Homophobia is Associated with Sexual Behavior that Increases Risk of Acquiring and Transmitting HIV Infection Among Black Men Who Have Sex with Men

被引：121

作者：

Jeffries, William L. ^{[1
,2
]}

Marks, Gary ^{[2
]}

Lauby, Jennifer ^{[3
]}

Murrill, Christopher S. ^{[4
]}

Millett, Gregorio A. ^{[2
,5
]}

机构：

[1] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Div Appl Sci, Sci Educ & Profess Dev Program Off, Atlanta, GA 30333 USA

[2] Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV AIDS Viral Hepatitis STD & TB Preven, Atlanta, GA 30333 USA

[3] Publ Hlth Management Corp, Philadelphia, PA USA

[4] Ctr Dis Control & Prevent, Div Global HIV AIDS, Ctr Global Hlth, Atlanta, GA 30333 USA

[5] Off Natl AIDS Policy, Washington, DC USA

来源：

AIDS AND BEHAVIOR | 2013年 / 17卷 / 04期

关键词：

Homophobia; Human immunodeficiency virus; Gay men; Men who have sex with men; Black Americans; AFRICAN-AMERICAN GAY; PREVENTION INTERVENTION; SOCIAL SUPPORT; LATINO MEN; HEALTH; STRESS; DISCRIMINATION; STIGMA;

D O I：

10.1007/s10461-012-0189-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We investigated whether the experience of homophobic events increases the odds of engaging in unprotected anal intercourse (UAI) among black men who have sex with men (MSM) and whether social integration level buffered the association. Participants (N = 1,154) reported homophobic events experienced in the past 12 months. Social integration measures included social support, closeness with family members and friends, attachment to the black gay community, openness about sexuality within religious communities, and MSM social network size. Logistic regression analyses indicated that experiencing homophobia was associated with (1) UAI among men not previously diagnosed with HIV and (2) sexual HIV transmission risk behavior among men who knew they were HIV-infected. None of the social integration measures buffered these associations. Homophobia may promote acquisition and transmission of HIV infection among black MSM. Interventions are needed to reduce homophobia experienced by black MSM.

引用

页码：1442 / 1453

页数：12

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