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Mental health, social support, and HIV-related sexual risk behaviors among HIV-negative adolescent sexual minority males: three US cities, 2015

机译:心理健康,社会支持和艾滋病毒相关性风险行为中的艾滋病毒阴性青少年性少数民族男性:三个美国城市,2015年

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摘要

We examined the association between mental health issues, social support, and HIV among adolescent sexual minority males (SMM), who are disproportionally affected by HIV. National HIV Behavioral Surveillance among Young Men Who Have Sex with Men (NHBS-YMSM) data among SMM aged 13-18 years were collected in three cities (Chicago, New York City, and Philadelphia). Separate log-linked Poisson regression models were used to estimate associations between mental health issues and social support (general and family), and 3 HIV-related sexual risk behavior outcomes: past-year condomless anal intercourse (CAI) with a male partner, past-year sex with >= 4 partners, and first vaginal or anal sex before age 13. Of 547 adolescent SMM, 22% reported ever attempting suicide and 10% reported past-month suicidal ideation. The majority (52%) reported depression and anxiety. Thirty-nine percent reported CAI, 29% reported >= 4 sex partners and 22% reported first sex before age 13. Ever attempting suicide, suicidal ideation, and depression and anxiety were associated with CAI. Separately, ever attempting suicide and lack of family support were associated with >= 4 sex partners. None of the mental health or support measures were associated with having sex before age 13. General social support was not associated with any sexual risk behaviors. Mental health issues are common among adolescent SMM and associated with sexual risk behaviors. Including mental health support in comprehensive HIV prevention for adolescent SMM could potentially reduce HIV risk in this population.
机译:我们审查了青少年性少数族裔男性(SMM)中心理健康问题,社会支持和艾滋病毒之间的关联,他受艾滋病毒不成比例地影响。在三个城市(芝加哥,纽约市和费城)收集了与男子(NHBS-YMSM)数据发生性关系的年轻人的国家艾滋病行为监测。单独的日志链接泊松回归模型用于估计心理健康问题和社会支持(一般和家庭)之间的协会,以及3个艾滋病毒相关的性风险行为结果:过去的过去的公寓肛交(CAI)过去 - 年龄与> = 4个合作伙伴,第一个阴道或肛交,在13岁之前,547名青少年SMM,22%的人报告曾经试图试图和10%的人报告过去月的自杀意念。大多数(52%)报告抑郁和焦虑。蔡报告,29%报告> = 4个性别合作伙伴和22%的人报告,22%的第一个性别在13岁之前。曾尝试过自杀,自杀意念和抑郁和抑郁和焦虑与CAI有关。另外,尝试自杀和缺乏家庭支持与> = 4个性伴侣有关。在13岁之前,没有心理健康或支持措施与性别有关。一般社会支持与任何性风险行为无关。心理健康问题在青少年SMM中是常见的,与性风险行为相关。包括在综合艾滋病毒预防的心理健康支持,对青少年SMM可能会降低这群人群的艾滋病病毒风险。

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