Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru.
Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru.
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让我们谈谈性：伙伴关系背景对秘鲁利马男男性行为者（MSM）和变性妇女（TW）之间关于艾滋病毒血清状态和安全套使用的沟通的影响。
DOI：
10.1007/s10461-020-03144-1
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发表时间：
2021-07
影响因子：
4.4
通讯作者：
Clark JL
中科院分区：
文献类型：
--
作者：
Ayer A;Perez-Brumer A;Segura ER;Chavez-Gomez S;Fernandez R;Arroyo C;Barrantes A;Lake JE;Cabello R;Clark JL
与伴侣的性交流为风险评估和性行为提供信息。我们对秘鲁利马446名男男性行为者（MSM）和122名变性女性（TW）进行了评估，评估了参与者、伴侣和网络因素与安全套使用和艾滋病病毒（HIV）血清状态相关的交流，并探讨了它们与无安全套肛交（CAI）的关系。广义估计方程评估了环境对与最近的性伴侣交流和实践的影响。与双性恋或同性恋相比，异性恋男男性接触者报告的艾滋病毒传播频率更高；与随意、匿名或商业的伙伴关系相比，以稳定为特征；或与密切社会接触者讨论HIV/ sti （p<0.05）。同居伴侣比一夫一妻制伴侣更频繁地讨论避孕套的使用（p<0.05）。MSM中安全套使用讨论和酒精使用与CAI相关（p<0.05）。研究结果强调了性决策的复杂性，并呼吁进一步研究谈话内容和做法，以便为艾滋病毒预防信息提供信息。
Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p<0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p<0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p<0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.
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影响因子：
3.8
作者：
Garcia J;Perez-Brumer AG;Cabello R;Clark JL
通讯作者：
Clark JL
影响因子：
4.4
作者：
Konda, Kelika A.;Castillo, Rostislav;Leon, Segundo R.;Silva-Santisteban, Alfonso;Salazar, Ximena;Klausner, Jeffrey D.;Coates, Thomas J.;Caceres, Carlos F.
通讯作者：
Caceres, Carlos F.
影响因子：
3.1
作者：
Chen, Mark I.;Ghani, Azra C.;Edmunds, John
通讯作者：
Edmunds, John
影响因子：
3.7
作者：
Cambou MC;Perez-Brumer AG;Segura ER;Salvatierra HJ;Lama JR;Sanchez J;Clark JL
通讯作者：
Clark JL
影响因子：
3.7
作者：
Goodreau SM;Carnegie NB;Vittinghoff E;Lama JR;Sanchez J;Grinsztejn B;Koblin BA;Mayer KH;Buchbinder SP
通讯作者：
Buchbinder SP