Hookup App Use, Sexual Behavior, and Sexual Health Among Adolescent Men Who Have Sex With Men in the United States.
Hookup App Use, Sexual Behavior, and Sexual Health Among Adolescent Men Who Have Sex With Men in the United States.
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DOI：
10.1016/j.jadohealth.2018.01.001
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发表时间：
2018-06
期刊：
影响因子：
--
通讯作者：
Mustanski B
中科院分区：
文献类型：
--
作者：
Macapagal K;Moskowitz DA;Li DH;Carrión A;Bettin E;Fisher CB;Mustanski B
地理社交网络应用（例如，“勾搭应用程序”）在与男性发生性关系的成年男性（MSM）中广泛使用。关于青少年MSM（AMSM）使用这些应用程序的情况知之甚少。探索性研究是必要的，因为AMSM的应用程序的使用提出了各种道德，法律的和性健康问题。美国200名有性经验的AMSM（男性年龄= 16.2，49%为少数民族）完成了在线调查问题，评估他们使用特定于MSM的应用程序和非特定于MSM的应用程序来满足约会和性伴侣，以及他们的性行为和艾滋病毒风险。52.5%的参与者（n = 105）报告使用MSM专用应用程序与伴侣进行性行为。其中，大多数人报告与这些伴侣发生口交（75.7%，n = 78）和肛交（62.1%，n = 64）。在报告有肛交的人中，78.1%（n = 50）与这些性伴侣发生过一次以上的性行为，只有25.0%（n = 16）与这些性伴侣经常使用安全套。相对于那些只使用非MSM专用应用程序的人，MSM专用应用程序用户报告了更多的性伴侣和无避孕套肛交伴侣，更高的艾滋病毒感知风险，更多的性健康服务参与，以及更高的艾滋病毒检测几率。在这个AMSM样本中，使用MSM特定应用程序并不罕见。风险行为和艾滋病毒检测的模式与成年MSM应用程序用户的样本相似。进一步的研究应该调查AMSM的应用程序相关的性和艾滋病毒/性病预防决策，以指导AMSM的性健康教育工作。
Geosocial networking applications (e.g., “hookup apps”) are widely used among adult men who have sex with men (MSM). Little is known about adolescent MSM’s (AMSM) use of these apps. Exploratory research is needed as AMSM’s app use poses various ethical, legal, and sexual health concerns. 200 sexually experienced AMSM in the USA (M age = 16.2, 49% racial/ethnic minority) completed online survey questions assessing their use of apps specific to MSM and not specific to MSM to meet partners for dating and sex as well as their sexual behavior and HIV risk. 52.5% of participants (n = 105) reported using MSM-specific apps to meet partners for sex. Of these, most reported having oral (75.7%, n = 78) and anal sex (62.1%, n = 64) with those partners. Of those who reported having anal sex, 78.1% (n = 50) had sex with those partners more than once, and only 25.0% (n = 16) always used condoms with those partners. Relative to those who used only non-MSM-specific apps, MSM-specific app users reported more sex partners and condomless anal sex partners, greater perceived risk of HIV, more engagement in sexual health services, and greater odds of HIV testing. Use of MSM-specific apps was not uncommon among this sample of AMSM. Patterns of risk behavior and HIV testing were similar to samples of adult MSM-app users. Further research should investigate AMSM’s app-related sexual and HIV/STI prevention decision making to guide sexual health education efforts for AMSM.
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