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首页> 外文期刊>AIDS care. >HIV-related thought avoidance, sexual risk, and alcohol use among men who have sex with men
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HIV-related thought avoidance, sexual risk, and alcohol use among men who have sex with men

机译：艾滋病毒相关的思想避免，性风险和与男性发生性关系的人

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摘要

HIV-related cognitive escape refers to a tendency to avoid thoughts associated with HIV, which may be particularly common among men who have sex with men (MSM) who are often inundated with HIV information, potentially to the point of fatigue. HIV-related cognitive escape is associated with increased sexual risk behaviors, such as condomless sex, and heavier alcohol use patterns. Other studies show that some MSM may use alcohol specifically to facilitate sex. These sexual motives for drinking (SMDs) could be one mechanism whereby cognitive escape leads to health risk behaviors. In this study, we tested models exploring whether cognitive escape was associated with markers of sex risk (condom use, number of sex partners) and alcohol use/problems, and examined whether SMDs mediated these associations. Heavy drinking, HIV-negative men (N=196) aged21 years who self-reported past year condomless anal sex with men completed assessments as part of a larger study. Results suggest that cognitive escape was associated with higher number of anal sex partners (incidence rate ratio [IRR]=1.50, SE=0.04, p.001), decreased condom use (B=-0.30, SE=0.14, p=.028), and increased alcohol-related problems (IRR=1.28, SE=0.07, p=.001) but not with drinking quantity. Sexual motives for drinking appeared to partially mediate the observed relationship between cognitive escape and alcohol-related problems, but other relationships did not show evidence of mediation. Findings suggest that those who tend to avoid HIV-related thoughts may be at increased risk for HIV and alcohol-related problems. Drinking to facilitate sex may partially account for the higher risk for alcohol-related problems conferred by cognitive escape. Alcohol interventions for MSM may be more effective if they address alcohol's role in coping with HIV threat and in facilitating sex under these circumstances.
机译：艾滋病病毒相关的认知逃脱是指避免与艾滋病毒相关的思想的趋势，这在与男性（MSM）发生性行为的男性中可能特别常见，他们经常与艾滋病毒信息淹没，可能是疲劳程度。艾滋病毒相关的认知逃生与增加的性风险行为增加有关，例如通用性性行为，更重的酒精使用模式。其他研究表明，一些MSM可以专门使用酒精来促进性别。这些饮酒的这些性动动者（SMD）可能是一种机制，即认知逃脱导致健康风险行为。在这项研究中，我们测试了模型探索认知逃生是否与性风险（避孕套使用，性伙伴数量）和酒精使用/问题相关联，并检查了SMD是否介导这些协会。沉重的饮酒，艾滋病毒阴性男子（n = 196）年龄为21岁的人自我报告过去一年的通气肛交与男性完成评估作为更大的研究的一部分。结果表明，认知逃生与肛门性伴侣数量较多（发病率比[IRR] = 1.50，SE = 0.04，P＆ 0.001）相关联（B = -0.30，SE = 0.14，P = 0.14，P =。 028），并增加醇相关的问题（IRR = 1.28，SE = 0.07，P = .001），但不是饮用量。饮酒的性动动似乎部分地调解了认知逃生和与酒精相关问题之间观察到的关系，但其他关系没有显示调解的证据。调查结果表明，倾向于避免艾滋病毒相关思想的人可能会增加艾滋病毒和与酒精相关问题的风险。饮酒以促进性能可能部分占认知逃生赋予的酒精相关问题的风险较高。如果他们解决了酗酒在应对艾滋病毒威胁和在这种情况下促进性行为方面，但MSM的酒精干预可能更有效。

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  • 来源
    《AIDS care.》 |2018年第7期|共6页
  • 作者

    Perez Ashley E.; Wray Tyler B.; Celio Mark A.; Monti Peter M.;

  • 作者单位

    Brown Univ Ctr Alcohol &

    Addict Studies Sch Publ Hlth 121 South Main St Box G-S121-5 Providence;

    Brown Univ Ctr Alcohol &

    Addict Studies Sch Publ Hlth 121 South Main St Box G-S121-5 Providence;

    Brown Univ Ctr Alcohol &

    Addict Studies Sch Publ Hlth 121 South Main St Box G-S121-5 Providence;

    Brown Univ Ctr Alcohol &

    Addict Studies Sch Publ Hlth 121 South Main St Box G-S121-5 Providence;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    Cognitive escape; men who have sex with men; HIV; alcohol use;

    机译：认知逃生;与男人发生性关系的男性;艾滋病毒;酒精使用;

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