美国23个城市男同性恋者性行为披露的流行程度和种族/民族差异——全国艾滋病病毒行为监测,2017。

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2022-01-01 DOI:10.1080/15381501.2021.2015504
Jincong Q Freeman, Lindsay Trujillo, Amy R Baugher
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引用次数: 0

摘要

男男性行为者(MSM)的性行为披露是获得艾滋病毒预防服务的关键。我们使用2017年全国艾滋病毒行为监测的加权数据来调查MSM中性行为披露的流行程度和种族/民族差异。在10,753名男同性恋者中,89.4% (95% CI: 88.5-90.3%)向任何非女同性恋、男同性恋或双性恋(LGB)朋友透露过性取向,85.9% (95% CI: 84.8-87.0%)向任何家庭成员透露过性取向,82.8% (95% CI: 81.6-83.9%)向任何医疗保健提供者透露过性取向。虽然大多数男男性行为者已经披露,但23.8% (95% CI: 22.4-25.1%)的人没有向三组中的至少一组披露。在调整了年龄和地区后,黑人、西班牙裔/拉丁裔或亚洲男同性恋者比白人男同性恋者更不可能向任何非lgb的朋友、任何家庭成员或任何医疗保健提供者透露自己的性取向。我们发现男男性接触者的性取向公开率很高,但种族/民族差异仍然存在。需要采取策略和干预措施来促进男男性行为者的性行为披露。
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Prevalence of and racial/ethnic differences in sexuality disclosure among men who have sex with men in 23 U.S. cities-National HIV Behavioral Surveillance, 2017.

Sexuality disclosure among men who have sex with men (MSM) is key in access to HIV prevention services. We used weighted 2017 data from National HIV Behavioral Surveillance to investigate prevalence of, and racial/ethnic differences in, sexuality disclosure among MSM. Of 10,753 MSM, 89.4% (95% CI: 88.5-90.3%) had disclosed their sexuality to any non-lesbian, gay, or bisexual (LGB) friends, 85.9% (95% CI: 84.8-87.0%) had disclosed their sexuality to any family members, and 82.8% (95% CI: 81.6-83.9%) had disclosed their sexuality to any health care providers. Although most MSM had disclosed, 23.8% (95% CI: 22.4-25.1%) had not disclosed to at least one of the three groups. Black, Hispanic/Latino, or Asian MSM were less likely than White MSM to have disclosed their sexuality to any non-LGB friends, any family members, or any health care providers, after adjusting for age and region. We found high prevalence of sexuality disclosure among MSM, but racial/ethnic differences persist. Strategies and interventions to promote sexuality disclosure among MSM are needed.

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