Conceptualizing Geosexual Archetypes: Mapping the Sexual Travels and Egocentric Sexual Networks of Gay and Bisexual Men in Toronto, Canada.
Conceptualizing Geosexual Archetypes: Mapping the Sexual Travels and Egocentric Sexual Networks of Gay and Bisexual Men in Toronto, Canada.
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DOI：
10.1097/olq.0000000000000752
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发表时间：
2018-06
影响因子：
3.1
通讯作者：
Grace D
中科院分区：
文献类型：
--
作者：
Gesink D;Wang S;Guimond T;Kimura L;Connell J;Salway T;Gilbert M;Mishra S;Tan D;Burchell AN;Brennan DJ;Logie CH;Grace D
六geosexual原型被确定为：主机，上门服务，漫游者，私人，旅行者和geoflexibles，每一个不同的特征配置文件。优先对宿主、流动站和地柔性体进行干预，可能会减少性传播感染的传播。补充数字内容可在文本中找到。在北美的每个主要城市中心，都存在复杂、协同和持续的性传播感染（STI）流行病，影响着同性恋、双性恋和其他男男性行为者（gbMSM）。我们探讨了在加拿大多伦多gbMSM自我中心的性网络的空间结构。我们的综合混合方法研究包括2016年5月至7月期间对31名gbMSM进行的深入访谈。在访谈中，参与者在地理上绘制了他们过去3个月以自我为中心的性网络。最后，一个自我管理的调查被用来收集社会人口特征，在线技术的使用，性传播感染测试和历史。我们确定了6个geosexual原型：主持人，上门服务，私人，漫游者，旅行者和geoflexibles。主持人总是或几乎总是（≥80%）在家中举办性行为。上门拜访者总是或几乎总是（≥80%）在其伴侣家中发生性行为。流浪者总是或几乎总是（≥80%）在公共场所（如浴室、性俱乐部）和其他公共场所（如公园、巡航地点）发生性行为。士兵们在自己家里或伴侣家里进行性行为（一部分是主持人，一部分是上门服务者）。旅行者在离家的地方发生性行为，要么在伴侣的家里，要么在其他地方或公共场所（部分是上门拜访者，部分是流浪者）。Geoflexibles在不同的地方发生性行为--他们的家，他们伴侣的家，或者公共场所。所有的宿主和漫游者，以及在较小程度上，geoflexibles，都报告了梅毒和人类免疫缺陷病毒的病史。优先对宿主、流动站和地球柔性设备采取干预措施，可能对减少性传播感染传播产生重要影响。
Six geosexual archetypes were identified: hosters, house-callers, rovers, privates, travellers, and geoflexibles, each with different characteristic profiles. Prioritizing interventions to hosters, rovers, and geoflexibles may reduce sexually transmitted infection transmission. Supplemental digital content is available in the text. There are complex, synergistic, and persistent sexually transmitted infection (STI) epidemics affecting gay, bisexual and other men who have sex with men (gbMSM) in every major urban centre across North America. We explored the spatial architecture of egocentric sexual networks for gbMSM in Toronto, Canada. Our integrative mixed methods study included in-depth interviews with 31 gbMSM between May and July 2016. During interviews, participants mapped their egocentric sexual network for the preceding 3 months geographically. At the end, a self-administered survey was used to collect sociodemographic characteristics, online technology use, and STI testing and history. We identified 6 geosexual archetypes: hosters, house-callers, privates, rovers, travellers, and geoflexibles. Hosters always, or almost always (≥80%), hosted sex at their home. House-callers always, or almost always (≥80%), had sex at their partner’s home. Rovers always or almost always (≥80%) had sex at public venues (eg, bath houses, sex clubs) and other public spaces (eg, parks, cruising sites). Privates had sex in private—their own home or their partner's (part hoster, part house-caller). Travellers had sex away from their home, either at a partner’s home or some other venue or public space (part house-caller, part rover). Geoflexibles had sex in a variety of locations—their home, their partner’s home, or public venues. All hosters and rovers, and to a lesser extent, geoflexibles, reported a history of syphilis and human immunodeficiency virus. Prioritizing interventions to hosters, rovers, and geoflexibles may have an important impact on reducing STI transmission.