Changing Patterns of Sexual Risk Behavior Among London Gay Men: 1998-2008
Changing Patterns of Sexual Risk Behavior Among London Gay Men: 1998-2008
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DOI：
10.1097/olq.0b013e3181f2ebe1
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发表时间：
2011-03-01
影响因子：
3.1
通讯作者：
Elford, Jonathan
中科院分区：
文献类型：
--
作者：
Lattimore, Sam;Thornton, Alicia;Elford, Jonathan
目的：研究1998 - 2008年间伦敦男同性恋者性行为的变化。方法：1998 - 2005年每年对使用伦敦健身房的男同性恋者进行一次调查，2008年再次进行调查（n = 6064;范围：每年482-834）。资料收集的人类免疫缺陷病毒（HIV）状态的受访者，无保护的肛交（UAI）在过去3个月，类型（主要或偶然）和艾滋病毒状态的合作伙伴的UAI。非一致性UAI（ncUAI）定义为与HIV状态未知或不一致的伴侣发生UAI。一致性UAI（cUAI）定义为UAI与相同的HIV状态的合作伙伴（“血清分选”）。结果：在1998年和2008年之间，报告UAI的男性比例从24.3%上升到36.6%（P = 0.07）。这一总体增长掩盖了不一致和一致的UAI之间的重要差异。虽然1998年至2008年期间参与cUAI的男性比例稳步上升，（9.8%，20.8%; P = 0.01），报告ncUAI的百分比在1998年和2001年之间增加（14.5%，23.7%; P < 0.001），在2001年和2005年之间下降（23.7%，15.6%; P < 0.001），然后在2005年和2008年之间趋于平稳（15.6%，15.7%; P = 0.2）。然而，2005年至2008年期间，艾滋病毒阳性男性（2.5%，8.1%; P < 0.05）和艾滋病毒阴性男性（2.1%，5.5%; P = 0.06）报告与主要伴侣发生ncUAI的男性比例有所增加。虽然报告与主要伴侣（即，血清分型）在1998年至2008年之间增加了（12.4%，21.1%; P < 0.05），不到一半的人通过一起检测建立了血清一致性。结论：1998年至2008年期间伦敦男同性恋者的性行为模式是动态的和复杂的。我们的数据表明，健康促进方案应更加优先考虑与主要伙伴的艾滋病毒风险和夫妇之间的艾滋病毒检测。
Objectives: To examine changes in the sexual behavior of London gay men between 1998 and 2008.Methods: Gay men using London gyms were surveyed annually between 1998 and 2005, and again in 2008 (n = 6064; range, 482-834 per year). Information was collected on human immunodeficiency virus (HIV) status of the respondent, unprotected anal intercourse (UAI) in the previous 3 months, type (main or casual) and HIV status of partner for UAI. Nonconcordant UAI (ncUAI) was defined as UAI with a partner of unknown or discordant HIV status. Concordant UAI (cUAI) was defined as UAI with a partner of the same HIV status ("serosorting").Results: Between 1998 and 2008, the percentage of men reporting UAI increased from 24.3% to 36.6% (P = 0.07). This overall increase concealed important differences between nonconcordant and concordant UAI. While the percentage of men engaging in cUAI increased steadily between 1998 and 2008 (9.8%, 20.8%; P = 0.01), the percentage reporting ncUAI increased between 1998 and 2001 (14.5%, 23.7%; P < 0.001), decreased between 2001 and 2005 (23.7%, 15.6%; P < 0.001), and then leveled off between 2005 and 2008 (15.6%, 15.7%; P = 0.2). However, the percentage of men reporting ncUAI with a main partner increased between 2005 and 2008 for HIV-positive men (2.5%, 8.1%; P < 0.05) and HIV negative men (2.1%, 5.5%; P = 0.06). While the percentage of HIV negative men who reported cUAI with a main partner (i.e., serosorting) increased between 1998 and 2008 (12.4%, 21.1%; P < 0.05), less than half established seroconcordance by testing together.Conclusions: The patterns of sexual behavior among London's gay men between 1998 and 2008 were dynamic and complex. Our data suggest that HIV risk with a main partner and HIV testing among couples should be given greater priority by health promotion programmes.