Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research.

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Health Psychology Review Pub Date : 2024-06-01 Epub Date: 2023-08-07 DOI:10.1080/17437199.2023.2236180
Laurel P Gibson, Emily B Kramer, Jordan Wrigley, Maxwell Probst, Angela D Bryan
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Abstract

Considerable research has examined how involvement in gay-affiliated communities is associated with sexual health behaviours in sexual minority men (i.e., gay, bisexual, and other men who have sex with men), yet findings in this domain are often contradictory and inconclusive. This systematic review aimed to (a) synthesise the related empirical literature, and (b) identify potential factors driving inconsistent findings. Peer-reviewed publications were included if they contained quantitative data and at least one measure of the statistical association between gay community involvement and sexual health behaviour. The search strategy was implemented in six databases and returned 6,409 articles, of which 86 met the inclusion criteria. There was considerable heterogeneity in how gay community involvement was assessed across studies. Although gay community involvement was consistently associated with greater engagement in protective behaviours across studies, the association between gay community involvement and risk behaviours appeared to depend on how gay community involvement was conceptualised and measured (e.g., nightlife involvement vs. political activism). Findings emphasise a need for studies that employ validated measures that reflect the multidimensional nature of gay community involvement, as well as research designs better suited to address the causal effects of community involvement on HIV/STI transmission and prevention.

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男同性恋社区参与与性少数群体男性的性健康行为:系统综述与未来研究方向》(Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research.
大量研究探讨了性少数群体男性(即男同性恋、双性恋和其他男男性行为者)参与男同性恋社区与性健康行为之间的关系,但这方面的研究结果往往相互矛盾且没有定论。本系统综述旨在:(a) 综合相关的实证文献;(b) 找出导致研究结果不一致的潜在因素。经同行评审的出版物中,只要包含定量数据和至少一种衡量同性恋社区参与与性健康行为之间统计关系的指标,均被纳入其中。该搜索策略在六个数据库中实施,共检索到 6,409 篇文章,其中 86 篇符合纳入标准。不同研究对同性恋社区参与的评估方式存在很大差异。尽管在各项研究中,同性恋社区参与与更多的保护行为相关,但同性恋社区参与与风险行为之间的关联似乎取决于同性恋社区参与的概念化和衡量方式(如夜生活参与与政治活动)。研究结果强调,研究需要采用能够反映同性恋社区参与多面性的有效测量方法,以及更适合解决社区参与对艾滋病毒/性传播感染传播和预防的因果效应的研究设计。
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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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