Contexts for last occasions of unprotected anal intercourse among HIV-negative gay men in Sydney: the Health in Men cohort
Contexts for last occasions of unprotected anal intercourse among HIV-negative gay men in Sydney: the Health in Men cohort
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DOI：
10.1080/09540120412331305106
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发表时间：
2005-01-01
影响因子：
1.7
通讯作者：
Kaldor, J
中科院分区：
文献类型：
--
作者：
Prestage, G;Van de Ven, P;Kaldor, J
该论文的目的是比较悉尼HIV阴性男同性恋者中涉及无保护肛交（UAI）和保护肛交（派）的遭遇。数据来自于那些完成基线面对面访谈，到2003年6月结束的男性健康开放队列的艾滋病毒阴性男同性恋者在悉尼。1，148名参与者的年龄范围为18至75岁（中位数= 36）。352人（30.7%）报告在过去6个月内与临时伴侣发生过UAI，531人（46.3%）报告在同一时间与固定伴侣发生过UAI。男性最近与涉及UAI的临时伴侣的性接触与涉及派的性接触的区别在于，双方都有更大的可能性披露HIV血清状态（p = 0.006），并且在涉及任何UAI的场合中，受访者比使用避孕套时更倾向于将自己限制在插入位置或练习撤回（分别为p = 0.003和p = 0.001）。无论是地点还是娱乐性药物的使用，都不能区分男性最近涉及UAI的性接触与涉及派的性接触。艾滋病毒阴性男同性恋者在与固定或临时伴侣发生性关系时使用避孕套的决定更多地受到艾滋病毒血清状态和降低风险战略的指导，而不是其他因素。
The objective of the paper was to compare encounters involving unprotected anal intercourse (UAI) and protected anal intercourse (PAI) among HIV-negative gay men in Sydney. Data were from those completing baseline face-to-face interviews to end June 2003 for the Health in Men open cohort of HIV-negative gay men in Sydney. The 1,148 participants ranged in age from 18 to 75 years ( median = 36). Three hundred and fifty-two (30.7%) reported an occasion of UAI with a casual partner in the previous 6 months and 531 ( 46.3%) reported an occasion of UAI with a regular partner in that same time. The men's most recent sexual contact with a casual partner involving UAI was distinguished from those involving PAI by a greater likelihood for both partners to disclose HIV serostatus ( p = 0.006) and by respondents being more inclined to restrict themselves to the insertive position or to practise withdrawal during occasions involving any UAI than when a condom was used ( p = 0.003 and p = 0.001 respectively). Neither location nor recreational drug use differentiated men's most recent sexual contacts involving UAI from those involving PAI. The decision by HIV-negative gay men to use condoms during sexual encounters with either regular or casual partners is guided more by HIV serostatus and risk reduction strategies than by other factors.