Having Supportive Social Relationships is Associated with Reduced Risk of Unrecognized HIV Infection Among Black and Latino Men who Have Sex with Men
Having Supportive Social Relationships is Associated with Reduced Risk of Unrecognized HIV Infection Among Black and Latino Men who Have Sex with Men
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DOI：
10.1007/s10461-011-0002-3
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发表时间：
2012-04-01
影响因子：
4.4
通讯作者：
Millett, Gregorio A.
中科院分区：
文献类型：
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作者：
Lauby, Jennifer L.;Marks, Gary;Millett, Gregorio A.
我们研究了这一假设，即与其他人有支持性社会关系的黑人和拉丁裔男性（MSM）与报告社会支持水平较低的有色人种MSM相比，不太可能有未被识别的HIV感染。我们采访了1286名黑人和拉丁裔男男性接触者，他们在三个大都市地区没有已知的艾滋病毒感染者，采用受访者驱动抽样。参与者完成了一份计算机管理的问卷，并进行了艾滋病毒检测。118名男性（9.2%）发现未识别的HIV感染。在研究中，在支持关系指数上得分较高的MSM检测出艾滋病毒阳性的几率显著较低。中介分析确定了两种可能的行为途径，可以部分解释这种关联：具有强大支持关系的男性更有可能在过去2年内进行HIV感染检测，并且最近不太可能从事高风险性行为。研究结果阐明了我们样本中有色人种MSM之间社会关系的保护作用。
We examined the hypothesis that black and Latino men who have sex with men (MSM) who have supportive social relationships with other people are less likely to have unrecognized HIV infection compared with MSM of color who report lower levels of social support. We interviewed 1286 black and Latino MSM without known HIV infection in three metropolitan areas who were recruited using respondent driven sampling. Participants completed a computer-administered questionnaire and were tested for HIV. Unrecognized HIV infection was found in 118 men (9.2%). MSM who scored higher on the supportive relationship index had significantly lower odds of testing HIV-positive in the study. The mediation analysis identified two possible behavioral pathways that may partially explain this association: men who had strong supportive relationships were more likely to have had a test for HIV infection in the past 2 years and less likely to have recently engaged in high-risk sexual behavior. The findings illuminate the protective role of social relationships among MSM of color in our sample.