM，在过去六个月内报告了无保护措施的性行为，居住在巴尔的摩市或周边县。样本按年龄分为四类（例如，年轻，成熟）和艾滋病毒状态（例如，积极的，消极的）。在样本中，167名男子（a）年轻人和艾滋病毒阴性，116名男子（B）年轻人和艾滋病毒阳性，44名男子（c）成熟人和艾滋病毒阴性，42名男子（d）成熟人和艾滋病毒阳性。在这四组人中，HIV阳性的成年男性知道自己是SMM的平均变异数最少。四组中性伴侣的年龄范围也有重叠，从17岁到53.5岁（第1组），20-60岁（第2组），29.5-60岁（第3组）和23-63岁（第4组）。尽管这是一项横断面分析，但我们的研究结果表明，基于生命过程的研究和实践对于提供艾滋病毒和性健康规划具有价值。注重社区组织提供的服务可能有助于缩小现有的差距。
Advancements in treatment have resulted in increased life expectancy for individuals living with HIV. However, there is a dearth of literature focused on the intersection of age and HIV status, particularly for older Black sexual minority men (SMM) who are disproportionately impacted by HIV. This study aimed to examine the intersecting effect of age and HIV status on Black SMM social networks in a sample from the Social Network and Prevention Study. Participants were 18 years of age or older, identified as cis-gender Black or African American, self-identified as SMM, reported unprotected sex within the past six months, and resided in Baltimore city or a surrounding county. The sample was divided into four categories by age (e.g., young, mature) and HIV status (e.g., positive, negative). Of the sample, 167 men were (a) Young & HIV negative, 116 men were (b) Young & HIV positive, 44 men were (c) Mature & HIV negative, and 42 men were (d) Mature & HIV positive. Among the four groups, mature men who were HIV positive had the fewest average number of alters who knew they were SMM. There was also overlap in the range of age of sexual partners across the four groups, ranging from 17 to 53.5 (Group 1), 20–60 (Group 2), 29.5–60 (Group 3), and 23–63 (Group 4) years of age. Although a cross-sectional analysis, our findings suggest value in life course-informed research and practice for providing HIV and sexual health programming. Focus on services provided by community organizations may help mitigate existing disparities.