结构性同性恋恐惧是如何在世界各地传播艾滋病毒风险性行为
Vincent Leroy1, Erik Lamontagne2, Bruno Spire1
1Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, France.
Social science & medicine (1982)
|February 20, 2026
概括
结构性同性恋恐惧症显著预测全球LGBTI人口的艾滋病毒风险性行为. 解决制度性同性恋恐惧症和促进权利对于制艾滋病毒流行病至关重要.
科学领域:
- 社会心理学 社会心理学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 歧视和耻辱是影响LGBTI个人艾滋病毒风险性行为的已知因素.
- 关于将这些决定因素与艾滋病毒风险性行为的具体途径的研究有限.
研究的目的:
- 分析同性恋恐惧症,冒险倾向和艾滋病毒风险性行为的多个维度之间的关系.
- 填补全球LGBTI样本中关于同性恋恐惧症和艾滋病风险性行为之间的途径的知识差距.
主要方法:
- 利用了联合国艾滋病规划署 (UNAIDS) 全球LGBTI幸福调查的数据 (2019/2020年,204个国家115,000人).
- 在国家层面 (法律,态度) 定义了结构性/制度性同性恋恐惧症.
- 采用结构方程建模来评估69,640名参与者的关联 (cisgender,跨性别,非二进制,跨性别,同性恋,双性恋,酷尔).
主要成果:
- 结构性同性恋恐惧症预测了当地,工作场所和家庭的同性恋恐惧症,以及艾滋病毒风险性行为.
- 当地和工作场所的同性恋恐惧症与艾滋病毒风险性行为有直接的积极关联.
- 结构性同性恋恐惧症间接影响了冒险和艾滋病毒风险的性行为,由个人同性恋恐惧症调解.
结论:
- 结构性同性恋恐惧症通过直接和间接的途径与艾滋病毒风险性行为有关.
- 消除同性恋暴力和捍卫性和性别多样性人权的政策对于制艾滋病毒流行病至关重要.
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