Where are the young men in HIV prevention efforts? Comments on HIV prevention programs and research from young men who sex with men in Los Angeles county.
Where are the young men in HIV prevention efforts? Comments on HIV prevention programs and research from young men who sex with men in Los Angeles county.
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DOI：
10.1007/s10935-012-0282-z
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发表时间：
2012-12
影响因子：
1.7
通讯作者：
Shoptaw, Steven
中科院分区：
文献类型：
--
作者：
Holloway, Ian W.;Cederbaum, Julie A.;Ajayi, Antonette;Shoptaw, Steven
尽管男男性行为者 (YMSM) 的艾滋病毒感染率不断上升，但只有少数人参与正式的艾滋病毒预防工作。在加利福尼亚州洛杉矶的 YMSM 不同样本（N = 100，Mage = 25.0 岁）中进行了半结构化混合方法访谈，以确定参与艾滋病毒预防计划的促进因素和障碍。总结性内容分析用于评估这些采访记录的现场笔记。结果显示，28.0% 的参与者之前曾参加过艾滋病毒预防项目，而在被问及是否曾经参与过任何有关艾滋病毒预防的研究的参与者中，有 21.3% 的人已经这样做了。与未参加过艾滋病毒预防计划的人相比，在过去 6 个月内接受过艾滋病毒检测的人的比例明显更高 (p < .05)。最常提到的参与此类计划的障碍是太忙而无法参加（12.0%）、不认为自己有感染艾滋病毒的风险（14.0%）以及相信自己已经了解有关艾滋病毒传播所需的一切（23.0%）。 YMSM 建议未来的干预措施应使用技术（例如互联网、移动设备）、参与社交网络，并强调艾滋病毒预防作为社区联系的一种手段。总的来说，这些结果为为什么 YMSM 占 HIV 预防计划参与者的少数提供了一些解释，并为未来针对 YMSM 的 HIV 预防工作提供了可能的方向。
Despite increasing rates of HIV infection among young men who have sex with men (YMSM), only a minority participate in formal HIV prevention efforts. Semi-structured mixed-methods interviews were conducted in a diverse sample of YMSM (N = 100, Mage = 25.0 years) in Los Angeles, California, to identify facilitators and barriers to participation in HIV prevention programs. Summative content analyses were used to evaluate transcribed field notes from these interviews. Results showed that 28.0% of all participants had previously attended an HIV prevention program, and that 21.3% of those who were also asked if they had ever participated in any research pertaining to HIV prevention had done so. A significantly higher percentage of those who had participated in HIV prevention programs had been tested for HIV in the past 6 months compared to those who had not (p < .05). The most frequently mentioned barriers to participation in such a program were being too busy to attend (12.0%), not perceiving themselves to be at risk for HIV infection (14.0%), and believing that they already knew everything they needed to know about HIV transmission (23.0%). YMSM suggested that future interventions should use technology (e.g., the Internet, mobile devices), engage their social networks, and highlight HIV prevention as a means for community connection. Collectively, these results provide some explanations for why YMSM account for a minority of HIV prevention program participants and offer possible directions for future HIV prevention efforts that target YMSM.
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影响因子：
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