'Barebacking' in a diverse sample of men who have sex with men
'Barebacking' in a diverse sample of men who have sex with men
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DOI：
10.1097/00002030-200203080-00018
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发表时间：
2002-03-08
期刊：
影响因子：
3.8
通讯作者：
Buchbinder, S
中科院分区：
文献类型：
--
作者：
Mansergh, G;Marks, G;Buchbinder, S
目的：评估与“与男性发生性关系的艾滋病毒阳性和负男人”样本中的“鞍”作为社会文化现象相关的因素和因素，并评估与合作伙伴会面的鞍和场所的理由.Design：2000年7月至2001年2月在旧金山湾地区招募的MSM的横断面调查。谁听说了这个词。参与者被招募在多个场所外，后来在社区地点接受了采访。使用卡方和多元逻辑回归进行分析。分析：MSM的样本为非裔美国人（28％），拉丁裔（27％），白人（31％）和其他种族/种族/种族/种族（14％） ）； 35％的人报告说是HIV阳性的。有70％的男人听说过赤裸裸的。在知道该术语的男性中，过去两年中有14％的人倒退了（HIV阳性的22％，而HIV阴性男性的10％，p <0.001）；完整样本的10％这样做。鞍的普遍性并没有因种族/种族或性取向认同而差异。男人倾向于举报患有同样艾滋病毒血清的鞍伴侣。但是，很大一部分男人的伴侣具有不同或未知的血清。身体刺激和情感联系增加是鞍出现的主要原因。结论：需要新的方法来减少鞍行为和艾滋病毒传播的风险，包括创新的促进健康的行为和生物医学干预措施。 （c）2002 Lippincott Williams Wilkins。
Objectives: To assess the prevalence of and factors associated with 'barebacking' as a sociocultural phenomenon in a sample of HIV-positive and -negative men who have sex with men (MSM), and to assess the reasons for barebacking and venues for meeting partners.Design: A cross-sectional survey of MSM recruited in the San Francisco Bay Area from July 2000 to February 2001.Methods: Barebacking, defined as 'intentional anal sex without a condom with someone other than a primary partner', was assessed among men who had heard of the term. Participants were recruited outside multiple venues and interviewed later at community locations. Chi-square and multivariate logistic regression were used for analysis.Results: The sample in = 554) of MSM were African-American (28%), Latino (27%), white (31%) and other race/ethnicity (14%); 35% reported being HIV-positive. Seventy per cent of the men had heard of barebacking. Among men aware of the term, 14% had barebacked in the past 2 years (22% of HIV-positive versus 10% of HIV-negative men, P < 0.001); 10% of the full sample did so. The prevalence of barebacking did not differ by race/ethnicity or sexual orientation identification. Men tended to report bareback partners who had the same HIV serostatus; however, a sizeable proportion of men had partners of different or unknown serostatus. Increased physical stimulation and emotional connectedness were the primary reasons for barebacking.Conclusion: New approaches are needed to reduce bareback behavior and the risk of HIV transmission, including innovative health-promoting behavioral and biomedical interventions. (C) 2002 Lippincott Williams Wilkins.