HIV Syndemic Factor Associations Among Adolescent Gay and Bisexual Men in the Youth Risk Behavior Survey 2015-2019: A Secondary Data Analysis.

IF 1.6 4区医学 Q2 NURSING

Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2023-09-01 Epub Date: 2023-08-17 DOI:10.1097/JNC.0000000000000423

David R Garcia, Jason Fletcher, Lloyd Goldsamt, David L Bell, Yaguang Zheng, Ann-Margaret Dunn Navarra

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Abstract

Abstract: This analysis of the Youth Risk Behavior Survey examined HIV syndemic factor associations (substance use, violence, mental health, and HIV risk behaviors) among adolescent gay, bisexual, and other men who have sex with men-a population with the highest prevalence of undiagnosed HIV infections. The representative sample ( n = 644) exhibited low condom use (52%) and HIV testing (21%). Adjusted multivariate logistic regression models showed that Blacks were less likely to report HIV testing (adjusted odds ratio [aOR] = 0.06, 95% confidence interval [CI] [0.01-0.44], p < .01), whereas Hispanics were more likely to report four or more lifetime sexual partners (aOR = 3.75, 95% CI [1.49-9.44], p < .01), compared with Whites. A syndemic of substance use and intimate partner violence (sexual, sexual dating, and/or physical dating violence) was associated with early intercourse, multiple sexual partners, and drugs/alcohol before intercourse. Multiple syndemic factor exposures were associated with additive risk, suggesting multilevel approaches for HIV prevention.

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2015-2019年青少年风险行为调查中青少年男同性恋和双性恋者的HIV综合征因素相关性：二次数据分析。

摘要：这项青年风险行为调查的分析调查了青少年同性恋、双性恋和其他与男性发生性关系的男性中的HIV综合征因素关联（药物使用、暴力、心理健康和HIV风险行为），这些人群是未确诊HIV感染率最高的人群。代表性样本（n=644）显示避孕套使用率低（52%），HIV检测率低（21%）。调整后的多变量逻辑回归模型显示，与白人相比，黑人报告HIV检测的可能性较小（调整后的比值比[aOR]=0.06，95%置信区间[CI][0.01-0.44]，p<0.01），而西班牙裔更有可能报告四个或四个以上的终身性伴侣（aOR=3.75，95%可信区间[1.49-9.44]，p<0.01）。药物使用和亲密伴侣暴力（性暴力、性约会和/或身体约会暴力）的综合征与早期性交、多个性伴侣以及性交前的毒品/酒精有关。多种综合征因素暴露与加性风险相关，提示采用多层次方法预防艾滋病毒。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Janac-Journal of the Association of Nurses in Aids Care 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

120

期刊介绍： The Journal of the Association of Nurses in AIDS Care (JANAC) is a peer-reviewed, international nursing journal that covers the full spectrum of the global HIV epidemic, focusing on prevention, evidence-based care management, interprofessional clinical care, research, advocacy, policy, education, social determinants of health, epidemiology, and program development. JANAC functions according to the highest standards of ethical publishing practices and offers innovative publication options, including Open Access and prepublication article posting, where the journal can post articles before they are published with an issue.