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HIV testing among social media-using Peruvian men who have sex with men: correlates and social context

机译:在使用社交媒体的秘鲁男性与男性发生性关系中进行艾滋病毒检测:相关性和社会背景

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HIV remains concentrated among men who have sex with men (MSM) in Peru, and homophobia and AIDS-related stigmas have kept the epidemic difficult to address. Gay self-identity has been associated with increased HIV testing, though this relationship has not been examined extensively. Social media use has been rapidly increasing in Peru, yet little is known about MSM social media users in Peru. This study sought to investigate the demographic, behavioral, and stigma-related factors associated with HIV testing among social media-using Peruvian MSM. Five hundred and fifty-six MSM from Lima and surrounding areas were recruited from social networking websites to complete a survey on their sexual risk behaviors. We examined the demographic and social correlates of HIV testing behavior among this sample. Younger age and non-gay identity were significantly associated with lower likelihood of getting tested in univariate analysis. After controlling for key behaviors and AIDS-related stigma, younger age remained significantly associated with decreased testing. Participants who engaged in discussions online about HIV testing were more likely to get tested, while AIDS-related stigma presented a significant barrier to testing. Stigma severity also varied significantly by sexual identity. Youth appear to be significantly less likely than older individuals to test for HIV. Among Peruvian MSM, AIDS-related stigma remains a strong predictor of willingness to get tested. Social media-based intervention work targeting Peruvian youth should encourage discussion around HIV testing, and must also address AIDS-related stigma.
机译:艾滋病毒仍然集中在秘鲁的男同性恋者中,同性恋恐惧症和与艾滋病相关的污名使这一流行病难以解决。同性恋自我认同与艾滋病毒检测增加有关,尽管这种关系尚未得到广泛研究。秘鲁的社交媒体使用量一直在迅速增长,但对秘鲁的MSM社交媒体用户知之甚少。这项研究旨在调查在使用秘鲁MSM的社交媒体中与HIV测试相关的人口统计,行为和耻辱感相关因素。从社交网站上搜集了来自利马及周边地区的556名MSM,以完成对其性危险行为的调查。我们在样本中检查了艾滋病毒检测行为的人口统计学和社会相关性。较年轻的年龄和非同性恋身份与单因素分析中得到检测的可能性较低显着相关。在控制了关键行为和与艾滋病相关的污名之后,年龄的降低仍然与测试减少密切相关。在网上进行有关HIV检测的讨论的参与者更容易受到检测,而与AIDS相关的污名则成为检测的重要障碍。柱头的严重程度也因性别而异。与老年人相比,青年人进行艾滋病毒检测的可能性似乎要低得多。在秘鲁男男性接触者中,与艾滋病相关的污名仍然是接受检测意愿的有力预测指标。针对秘鲁青年的基于社交媒体的干预工作应鼓励围绕艾滋病毒检测的讨论,还必须解决与艾滋病相关的污名。

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