Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online.
Trauma symptoms, internalized stigma, social support, and sexual risk behavior among HIV-positive gay and bisexual MSM who have sought sex partners online.
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DOI：
10.1080/09540121.2015.1096894
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发表时间：
2016
期刊：
影响因子：
1.7
通讯作者：
Kalichman SC
中科院分区：
文献类型：
--
作者：
Burnham KE;Cruess DG;Kalichman MO;Grebler T;Cherry C;Kalichman SC
男同性恋、双性恋和其他男男性行为者（MSM）仍然是艾滋病毒感染的最高风险群体。原因之一是越来越多地使用互联网来满足潜在的性伴侣，这与更大的性风险行为有关。迄今为止，很少有研究调查了同性恋和双性恋男性在网上寻求性伴侣的性风险行为的心理社会预测因素。本研究的目的是测试一个概念模型的创伤症状之间的关系索引的事件的艾滋病毒诊断，内化艾滋病毒的耻辱，和社会支持的性风险行为之间的同性恋和双性恋男男性接触者寻求性伴侣在线。142名同性恋和双性恋男男性接触者的样本在网上和网上招募完成了一个全面的在线评估电池评估上述因素。出现了一些协会，最显着的内化艾滋病毒的耻辱介导的创伤相关的症状之间的关系索引的事件的艾滋病毒诊断和性风险行为与艾滋病毒阴性和未知血清状态的性伴侣。这表明，同性恋和双性恋男男性接触者谁是在他们的艾滋病毒诊断更大的痛苦和谁是更敏感的艾滋病毒耻辱从事更多的艾滋病毒传播风险行为。随着越来越多地使用互联网与他人进行性接触，性风险环境扩大，重要的是要了解性风险行为的预测因素，以便量身定制的干预措施可以促进同性恋和双性恋MSM寻求在线性行为的性健康。
Gay, bisexual, and other men who have sex with men (MSM) remain the highest risk group for HIV infection. One reason is the increased use of the Internet to meet potential sex partners, which is associated with greater sexual risk behavior. To date, few studies have investigated psychosocial predictors of sexual risk behavior among gay and bisexual men seeking sex partners online. The purpose of the current study was to test a conceptual model of the relationships between trauma symptoms indexed on the event of HIV diagnosis, internalized HIV stigma, and social support on sexual risk behavior among gay and bisexual MSM who seek sex partners online. A sample of 142 gay and bisexual MSM recruited on- and offline completed a comprehensive online assessment battery assessing the factors noted above. A number of associations emerged; most notably internalized HIV stigma mediated the relationship between trauma-related symptoms indexed on the event of HIV diagnosis and sexual risk behavior with HIV-negative and unknown serostatus sex partners. This suggests that gay and bisexual MSM who are in greater distress over their HIV diagnosis and who are more sensitive to HIV stigma engage in more HIV transmission risk behavior. As sexual risk environments expand with the increasing use of the Internet to connect with others for sex, it is important to understand the predictors of sexual risk behavior so that tailored interventions can promote sexual health for gay and bisexual MSM seeking sex online.