Attitudes about and HIV risk related to the "most common place" MSM meet their sex partners: comparing men from bathhouses, bars/clubs, and Craigslist.org.

Attitudes about and HIV risk related to the "most common place" MSM meet their sex partners: comparing men from bathhouses, bars/clubs, and Craigslist.org.
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DOI:
10.1521/aeap.2012.24.2.102
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发表时间:
2012-04
期刊:
AIDS education and prevention : official publication of the International Society for AIDS Education
影响因子:
--
通讯作者:
Crow T
Crow T
中科院分区:
其他
文献类型:
--
作者:
Grov C;Crow T

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本研究调查了人们对男男性行为者(MSM)与最近的男性性伴侣见面的最常见地点的态度。在2009-2010年,MSM在酒吧/俱乐部,浴室和Craigslist.org上进行了调查。我们发现招聘地点和参与者最常见的地方之间存在强烈但不同的重叠:Craigslist网站上81%的男性表示他们最常去的地方是互联网,65%的浴室男性表示他们最常去的地方是浴室,47%的男性表示他们最常去的地方是酒吧/俱乐部。一般而言,对查看更多关于毒品/酒精和艾滋病毒的信息以及与参与者最常提及的保健外联工作者互动的兴趣从“同意”到“非常同意”不等。然而,最常去酒吧/俱乐部的男性对这些项目的平均评分最低。无保护肛交(UAI)率很高(43%),因此在酒吧/俱乐部,浴室和互联网上有针对性的努力可能是接触高风险MSM的理想场所。虽然最常见的地方与UAI无关,但它与男性遭遇的背景因素有关(例如,对艾滋病毒状况披露的态度,以及对无担保、匿名性行为和饮酒的看法)。外联提供者在继续调整其努力时应考虑这些背景方面。
This study examined attitudes toward the most common place where men who have sex with men (MSM) met their recent male sex partners. In 2009–2010, MSM were surveyed in bars/clubs, bathhouses, and on Craigslist.org. We found strong but differential overlap between venue of recruitment and participants’ most common place: 81% of men from Craigslist indicated their most common place was the Internet, 65% of men from bathhouses indicated their most common place was bathhouses, and 47% of men from bars/clubs indicated their most common place was bars/clubs. In general, interest in seeing more information on drugs/alcohol and HIV and interacting with a health outreach worker in participants’ most common place ranged from “agree” to “strongly agree.” However, men whose most common place was bars/clubs rated these items lowest on average. Rates of unprotected anal intercourse (UAI) were high (43%), thus targeted efforts in bars/clubs, bathhouses, and on the Internet may be ideal venues for reaching high-risk MSM. Although most common place was unrelated to UAI, it was related to factors that contextualize men’s encounters (e.g., attitudes toward HIV status disclosure, and perceptions about barebacking, anonymous sex, and alcohol use). Outreach providers should consider these contextualizing aspects as they continue to retool their efforts.
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