GAY IDENTITY RELATED FACTORS AND SEXUAL RISK AMONG MEN WHO HAVE SEX WITH MEN IN SAN FRANCISCO
GAY IDENTITY RELATED FACTORS AND SEXUAL RISK AMONG MEN WHO HAVE SEX WITH MEN IN SAN FRANCISCO
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DOI：
10.1521/aeap.2009.21.2.91
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发表时间：
2009-04-01
影响因子：
1.8
通讯作者：
Colfax, Grant
中科院分区：
文献类型：
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作者：
Flores, Stephen A.;Mansergh, Gordon;Colfax, Grant
This study explored the relationship between gay identity-related factors (gay community involvement, gay bar attendance, gay identity importance, and self-homophobia) and unprotected anal sex (UA) in the past 3 months among men who have sex with men (MSM) of three different race/ethnicity groups. Four hundred eighty-three MSM (mean age 34) were recruited in the San Francisco Bay Area (33% African American, 34% Latino and 33% White). Compared with White MSM, African American and Latino MSM were less likely to identify as gay, and to attend gay bars/clubs, and more likely to report self-homophobia. Just over one third of the sample reported UA (did not vary by race). Gay community involvement was associated with receptive UA with all partners (adjusted odds ratio [AOR = 1.30, 95% Confidence Interval (CI) = 1.06-1.60). Gay bar attendance was associated with insertive UA with all partners (AOR = 1.20, 95% CI = 1.01-1.43) and with HIV-discordant partners (AOR = 1.35, 95% CI = 1.08-1.69). Implications for prevention include addressing community norms and encouraging alternatives to bars as settings in which to meet and socialize with other MSM.
