Psychosocial characteristics pattern correlated with HIV-related risky sexual behavior among HIV-negative men who have sex with men: a latent profile analysis.

IF 4 3区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Environmental Health and Preventive Medicine Pub Date : 2023-01-01 DOI:10.1265/ehpm.22-00157
Mengxi Zhai, Zhizhou Duan, Jiawei Tian, Qingqing Jiang, Biao Zhu, Chenchang Xiao, Bin Yu, Hong Yan
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Abstract

Background: Men who have sex with men (MSM) have become a high risk population of HIV infection due to their risky sexual behaviors. The latent pattern of psychosocial characteristics plays an important effect in HIV-related risky behaviors among HIV-negative MSM.

Method: Participants were recruited from Wuhan, Nanchang, and Changsha city from September 2017 to January 2018. Social support was assessed by the multidimensional scale of social support, Connor-Davidson Resilience scale-10 items for reliance, the assessment of Stigma towards Homosexuality for sexual minority stigma, the Likert subscale of nondisclosure for identity concealment, the ACE questionnaire-Kaiser-CDC for adverse childhood experience, the Centers for Epidemiological Studies Depression Scale for depression. Latent profile analysis (LPA) and multivariate regression were used to analyze the data.

Results: Three psychosocial characteristic patterns were revealed by the LPA. "Social support and resilience group" (SR group), "Identity concealment group" (IC group) and "Adverse childhood experience" (ACE group) were identified, respectively. In comparison with "SR group", "IC group" have a higher likelihood of one-night male partners (AOR = 2.74, 95%CI = [1.54, 4.90]), both fixed and one-night male partners (AOR = 2.01, 95%CI = [1.34, 3.01]) and HIV-unsure male partner (AOR = 2.12, 95%CI = [1.44, 3.13]). Similarly, "ACE group" were more likely having inconsistent condom use (AOR = 2.58, 95%CI = [1.41, 4.73]), and having sex with HIV-positive male partner (AOR = 4.90, 95%CI = [1.95, 12.30]) with comparison of "SR group". In addition, we further revealed that "ACE group" had a higher ratio (90.0%) of inconsistent condom use among MSM whose male partners were HIV-positive.

Conclusions: Six important psychosocial factors were divided into three latent pattern classes. Compared with "SR group", "IC group" and "ACE group" were more likely to engage in HIV-related risky sexual behaviors. Further research may pay more attention to "IC group" and "ACE group" for targeted intervention.

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在男男性行为的hiv阴性男性中,与hiv相关的高危性行为相关的社会心理特征模式:一项潜在剖面分析
背景:男男性行为者(MSM)因其危险性行为已成为HIV感染的高危人群。社会心理特征的潜在模式在hiv阴性男男性行为中起着重要的作用。方法:2017年9月至2018年1月在武汉、南昌和长沙市招募参与者。社会支持的评估采用社会支持多维度量表、康纳-戴维森弹性量表-10项依赖性量表、同性恋污名量表-性少数群体污名量表、李克特隐瞒身份子量表、ACE问卷- kaiser - cdc不良童年经历量表、流行病学研究中心抑郁量表。采用潜型分析(LPA)和多元回归分析。结果:LPA显示了三种心理社会特征模式。分别识别出“社会支持与弹性组”(SR组)、“身份隐藏组”(IC组)和“不良童年经历组”(ACE组)。与“SR组”相比,“IC组”存在一晚男性伴侣(AOR = 2.74, 95%CI =[1.54, 4.90])、固定男性伴侣和一晚男性伴侣(AOR = 2.01, 95%CI =[1.34, 3.01])和hiv不确定男性伴侣(AOR = 2.12, 95%CI =[1.44, 3.13])的可能性更高。同样,“ACE组”与“SR组”相比,更容易出现不一致使用安全套(AOR = 2.58, 95%CI =[1.41, 4.73])和与hiv阳性男性伴侣发生性行为(AOR = 4.90, 95%CI =[1.95, 12.30])的情况。此外,我们进一步发现,“ACE组”在男性伴侣为hiv阳性的MSM中不一致使用安全套的比例(90.0%)更高。结论:6种重要的心理社会因素可分为3种潜在模式。与“SR组”相比,“IC组”和“ACE组”更容易从事与hiv相关的危险性行为。进一步的研究可以关注“IC组”和“ACE组”进行有针对性的干预。
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来源期刊
Environmental Health and Preventive Medicine
Environmental Health and Preventive Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
7.90
自引率
2.10%
发文量
44
审稿时长
10 weeks
期刊介绍: The official journal of the Japanese Society for Hygiene, Environmental Health and Preventive Medicine (EHPM) brings a comprehensive approach to prevention and environmental health related to medical, biological, molecular biological, genetic, physical, psychosocial, chemical, and other environmental factors. Environmental Health and Preventive Medicine features definitive studies on human health sciences and provides comprehensive and unique information to a worldwide readership.
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