Negotiated safety and other agreements between men in relationships: risk practice redefined
Negotiated safety and other agreements between men in relationships: risk practice redefined
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DOI：
10.1258/0956462011916965
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发表时间：
2001-03-01
影响因子：
1.4
通讯作者：
Van de Ven, P
中科院分区：
文献类型：
--
作者：
Crawford, JM;Rodden, P;Van de Ven, P
这项研究审查了可以预防或促进处于正常（“初级”）男男关系中的男子传播艾滋病毒的协议、知识和做法的模式。数据来自澳大利亚同性恋活跃男性的全国志愿者电话调查。从一个更大的样本（n=3039）的子样本1070名男子被发现有一个或多个固定的合作伙伴超过6个月。自我报告的艾滋病毒血清状态的调查参与者和他的定期合作伙伴，协议的类型，关于肛门性交的内部和外部的定期关系，并从事无保护的肛门性交定期和临时合作伙伴进行了检查。风险行为定义为与不同或未知血清状态的常规伴侣进行无保护肛交和/或与临时伴侣进行无保护肛交。协议分类为：协商安全（28.8%）;无无保护肛交（33.6%）;不安全（10.6%）和无协议（17.0%）。17.8%的男性报告有风险做法。协议的类型被认为是最强的预测风险的做法。通过谈判达成的安全协议很常见，而且基本上得到了遵守。有不安全协议的男子，虽然只有一小部分男子的关系，有高风险的做法。
This study examines patterns of agreement, knowledge and practice which can prevent or facilitate HIV transmission among men who are in regular ('primary') male-to-male relationships. Data are from a national volunteer phone-in survey of homosexually-active men in Australia. A sub-sample of 1070 men from a larger sample (n=3039) were found to have one or more regular partners for longer than 6 months. Self-reported HIV serostatus of survey participant and his regular partner, type of agreement regarding anal intercourse both within and outside the regular relationship, and engaging in unprotected anal intercourse with regular and with casual partners were examined. Risk practice was defined as unprotected anal intercourse with a regular partner of different or unknown serostatus and/or unprotected anal intercourse with a casual partner. Agreements were classified as: negotiated safety (28.8%); no unprotected anal intercourse (33.6%); unsafe (10.6%) and no agreement (17.0%). Risk practice was reported by 17.8% of the men. Type of agreement was found to be the strongest predictor of risk practice. Negotiated safety agreements were common, and were kept on the whole. Men with unsafe agreements, although only a small proportion of men in relationships, had high levels of risk practice.