Social, Relational and Network Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon.
Social, Relational and Network Determinants of Unprotected Anal Sex and HIV Testing Among Men Who Have Sex with Men in Beirut, Lebanon.
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DOI：
10.1080/19317611.2014.969467
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发表时间：
2015-07-01
期刊：
影响因子：
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通讯作者：
Mokhbat J
中科院分区：
文献类型：
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作者：
Wagner GJ;Hoover M;Green H;Tohme J;Mokhbat J
对贝鲁特213名男男性行为者（MSM）中避孕套使用和艾滋病毒检测的社会、关系和网络决定因素进行了调查。64%的人报告无保护肛交（UAI），其中23%的人与艾滋病毒状况不明的伴侣（UAIU）发生无保护肛交；62%的人接受了艾滋病毒检测。在多变量分析中，处于恋爱关系与UAI和HIV检测相关；低安全套自我效能感与UAIU和HIV检测有关；同性恋歧视与UAIU有关；男男性接触者的披露与UAI、UAIU和HIV检测有关；网络集中化与艾滋病毒检测有关。影响男男性行为者性健康的多重社会因素。
Social, relational and network determinants of condom use and HIV testing were examined among 213 men who have sex with men (MSM) in Beirut. 64% reported unprotected anal intercourse (UAI), including 23% who had UAI with unknown HIV status partners (UAIU); 62% had HIV-tested. In multivariate analysis, being in a relationship was associated with UAI and HIV testing; lower condom self-efficacy was associated with UAIU and HIV testing; gay discrimination was associated with UAIU; MSM disclosure was associated with UAI, UAIU and HIV testing; and network centralization was associated with HIV testing. Multi-level social factors influence sexual health in MSM.