Pathways to HIV-Related Behavior Among Heterosexual, Rural Black Men: A Person-Centered Analysis.
Pathways to HIV-Related Behavior Among Heterosexual, Rural Black Men: A Person-Centered Analysis.
复制标题
DOI：
10.1007/s10508-015-0661-7
复制
发表时间：
2017-05
影响因子：
3.8
通讯作者：
Brown GL
中科院分区：
文献类型：
--
作者：
Kogan SM;Cho J;Barnum S;Barton A;Hicks MR;Brown GL
我们调查了498名农村黑人男性的心理社会机制，将个人和环境风险因素与HIV相关行为联系起来。我们的特点是艾滋病毒相关的行为方面的配置文件组和假设，上下文和个人的风险因素（童年逆境，社区劣势，监禁，种族歧视）将预测艾滋病毒相关的行为间接通过两个心理社会机制：冲动和消极的关系图式。研究结果记录了3个HIV相关行为特征组。安全组报告的危险行为水平较低。冒险组报告了不一致的避孕套使用和增加的物质使用。多个性伙伴组报告的性伙伴人数最多，使用避孕套的情况相对一致。风险因素预测档案组直接和间接通过心理社会机制。冲动介导的社区劣势和冒险组成员之间的关联。消极的关系图式介导的协会的童年经历和社区的不利成员在多个合作伙伴组。途径的特异性表明，需要有针对性的干预措施的基础上的风险行为的多维特征。
We investigated the psychosocial mechanisms linking personal and contextual risk factors to HIV-related behavior among 498 rural Black men. We characterized HIV-related behavior in terms of profile groups and hypothesized that contextual and personal risk factors (childhood adversity, community disadvantage, incarceration, and racial discrimination) would predict HIV-related behavior indirectly via two psychosocial mechanisms: impulsivity and negative relational schemas. Study results documented 3 HIV-related behavior profile groups. The Safer group reported low levels of risky behavior. The Risk-Taking group reported inconsistent condom use and elevated substance use. The Multiple Partners group reported the highest numbers of partners and relatively consistent condom use. Risk factors predicted profile groups directly and indirectly through psychosocial mechanisms. Impulsivity mediated the association between community disadvantage and membership in the risk-taking group. Negative relational schemas mediated the associations of childhood experiences and community disadvantage with membership in the multiple partners group. Specificity in pathways suggests the need for targeted interventions based on multidimensional characterizations of risk behavior.
登录
查看更多内容
影响因子：
4.8
作者：
Bornovalova, Marina A.;Gwadz, Marya A.;Lejuez, C. W.
通讯作者：
Lejuez, C. W.
影响因子：
4.6
作者：
Brody, Gene H.;Lei, Man-Kit;Beach, Steven R. H.
通讯作者：
Beach, Steven R. H.
影响因子：
3.6
作者：
Beadnell, B;Morrison, DM;Nahom, D
通讯作者：
Nahom, D
影响因子：
3.7
作者：
Forehand, R;Brody, GH;Stock, M
通讯作者：
Stock, M
影响因子：
12.7
作者：
Friedman, Samuel R.;Cooper, Hannah L. F.;Osborne, Andrew H.
通讯作者：
Osborne, Andrew H.