社交网络特征与更频繁的艾滋病毒和性传播疾病预防对话有关:芝加哥N2队列研究
Cho-Hee Shrader1,2, Duncan Dt3, R Driver4,5
1ICAP at Columbia University, 60 Haven Ave B120, New York, NY, United States of America. choshrader@gmail.com.
AIDS and behavior
|May 4, 2024
概括
参与频繁的HIV/STI预防对话与拥有亲属,年长,种族相似,情感密切的信任者有关. 这些因素可以加强社交网络,以获得更好的性健康结果.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 艾滋病毒/性传播疾病预防 预防
背景情况:
- 黑人 cisgender 性少数群体男性 (SMM) 和跨性别女性 (TW) 在美国面临着最高的HIV/STI风险.
- 了解社会强化机制对于在这些关键人群中实施有效的HIV/STI预防策略至关重要.
研究的目的:
- 确定促进黑人SMM和TW之间正在进行的HIV/STI预防对话的因素.
- 探索社交网络在促进一致的HIV/STI风险降低行为中的作用.
主要方法:
- 采用多项多层次建模来分析来自芝加哥 (2018-2019) 招募的370名参与者和987名信徒的数据.
- 收集的数据包括参与者的人口统计数据和最多五个信任者的特征,重点关注HIV/STI预防对话频率.
主要成果:
- 频繁 (每两周或更长时间) 的艾滋病毒/性传播感染预防对话与信任者是亲属家庭成员的积极联系.
- 与频繁对话显著相关的信任者特征包括年龄较大 (≥15年差异),种族同志,以及情感接近.
- 这些发现强调了特定社交网络特征在维护艾滋病毒/性传播感染预防对话中的重要性.
结论:
- 干预措施应通过结合种族同性恋,尊重长者和强有力的社会联系的元素来利用社会网络.
- 建议在未来的预防工作中整合亲属家庭系统方法和解决艾滋病毒/性传播疾病污名.
- 通过定制的网络干预来加强社会强化,可以改善艾滋病毒/性传播感染预防的参与.
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