Concurrent sexual partnerships among men in the United States
Concurrent sexual partnerships among men in the United States
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DOI：
10.2105/ajph.2006.099069
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发表时间：
2007-12-01
影响因子：
12.7
通讯作者：
Doherty, Irene A.
中科院分区：
文献类型：
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作者：
Adimora, Adaora A.;Schoenbach, Victor J.;Doherty, Irene A.
目标.我们试图确定美国男性参与并发性伙伴关系的患病率、分布和相关性，这种性网络模式加速了HIV的人群传播。在这项分析中，我们比较了2002年全国家庭增长调查中4928名男性受访者的性伴侣关系日期，以确定并发性伴侣关系的患病率，并评估并发性和人口统计学风险特征之间的关联。大约11%的男性在前一年有同时发生的性伴侣关系。并发症与未婚有关（比值比[OR]=4.59; 95%置信区间[CI]=2.54，8.29），非西班牙裔黑人（013=2.56; 95% CI=1.61，4.07）或西班牙裔（OR=2.25;95% CI= 1.32，3.85）、种族/民族、过去一年内是否有监禁史（OR=2.10; 95% CI=1.18，3.74）。同时有性伴侣的男性在性交过程中也更容易报告药物或酒精中毒（OR=2.10; 95%CI =1.37，3.21），非一夫一妻制女性性伴侣有男性性行为史者（OR =1.93; 95%CI =1.09，3.42）与无男性性行为史者（OR =6.11，95%CI =410，9.11）比较，差异有统计学意义（P <0.05）。不同群体中较高的并发患病率、密集的性网络以及高危亚群与普通人群的混合可能是美国异性恋艾滋病病毒感染流行的重要因素。
Objectives. We sought to determine the prevalence, distribution, and correlates of US men's involvement in concurrent sexual partnerships, a sexual network pattern that speeds population dissemination of HIV.Methods. For this analysis, we compared sexual partnership dates of 4928 male respondents in the 2002 National Survey of Family Growth to determine the prevalence of concurrent sexual partnerships and evaluated associations between concurrency and demographic risk characteristics.Results. Approximately 11% of men had concurrent sexual partnerships during the preceding year. Concurrency was associated with being unmarried (odds ratio [OR]=4.59; 95% confidence interval [CI]=2.54, 8.29), non-Hispanic Black (013=2.56; 95% CI=1.61, 4.07) or Hispanic (OR=2.25;95% CI=1.32,3.85) race/ethnicity, and incarceration during the past year (OR=2.10; 95% CI=1.18, 3.74). Men with concurrent sexual partnerships were also more likely to report drug or alcohol intoxication during sexual intercourse (OR=2.10; 95% CI=1.37, 3.21), nonmonogamous female sexual partners (OR=6.11;95% CI=410, 9.11), and history of sexual intercourse with a man (OR=1.93; 95% CI=1.09, 3.42), than those without concurrent partnerships.Conclusions. The higher concurrency prevalence in various groups, dense sexual networks, and mixing between high-risk subpopulations and the general population may be important factors in the US epidemic of heterosexual HIV infection.