Psychosocial Phenotype and Risky Sexual Behavior Among People Living with HIV in Changsha: A Latent Profile Analysis.

IF 2.1 4区医学 Q2 PSYCHOLOGY, CLINICAL

International Journal of Sexual Health Pub Date : 2025-06-08 eCollection Date: 2025-01-01 DOI:10.1080/19317611.2025.2509113

Qiaoyue Lu, Yixuan Li, Ziqi Qin, Yuqiong Duan, Honghong Wang, Xueling Xiao

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Abstract

Objectives: This study aimed to explore the psychosocial phenotype and its association with risky sexual behavior to deepen the understanding of the mechanisms of risky sexual behavior (RSB) among people living with HIV.

Methods: Data were collected between October and December 2021 in a cross-sectional study. Participants were 727 people living with HIV from an HIV clinic in a comprehensive hospital and completed a battery of questionnaires. A latent profile approach was utilized to identify the psychosocial phenotype based on depression, stigma, and social support. Multinomial logistic regression was used to investigate the relationship between sexual behaviors and the psychosocial phenotype.

Results: Three distinct phenotypes were identified: a low-risk profile (52.68%), a middle-risk profile (37.96%), and a high-risk profile (9.35%). These profiles exhibited a gradually increasing level of depression and stigma but a decreased level of social support. Participants in the middle-risk profile were twice as likely to engage in risky sexual behavior than those in low-risk profile (OR = 1.924, p = .008).

Conclusions: This study implies the synergistic impact of depression, stigma, and social support on the occurrence of risky sexual behavior among people living with HIV, which may be useful to the early intervention of risky sexual behavior.

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长沙市HIV感染者心理社会表型与危险性行为的潜在特征分析

目的：本研究旨在探讨HIV感染者的社会心理表型及其与高危性行为的关系，以加深对高危性行为（RSB）发生机制的理解。方法：数据收集于2021年10月至12月的横断面研究。参与者是来自一家综合性医院艾滋病毒诊所的727名艾滋病毒感染者，他们完成了一系列问卷调查。使用潜在剖面方法来确定基于抑郁，耻辱和社会支持的社会心理表型。采用多项逻辑回归分析性行为与心理社会表型的关系。结果：发现三种不同的表型：低危型（52.68%）、中危型（37.96%）和高危型（9.35%）。这些档案显示抑郁和耻辱程度逐渐增加，但社会支持水平下降。中等风险组的参与者发生危险性行为的可能性是低风险组的两倍（OR = 1.924, p = 0.008）。结论：抑郁、耻辱感和社会支持对HIV感染者高危性行为的发生有协同作用，可能对高危性行为的早期干预有指导意义。

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

International Journal of Sexual Health Multiple-

CiteScore

3.00

自引率

20.00%

发文量

期刊介绍： As the official journal of the World Association for Sexual Health, the International Journal of Sexual Health promotes sexual health as a state of physical, emotional, mental, and social well-being through a positive approach to sexuality and sexual rights. The journal publishes peer-reviewed scientific papers, editorials, and reviews, using quantitative and qualitative methods, descriptive and critical analysis, instrument development, surveys, and case studies to examine the essential elements of this broad concept. Leading experts from around the world present original work that covers a variety of disciplines, including sexology, biology, medicine, psychology, sociology, anthropology, history, and religion.