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Accounts of HIV seroconversion among substance-using gay and bisexual men.

机译:吸毒男同性恋者和双性恋者中艾滋病毒血清转化的报道。

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摘要

Statistical associations between substance use and seroconversion among gay and bisexual men abound. However, these associations often ignore men's own interpretations of their seroconversion. Using in-depth interviews with gay and bisexual men who reported using drugs or alcohol at the time of their seroconversion, we identify how these men explain the events that led to HIV transmission. Whereas a small minority of respondents reported substance use to explain their seroconversion, the majority reported three competing explanations. These participants claimed that they lacked sufficient knowledge about the behavioral risks that led to their seroconversion; that their decision to engage in unsafe sex was because of negative personal affect; and that they "trusted the wrong person." We link these findings to prevention and suggest that gay and bisexual men who use substances for recreational purposes will benefit from prevention efforts designed to address issues of gay and bisexual men rather than substance-using men.
机译:同性恋者和双性恋者在物质使用和血清转换之间的统计关联很多。但是,这些协会经常无视男性对其血清转化的解释。通过对男同性恋者和双性恋者进行深入访谈,他们在血清转换时报告使用毒品或酒精,我们确定了这些人如何解释导致艾滋病毒传播的事件。少数受访者报告使用物质来解释其血清转化,而大多数受访者报告了三种相互竞争的解释。这些参与者声称他们对导致血清转化的行为风险缺乏足够的知识;他们做出不安全性行为的决定是由于负面的个人影响;并且他们“信任错误的人”。我们将这些发现与预防联系起来,并建议为娱乐目的而使用毒品的同性恋者和双性恋者将从旨在解决同性恋者和双性恋者而非药物滥用者问题的预防工作中受益。

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