Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms
Seeking sex on the Internet and sexual risk behaviour among gay men using London gyms
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DOI：
10.1097/00002030-200107270-00010
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发表时间：
2001-07-27
期刊：
影响因子：
3.8
通讯作者：
Sherr, L
中科院分区：
文献类型：
--
作者：
Elford, J;Bolding, G;Sherr, L
目的：调查伦敦男同性恋者在互联网上寻求性行为与危险性行为之间的关系。方法：2000年1月至2月，伦敦健身房的男同性恋者被要求填写自填问卷，内容涉及互联网使用史、性传播疾病（STD）和近期无保护肛交（UAI）。将互联网性寻求者与其他也能上网但不以这种方式寻求性的男性进行比较。 结果：在分析中的 743 名男同性恋者中（121 名 HIV 阳性，465 名 HIV 阴性，157 名从未检测过），80.9%（601 人）可以上网。在有访问权限的人中，34.4%（207人）曾使用互联网寻找性伴侣；这并没有因 HIV 状态而显着变化 (P = 0.3)。与其他上网的男性相比，网络性寻求者在上一年更有可能患有性病（HIV 阴性男性，26.9% vs 17.5%，P = 0.04）或淋病（HIV 阳性男性，22.2% vs 5.8%，P = 0.04）。 HIV 阴性的互联网性寻求者也更有可能在过去 3 个月内报告不一致的 UAI [23.1% vs 11.8%；调整优势比（aOR），1.9； 95%置信区间（CI），1.2-3.5； P = 0.01]。 HIV 呈阳性的互联网性寻求者更有可能报告与另一名阳性男性发生 UAI（37.8 比 7.4%；aOR，7.9；95% CI，1.8-34.6；P = 0.006）。结论：在伦敦的 HIV 阳性和阴性男同性恋者中，在互联网上寻求性行为与近期 STD 和高风险性行为有关。在互联网上寻求性行为对最近伦敦男同性恋者高风险行为增加的贡献值得进一步调查。 (C) 2001 年利平科特威廉姆斯和威尔金斯。
Objective: To examine the association between seeking sex on the Internet and sexual risk behaviour among gay men in London.Methods: In January-February 2000, gay men in London gyms were asked to complete self-administered questionnaires concerning use of the Internet history of sexually transmitted diseases (STD) and recent unprotected anal intercourse (UAI). Internet sex seekers were compared with other men, also with Internet access, who did not seek sex in this way.Results: Of 743 gay men included in the analysis (121 HIV-positive, 465 HIV-negative, 157 never-tested), 80.9% (601) had access to the Internet. Among those who had access, 34.4% (207) had used the Internet to find a sexual partner; this did not vary significantly by HIV status (P = 0.3). Internet sex seekers were more likely to have had an STD (HIV-negative men, 26.9 versus 17.5%, P = 0.04) or gonorrhoea (HIV-positive men, 22.2 versus 5.8%, P = 0.04) in the previous year than other men with Internet access. HIV-negative Internet sex seekers were also more likely to report non-concordant UAI in the previous 3 months [23.1 versus 11.8%; adjusted odds ratio (aOR), 1.9; 95% confidence interval (CI), 1.2-3.5; P = 0.01]. HIV-positive Internet sex seekers were more likely to report UAI with another positive man (37.8 versus 7.4%; aOR, 7.9; 95% CI, 1.8-34.6; P = 0.006).Conclusion: Seeking sex on the Internet was associated with recent STD and high-risk sexual behaviour among HIV-positive and -negative gay men in London. The contribution of seeking sex on the Internet to the recent increase in high-risk behaviour among London gay men merits further investigation. (C) 2001 Lippincott Williams & Wilkins.