Prevalence and associated factors of unprotected anal intercourse with regular male sex partners among HIV negative men who have sex with men in China: a cross-sectional survey.
Prevalence and associated factors of unprotected anal intercourse with regular male sex partners among HIV negative men who have sex with men in China: a cross-sectional survey.
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DOI：
10.1371/journal.pone.0119977
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Lau JT
中科院分区：
文献类型：
--
作者：
Li D;Li C;Wang Z;Lau JT
我国男男性行为人群（MSM）艾滋病病毒感染率和发病率较高。无保护的肛交（UAI）与一个定期的男性性伴侣（RP），一个显着的预测艾滋病毒血清转换，是高，但未得到重视的男男性行为者有RP（MSMRP）。本次横断面调查访问了307名HIV阴性MSMRP，通过方便的抽样从多个来源，包括基于场所的外展，网上招募，并通过同行推荐，在中国北京和成都。在MSMRP中，最近3个月UAI合并RP的患病率为52.4%。多因素分析结果显示，与RP关系中的信任和亲密度以及临床抑郁症状的存在与最近三个月内RP的UAI呈正相关。计划行为理论的其他相关标量因素与安全套使用的认知有关，包括对安全套使用的积极态度（负相关），认为MSM在与RP肛交时通常不使用安全套的主观规范（正相关），对RP使用避孕套的行为控制感知与RP在未来3个月内使用安全套的行为意向呈负相关。MSMRP是HIV/STD传播的高危人群。因此，相关的因素涉及那些与安全套使用，心理健康和人际关系的看法。今后的干预措施应考虑到这些多方面的因素。特别是，未来的研究，以测试夫妇为基础的干预措施，包括心理健康元素的有效性需要进行，作为信任和亲密关系与UAI之间的MSMRP，和心理健康问题可能存在的MSMRP和他们的RP。
The HIV prevalence and incidence among men who have sex with men (MSM) in China are high. Unprotected anal intercourse (UAI) with a regular male sex partner (RP), a significant predictor of HIV sero-conversion, was high yet under-emphasized among MSM having RP (MSMRP). The present cross-sectional survey interviewed 307 HIV negative MSMRP recruited through convenient sampling from multiple sources, including venue-based outreaching, online recruitment, and referrals made by peers, in Beijing and Chengdu, China. Among MSMRP, the prevalence of UAI with RP in the last three months was 52.4%. The results of the multivariate analysis showed that trust and intimacy within the relationship with RP and presence of clinical depression symptoms were positively associated with UAI with RP in the last three months. Other associated scalar factors derived from the Theory of Planned Behavior were related to perceptions on condom use, including positive attitudes toward condom use (a negative association), subjective norm of the perception that MSM do not usually use condoms during anal intercourse with RP (a positive association), perceived behavioral control over condom use with RP (a negative association), and behavioral intention to use condoms with RP in the coming three months (a negative association). It is seen that MSMRP were at high risk of HIV/STD transmission. The associated factors hence involved those related to perceptions about condom use, mental health, and interpersonal relationship. Future interventions should take these multi-dimensional factors into account. In particular, future research to test the efficacy of couple-based interventions that include mental health elements needs to be conducted, as trust and intimacy within the relationship were associated with UAI among MSMRP, and mental health problems may exist for both the MSMRP and their RP.
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影响因子：
3.8
作者：
Hoff, Colleen C.;Beougher, Sean C.
通讯作者：
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
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