Determinants of sexual risk-taking among young HIV-negative gay and bisexual men
Determinants of sexual risk-taking among young HIV-negative gay and bisexual men
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DOI：
10.1097/00042560-199809010-00010
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发表时间：
1998-09-01
期刊：
影响因子：
--
通讯作者：
Schechter, MT
中科院分区：
文献类型：
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作者：
Strathdee, SA;Hogg, RS;Schechter, MT
对一群年轻的艾滋病毒阴性同性恋和双性恋男性的数据进行了分析，以确定基线性冒险的决定因素。年龄在 18 岁至 30 岁之间的男同性恋/双性恋男性完成了一份自填问卷，内容包括人口统计、抑郁、社会支持、药物使用以及自愿与非自愿性行为。冒险者被定义为在前一年与临时男性性伴侣进行无保护肛交的人；非冒险者被定义为那些报告在前一年与所有男性伴侣进行肛交时始终使用安全套的人。逻辑回归用于确定性冒险的独立预测因素。在接受研究的 439 名男性中，与非冒险者相比，冒险者受教育程度较低，抑郁评分较高，社会支持较少，并且更有可能报告未经同意的性行为和娱乐性药物的使用。性冒险行为的独立预测因素是低教育程度、亚硝酸盐使用、低社会支持（调整后优势比 [AOR] = 1.65；95% CI，1.04-2.59）以及青少年或成年人经历过非自愿性行为（AOR = 1.85；95% CI，1.15-2.96）。报告称有过非自愿性行为、社会支持度低或使用亚硝酸盐的年轻男同性恋/双性恋男性最近与临时伴侣进行无保护肛交的可能性明显更大。针对年轻男同性恋/双性恋男性的艾滋病毒预防计划应包括性虐待咨询和促进支持安全性行为的社区规范。
Data from a cohort of young HIV-negative gay and bisexual men were analyzed to identify determinants of sexual risk-taking at baseline. Gay/bisexual men aged between 18 and 30 completed a self-administered questionnaire including demographics, depression, social support, substance use, and consensual versus nonconsensual sex. Risk-takers were defined as those who had unprotected anal sex with casual male sex partners in the previous year; non-risk-takers were defined as those who reported consistent condom use during anal sex with all male partners in the previous year. Logistic regression was used to identify independent predictors of sexual risk-taking. Of 439 men studied, risk-takers had less education, a higher depression score, less social support, and were more likely to report nonconsensual sex and recreational drug use relative to non-risk-takers. Independent predictors of sexual risk-taking were low education, nitrite use, low social support (adjusted odds ratio [AOR] = 1.65; 95% CI, 1.04-2.59), and nonconsensual sex experienced as a youth or adult(AOR = 1.85; 95% CI, 1.15-2.96). Young gay/bisexual men reporting nonconsensual sex, low social support, or nitrite use were significantly more likely to have recently had unprotected anal sex with casual partners. HIV prevention programs aimed at young gay/bisexual men should include sexual abuse counselling and foster community norms supporting safer sex practices.