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首页> 外文期刊>AIDS care. >Applying resilience theory models to contextualize economic-dependent partnerships as a risk factor for HIV among young men who have sex with men
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Applying resilience theory models to contextualize economic-dependent partnerships as a risk factor for HIV among young men who have sex with men

机译：应用弹性理论模型将经济依赖伙伴关系中的情境化为与男性发生性关系的年轻人中艾滋病毒的危险因素

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Economic-dependent partnerships (EDP) are an understudied HIV risk correlate among young men who have sex with men (YMSM) in the U.S. We explored whether YMSM's psychological resilience buffered against the effect of socioeconomic disadvantage on EDPs, after accounting for other psychosocial risks. Data come from an observational study assessing YMSM's HIV vulnerabilities. We developed indices for socioeconomic disadvantage, psychosocial profiles, and cumulative promotive factors. Multivariable logistic regressions tested the main associations of these indices on EDPs. Protective models tested whether psychosocial profiles exacerbated and cumulative promotive factors buffered the effects of socioeconomic disadvantage on EDPs. 31% and 23% of YMSM reported EDPs with main and casual partners, respectively. For both outcomes, we found support for adjusted compensatory models. Socioeconomic disadvantage was associated with increased odds of EDPs with main (AOR=1.45, p<.001) and casual (AOR=1.47, p<.001) partners. Psychosocial profiles were also associated with increased odds of EDPs with main (AOR=1.53, p=.001) and casual (AOR=1.67, p<.001) partners. Cumulative promotive factors was associated with decreased odds of EDPs with main (AOR=0.66, p=.003) and casual (AOR=0.72, p=.035) partners. Our findings elucidate the need for multilevel interventions that provide opportunities for socioeconomic advancement and improve psychosocial/psychological functioning for at-risk YMSM.
机译：经济依赖伙伴关系（EDP）是一项清白的艾滋病毒风险，与美国男性（YMSM）发生性关系的年轻人之间的风险相关，我们探讨了YMSM的心理恢复力是否在核算其他心理社会风险之后缓冲了社会经济劣势对EDPS的影响。数据来自评估YMSM艾滋病毒漏洞的观察研究。我们开发了社会经济劣势，心理社会概况和累积促进因素的指标。多变量逻辑回归测试了这些指数在EDP上的主要关联。保护模型测试了心理社会概况是否加剧和累积促进因素缓冲了社会经济劣势对EDP的影响。 31％和23％的YMSM分别报告了主要和休闲合作伙伴的EDP。对于两种结果，我们发现支持调整后的补偿模型。社会经济劣势与主要（AOR = 1.45，P <.001）和CAFUAT（AOR = 1.47，P <.001）合作伙伴的EDPS增加有关。心理社会概况也与主要（AOR = 1.53，P = .001）和休闲（AOR = 1.67，P <.001）合作伙伴有关的EDP的差异增加。累积促进因子与主要（AOR = 0.66，P = .003）和休闲（AOR = 0.72，P = .035）合作伙伴的EDP的巨额促进因子有关。我们的调查结果阐明了多级干预措施，为社会经济进展提供了机会，并改善了风险的心理社会/心理功能。

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