Sex and the Internet: Gay men, risk reduction and serostatus
Sex and the Internet: Gay men, risk reduction and serostatus
复制标题
DOI：
10.1080/13691050500526126
复制
发表时间：
2006-03-01
影响因子：
2.2
通讯作者：
Elford, Jonathan
中科院分区：
文献类型：
--
作者：
Davis, Mark;Hart, Graham;Elford, Jonathan
在过去十年中，互联网的使用急剧增加，尤其是在男同性恋者中，互联网用于会见性伴侣（电子约会）的情况也在增加。2002年6月至2004年1月，128名居住在伦敦的男同性恋/双性恋者接受了一对一的采访，了解他们在网上约会、性风险和艾滋病毒预防方面的经历。这些人是在网上（通过互联网）和线下（在诊所和社区）招募的; 32名男子艾滋病毒呈阳性，59名艾滋病毒呈阴性，13名从未接受过艾滋病毒检测。一个关键的发现是，身份和匿名对电子约会至关重要。通过在线过滤和血清分类程序，艾滋病毒阳性男子能够与其他阳性男子进行肛交，而不使用避孕套。虽然这并不存在将艾滋病毒传播给未感染者的风险，但它确实对其他性传播感染（如梅毒和LGV）的潜在传播有影响。通过网上约会，艾滋病毒阳性的男同性恋者也可以避免虐待、歧视和性排斥。我们的研究结果并不支持这样一种说法，即电子约会的吸引力在于它提供了绝对的匿名性。我们发现，身份的逐渐表达对男同性恋者的网上约会至关重要。基于互联网的艾滋病预防运动需要考虑到同性恋者在网上本能地管理其身份的不同方式。
Access to the Internet has increased dramatically over the past decade as has its use for meeting sexual partners (e-dating), particularly among gay men. Between June 2002 and January 2004, 128 gay/bisexual men living in London were interviewed one-to-one about their experience of e-dating, sexual risk and HIV prevention. The men were recruited both online (through the Internet) and offline (in clinics and the community); 32 men were HIV-positive, 59 HIV-negative, while 13 had never had an HIV test. A key finding was that both identity as well as anonymity arc vital to e-dating. Through a process of online filtering and sero-sorting, HIV-positive men are able to meet other positive men for anal sex without condoms. While this does not present a risk of HIV transmission to an uninfected person it does have implications for the potential transmission of other STIs such as syphilis and LGV. Through e-dating, HIV-positive gay men can also avoid abuse, discrimination and sexual rejection. Our findings do not support the suggestion that the attraction of e-dating is that it affords absolute anonymity. We found that the gradual expression of identity is vital for e-dating among gay men. Internet-based HIV prevention campaigns need to take account of the different ways in which gay reflexively manage aspects of their identity online.