Problems with condom use not unusual among men who have sex with men.
Problems with condom use not unusual among men who have sex with men.
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在男男性行为者中，安全套使用问题并不罕见。
DOI：
10.1363/46241246_5
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发表时间：
2014
影响因子：
3.6
通讯作者：
R. Voelker
中科院分区：
文献类型：
--
作者：
Hernandez;Siegler Aj;Sullivan Ss;R. Crosby;Rosenberg Es;Johnston Lg;D. Prybylski;Raymond Hf;A. Mirzazadeh;C. Manopaiboon;W. McFarland;Uhrig Jd;Lewis Ma;Bann Cm;Harris Jl;Furberg Rd;Coomes Cm;Kuhns Lm;C. Coomes;Blas Mm;M. La;Alva Ie;R. Cabello;O. Er;Starks Tj;G. Payton;Golub Sa;Weinberger Cl;Parsons Jt;L. Widman;Golin Ce;G. Ca;C. Suchindran;C. Beyrer;Sullivan Ps;J. Sanchez;D. Dowdy;D. Altman;G. Trapence;C. Collins;E. Katabira;M. Kazatchkine;M. Sidibé;Mayer Kh;S. Avrett;Lonowski Sc;Reisen Ca;Poppen Pj;Bianchi Ft;Zea Mc;Nyitray Ag;C. Rj;Baggio Ml;B. Lu;D. Smith;M. Abrahamsen;M. Papenfuss;Villa Ll;E. Lazcano;Giuliano Ar;Lin Hy;M. Quiterio;J. Salmerón;R. Voelker
目的比较黑人和白人男男性行为者（MSM）发生安全套风险诱导事件（安全套失效和不完全使用）及其前因（安全套不合适/感觉问题和勃起问题）的频率，并确定安全套风险诱导事件与其前因之间的关系。方法：我们研究了475名在美国乔治亚州亚特兰大参加的队列研究的男男性接触者的横断面数据，这些男男性接触者在过去6个月内使用安全套作为插入性伴侣。结果近40%的黑人男男性接触者报告避孕套破损或使用不完全，与白人男男性接触者相比，他们更有可能报告避孕套破损、早期取出和延迟使用。只有31%的男男性接触者和54%的男男性接触者分别报告了正确使用避孕套和不理想的适合/感觉避孕套。使用油基润滑剂和次优配合/手感与报告破损的较高几率相关（p=0.009）。次优的配合/感觉也与不完全使用避孕套的几率较高相关（p<0.0001）。结论不完全使用安全套和安全套失效在黑人男男性接触者中尤为普遍。我们的研究结果表明，与白人男男性接触者相比，安全套对艾滋病毒/性传播感染的保护作用可能更弱。需要采取更多的干预措施，特别是解决油基润滑剂的使用和避孕套不理想的贴合/手感问题。
Objectives To compare the occurrence of risk-inducing condom events (condom failures and incomplete use) and the frequency of their antecedents (condom errors fit/feel problems and erection problems) between black and white men who have sex with men (MSM) and determine the associations between risk-inducing condom events and their antecedents. Methods We studied cross-sectional data of 475 MSM who indicated using a condom as an insertive partner in the previous 6 months enrolled in a cohort study in Atlanta Georgia USA. Results Nearly 40% of black MSM reported breakage or incomplete use and they were more likely to report breakage early removal and delayed application of a condom than white MSM. Only 31% and 54% of MSM reported correct condom use and suboptimal fit/feel of a condom respectively. The use of oil-based lubricants and suboptimal fit/feel were associated with higher odds of reporting breakage (p=0.009). Suboptimal fit/feel was also associated with higher odds of incomplete use of condoms (p<0.0001). Conclusions Incomplete use of condoms and condom failures were especially common among black MSM. Our findings indicate that condoms likely offered them less protection against HIV/sexually transmitted infection when compared with white MSM. More interventions are needed particularly addressing the use of oil-based lubricants and suboptimal fit/feel of condoms.