Mother-Son Communication About Sex and Routine Human Immunodeficiency Virus Testing Among Younger Men of Color Who Have Sex With Men
Mother-Son Communication About Sex and Routine Human Immunodeficiency Virus Testing Among Younger Men of Color Who Have Sex With Men
复制标题
DOI：
10.1016/j.jadohealth.2015.07.007
复制
发表时间：
2015-11-01
影响因子：
7.6
通讯作者：
Schneider, John A.
中科院分区：
文献类型：
--
作者：
Bouris, Alida;Hill, Brandon J.;Schneider, John A.
目的：本研究的目的是记录年轻有色人种男男性行为（YMSM）的HIV检测行为和血清状态，并探讨过去6个月HIV检测的社会人口学、行为和母体相关因素。方法：对135名16 ~ 19岁的男/女青少年进行HIV检测及危险行为、母婴沟通、社会人口学特征的封闭式调查。向青年提供即时艾滋病毒检测，并在调查结束时提供结果。多变量logistic回归分析了与常规HIV检测相关的社会人口学、行为和母体因素。结果：90.3%的YMSM曾接受过HIV检测，其中70.9%在最近6个月内接受过HIV检测。总体而言，11.7%的青年报告艾滋病毒阳性，3.3%报告血清状态未知。当提供艾滋病毒检测时，97.8%的人接受了。其中，14.7%的人口腔检测结果呈阳性，31.58%的hiv阳性YMSM （n = 6）在不知情的情况下呈血清阳性。Logistic回归结果显示，母亲与男性性别的沟通与常规检查呈正相关（优势比为2.36,95%可信区间为1.13 ~ 4.94）。相反，关于青春期和一般人类性行为的交流呈负相关（优势比= 0.45；95%可信区间= 0.24 - 0.86）。无套肛交和性传播感染阳性与常规检查呈负相关；然而，饮酒频率与此呈正相关。结论：尽管检测率很高，但我们发现HIV感染率很高，31.58%的HIV阳性YMSM在不知情的情况下呈血清阳性。母子之间关于性的交流需要涉及同性行为，因为这似乎比其他话题更重要。已知有感染艾滋病毒危险因素的男同性恋者没有按照建议的时间间隔进行检测。(C) 2015年青少年健康和医学协会。版权所有。
Purpose: The purposes of this study were to document the HIV testing behaviors and serostatus of younger men of color who have sex with men (YMSM) and to explore sociodemographic, behavioral, and maternal correlates of HIV testing in the past 6 months.Methods: A total of 135 YMSMaged 16-19 years completed a close-ended survey on HIV testing and risk behaviors, mother-son communication, and sociodemographic characteristics. Youth were offered point-of-care HIV testing, with results provided at survey end. Multivariate logistic regression analyzed the sociodemographic, behavioral, and maternal factors associated with routine HIV testing.Results: A total of 90.3% of YMSM had previously tested for HIV, and 70.9% had tested in the past 6 months. In total, 11.7% of youth reported being HIV positive, and 3.3% reported unknown serostatus. When offered an HIV test, 97.8% accepted. Of these, 14.7% had a positive oral test result, and 31.58% of HIV-positive YMSM (n = 6) were seropositive unaware. Logistic regression results indicated that maternal communication about sex with males was positively associated with routine testing (odds ratio = 2.36; 95% confidence interval = 1.13-4.94). Conversely, communication about puberty and general human sexuality was negatively associated (odds ratio = .45; 95% confidence interval = .24-.86). Condomless anal intercourse and positive sexually transmitted infection history were negatively associated with routine testing; however, frequency of alcohol use was positively associated.Conclusions: Despite high rates of testing, we found high rates of HIV infection, with 31.58% of HIV-positive YMSM being seropositive unaware. Mother-son communication about sex needs to address same-sex behavior as this appears to be more important than other topics. YMSM with known risk factors for HIV are not testing at the recommended time intervals. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.