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首页> 外文期刊>Journal of Health Disparities Research and Practice >Do Masculinity and Perceived Condom Barriers Predict Heterosexual HIV Risk Behaviors Among Black Substance Abusing Men?
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Do Masculinity and Perceived Condom Barriers Predict Heterosexual HIV Risk Behaviors Among Black Substance Abusing Men?

机译：男性气质和避孕套的感知障碍是否可以预测男性滥用黑物质的男性的异性恋HIV风险行为？

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Although HIV prevention during substance abuse treatment is ideal, existing HIV risk-reduction interventions are less effective among Black and other ethnic minority substance abusers. The Sexual Health Model (SHM) and the Person, Extended Family and Neighborhood-3 model (PEN-3) both highlight the importance of increasing our understanding of the relationship of sociocultural factors to sexual-decision making as a step towards developing more HIV prevention interventions for ethnic minorities. However, few studies examine sociocultural factors in the sexual decision-making process of Black substance abusing men. This secondary analysis of data collected in an evaluation of Real Men Are Safe (REMAS), a HIV prevention intervention, in the National Drug Abuse Treatment Clinical Trials Network (CTN) addressed this gap by examining the relation of two specific sociocultural factors (i.e., masculinity and perceived barriers to condom use) to the self-reported sexual behaviors of Black substance abusing men with their main and casual female partners. Analyses of the baseline data of 126 Black men entering substance abuse treatment revealed that the endorsement of both personal and social masculinity predicted more unprotected sexual occasions (USO) with casual partners. The perception that condoms decreased sexual pleasure also predicted higher USO rates with casual partners. However, fewer partner barriers was not associated with USO among casual partners as expected. Neither the endorsement of social or personal masculinity or perceived condom barriers predicted USO with main partners. The findings suggest that interventions that depict condom use as both pleasurable and congruent with Black male perceptions of masculinity may be more effective with Black substance abusing men.
机译：尽管在药物滥用治疗期间预防艾滋病毒是理想的，但现有的降低艾滋病毒风险的干预措施在黑人和其他少数族裔药物滥用者中效果较差。性健康模型（SHM）和人，大家庭和邻里3模型（PEN-3）都强调了加深我们对社会文化因素与性决定的关系的了解的重要性，这是进一步开发预防HIV的步骤少数民族干预。但是，很少有研究检查黑人滥用男性的性决策过程中的社会文化因素。美国国家药物滥用治疗临床试验网络（CTN）对艾滋病毒预防干预措施“真正的男人是安全的”（REMAS）的评估中收集的数据进行了二次分析，通过检查两个特定的社会文化因素（例如，男性气质和使用避孕套的障碍）对黑色物质滥用男性及其主要和休闲女性伴侣的自我报告的性行为。对接受滥用药物治疗的126名黑人男性的基线数据进行的分析显示，个人和社会男性气概的认可预示着与休闲伴侣的性交场合（USO）更加不受保护。避孕套降低了性快感的观念也预示着休闲伴侣的USO发生率更高。但是，与偶然的合作伙伴相比，USO所带来的合作伙伴障碍更少。社会或个人阳刚之气的认可或避孕套的障碍都无法预测主要合作伙伴的USO。研究结果表明，将滥用避孕套描述为黑人男性对男性气质的看法既愉快又一致的干预措施，对于滥用黑人物质的男性可能更为有效。

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