[以夫妻为基础的方法:解决拉丁裔男同性恋者艾滋病毒感染的创新努力]

Omar Martinez, Elwin Wu, Theo Sandfort, Andrew Z Shultz, Jonathan Capote, Silvia Chávez, Eva Moya, Brian Dodge, Gabriel Morales, Antonio Porras, Hugo Ovejero
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引用次数: 2

摘要

艾滋病毒流行病是拉丁裔社区普遍存在的严重健康问题。十多年来,虽然预防工作帮助拉丁美洲人的感染总数保持稳定,但这一人口继续受到艾滋病毒的高水平影响。特别是,主要讲西班牙语的拉丁裔男男性行为者(MSM)受到艾滋病毒的影响不成比例。有几个因素导致艾滋病毒在主要讲西班牙语的拉丁裔男同性恋者中流行,包括药物使用;亲密伴侣暴力;某些性传播感染的存在;同性关系动力学;因害怕歧视和移民身份而避免寻求检测咨询和治疗;贫困、移民模式和语言障碍。特别是,流行病学行为研究已经确定了男性伴侣的关系动态如何与性危险行为相关联。因此,需要进一步的研究来确定和提供针对以夫妻为基础的干预措施,以降低同性关系中男性的风险。本文描述了以伴侣为基础的创新方法对减少主要讲西班牙语的拉丁裔男同性恋者及其同性伴侣之间的艾滋病毒和艾滋病病例的潜在意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A couple-based approach: An innovative effort to tackle HIV infection among Latino gay men.]

The HIV epidemic is a serious and pervasive health issue in the Latino community. While prevention efforts have helped maintain stability in the overall number of infections among Latinos for more than a decade, this population continues to be affected by HIV at high levels. In particular, Predominantly Spanish-speaking Latino men who have sex with men (MSM) are disproportionately impacted by HIV. Several factors contribute to the HIV epidemic among Predominantly Spanish-speaking Latino MSM including substance use; intimate partner violence; the presence of certain STIs; same-sex relationship dynamics; avoidance of seeking testing counseling and treatment out of fear of discrimination and immigration status; and poverty, migration patterns, and language barriers. In particular, epidemiological behavioral research has identified how relationship dynamics in male couples are associated with sexual risk behavior. Consequently, further research is needed to identify and deliver interventions geared toward couple-based risk reduction among men in same-sex relationships. This paper describes the potential significance that innovative couple-based approaches can have on reducing HIV and AIDS cases among Predominantly Spanish-speaking Latino MSM and their same-sex partners.

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