Abstract：
Nearly half of heterosexually transmitted human immunodeficiency virus (HIV) infections occur among Black men in the United States. Yet Black heterosexual men (BHM) are largely ignored in HIV programming, policy implementation, and research. This study explores how masculinity, mental health, and socioeconomic factors such as income, education, and insurance (e.g., enrollment and coverage) correlate with the likelihood of BHM having important conversations surrounding HIV with their healthcare providers and family members. Conversations among social networks (e.g., peers, family, and neighbors) create an opportunity to increase comfortability while discussing HIV-related topics around condom use and testing. This study used a cross-sectional survey design and convenience sampling (N = 279) to recruit participants from a community-academic partnership involving a Federally Qualified Health Center (FQHC) in Detroit between June 1, 2020, and July 31, 2020. Descriptive statistics were used to report demographics, socioeconomic information, and sexual health-related behavior variables. Spearman\'s correlation test was used to report bivariate correlations between predictor and outcome variables. 49.3% of the study participants disclosed having ever talked to a healthcare provider about HIV/acquired immune deficiency syndrome (AIDS), and 40.9% disclosed having ever talked to a family member about HIV/AIDS and sexually transmitted infections (STIs). The results from this article highlight potential barriers that may inhibit BHM from engaging in conversations about HIV with their healthcare providers and family members. It is important to include BHM in future research that focuses on HIV prevention and education to support community leaders and clinicians who work to address these disparities.
摘要：
在美国，将近一半的异性传播的人类免疫缺陷病毒（HIV）感染发生在黑人中。然而，黑人异性恋男性(BHM)在艾滋病毒规划中基本上被忽视，政策执行,和研究。这项研究探讨了男子气概，心理健康,和社会经济因素，如收入，教育,和保险(例如，入学率和覆盖率）与BHM与其医疗保健提供者和家庭成员进行有关HIV的重要对话的可能性相关。社交网络之间的对话(例如，同行,家庭,和邻居）创造了一个机会来提高舒适度，同时围绕避孕套的使用和测试讨论与艾滋病毒有关的主题。这项研究使用了横断面调查设计和便利抽样（N=279），从2020年6月1日至2020年7月31日在底特律的联邦合格健康中心（FQHC）的社区学术合作伙伴关系中招募参与者。描述性统计数据被用来报告人口统计数据，社会经济信息，和性健康相关的行为变量。Spearman相关性检验用于报告预测变量和结果变量之间的双变量相关性。49.3％的研究参与者透露曾经与医疗保健提供者谈论过HIV/获得性免疫缺陷综合症（AIDS），40.9％的人透露曾经与家庭成员谈论过艾滋病毒/艾滋病和性传播感染（STIs）。本文的结果强调了潜在的障碍，这些障碍可能会阻止BHM与他们的医疗保健提供者和家庭成员进行有关HIV的对话。重要的是将BHM纳入未来的研究，重点是艾滋病毒预防和教育，以支持致力于解决这些差异的社区领导人和临床医生。
