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首页> 外文期刊>AIDS care. >Experiences of community and parental violence among HIV-positive young racial/ethnic minority men who have sex with men
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Experiences of community and parental violence among HIV-positive young racial/ethnic minority men who have sex with men

机译：与男性发生性关系的艾滋病毒呈阳性的年轻种族/少数族裔男性社区和父母暴力的经历

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Adolescents and young adults (ages 13-24) in the USA are frequently exposed to violence in their community and home. While studies have examined the prevalence and impact of violence exposure among adolescents, there is a lack of data focusing specifically on adolescent men of color who have sex with men. Eight demonstration sites funded through a Special Projects of National Significance (SPNS) Initiative recruited 363 HIV-positive racial/ethnic minority young men who have sex with men (YMSM) for a longitudinal study between 2006 and 2009. Over two-thirds of participants (83.8%) had witnessed community violence, 55.1% in the prior three months. Witnessing violence committed with a deadly weapon was significantly associated with being African-American, having ever used drugs, and drinking alcohol in the prior two weeks. Fear of violence in the community was significantly associated with depressive symptomatology, having less than a high school degree, not possessing health insurance, and site of enrollment. Having been emotionally or physically abused by a parent or caretaker was significantly associated with depressive symptomatology, attempting suicide, site of enrollment, and increased age. Witnessing violence with a deadly weapon was significantly associated with alcohol and drug use but not with high-risk sexual behaviors. As this was one of the first studies on the prevalence and correlates of violence exposure among racial/ethnic minority YMSM living with HIV, the findings can be used to inform the development of culturally appropriate resilience-focused interventions to address the aftereffects of violence exposures and help develop social support systems outside of the family.
机译：美国的青少年（13至24岁）经常在其社区和家庭中遭受暴力侵害。尽管研究检查了青少年中暴力暴露的发生率和影响，但缺乏专门针对有色人种与男性发生性关系的数据。 2006年至2009年间，由“国家重大项目特别计划”（SPNS）资助的八个示范点招募了363名与男性发生性关系的艾滋病毒阳性种族/族裔青年男子（YMSM）进行纵向研究。超过三分之二的参与者（ 83.8％）目睹了社区暴力，在过去三个月中有55.1％。目睹使用致命武器实施的暴力行为与在过去两周内曾经吸毒并饮酒的非洲裔美国人密切相关。对社区的暴力恐惧与抑郁症状，高中学历以下，没有医疗保险和就读地点密切相关。父母或看护人在情感上或身体上遭受过虐待与抑郁症状，自杀企图，入学地点和年龄增长显着相关。用致命武器见证暴力与酒精和毒品的使用显着相关，但与高风险的性行为无关。由于这是关于感染艾滋病毒的种族/少数民族YMSM中暴力暴露的普遍性和相关性的首批研究之一，因此该发现可用于为发展适应文化适应性的针对性干预措施提供信息，以解决暴力暴露和后遗症的后遗症。帮助发展家庭之外的社会支持系统。

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