A comparative analysis of sexual risk characteristics of Black men who have sex with men or with men and women
A comparative analysis of sexual risk characteristics of Black men who have sex with men or with men and women
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DOI：
10.1007/s10508-008-9372-7
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发表时间：
2008-10-01
影响因子：
3.8
通讯作者：
Murrill, Christopher
中科院分区：
文献类型：
--
作者：
Wheeler, Darrell P.;Lauby, Jennifer L.;Murrill, Christopher
许多对黑人男性的行为研究未能区分那些只与男性发生性关系的人（MSM）和那些与男性和女性发生性关系的人（MSMW）。受访者驱动的抽样被用来招募共1,154名黑人男男性接触者和男男性工作者在纽约市和费城。在描述性分析中，采用卡方检验比较了MSMW和MSM在人口统计学、健康和行为风险相关性方面的差异。两组间无保护肛交（UAI）患病率的差异采用多因素Logistic回归分析。年龄、出生国、自我认定的性取向、被迫发生性行为的经历、自我报告的艾滋病毒状况、以性换取金钱/食物/药物以及过去3个月内的药物使用与过去3个月内的插入性或接受性UAI显著相关。在两组男性中，插入性或接受性UAI的最强相关性是参与交换性行为。MSMW和MSM之间的差异被发现在强迫性经历，同性行为的披露，以及被逮捕或监禁的历史领域。我们的研究结果强调，需要针对黑人男男性接触者（MSMW）进行特定的艾滋病毒预防干预，以区别于黑人男男性接触者（MSM）。
Many behavioral studies of Black men fail to differentiate between those who have sex exclusively with men (MSM) and those who have sex with both men and women (MSMW). Respondent-driven sampling was used to recruit a total of 1,154 Black MSM and MSMW in New York City and Philadelphia. In descriptive analyses, MSMW and MSM were compared on several demographic, health, and behavioral risk correlates using chi-square tests. Differences in prevalence of unprotected anal intercourse (UAI) between these two groups were examined in two multivariate logistic regressions. Age, country of birth, self-identified sexual orientation, experience of being forced to have sex, self-reported HIV status, exchange sex for money/food/ drug, and drug use in the past 3 months were significantly associated with either insertive or receptive UAI in the past 3 months. The strongest correlate of either insertive or receptive UAI among both groups of men was engaging in exchange sex. Differences between MSMW and MSM were found in the areas of forced sexual experiences, disclosure of same sex behavior, and history of being arrested or incarcerated. Findings from our study highlight the need for specific HIV prevention interventions targeting Black MSMW as distinguished from Black MSM.