Negotiated safety relationships and sexual behavior among a diverse sample of HIV-negative men who have sex with men
Negotiated safety relationships and sexual behavior among a diverse sample of HIV-negative men who have sex with men
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DOI：
10.1097/00126334-200501010-00015
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发表时间：
2005-01-01
影响因子：
3.6
通讯作者：
Buchbinder, S
中科院分区：
文献类型：
--
作者：
Guzman, R;Colfax, GN;Buchbinder, S
目的：检查协商安全（NS）的患病率在不同的样本中的HIV阴性的男性与男性发生性关系（MSM），MSM实践NS的特点，并坚持NS.Methods：这是一个横断面调查旧金山弗朗西斯科MSM招募场地和社区组织。NS关系定义为HIV阴性男性的血清学一致的主要关系持续时间大于或等于6个月，有无保护的肛交（UA），并有禁止与他人发生UA的规定。NS的依从性是根据前3个月自我报告的性行为来确定的。与NS的合作伙伴披露规则breaking的协议的存在也determined.Results：340 HIV阴性的参与者，76（22%）报告了当前血清一致的主要关系大于或等于6个月。在这76名男性中，38名（50%）有NS关系，30名（39%）与主要伴侣没有UA，8名（11%）与主要伴侣有UA，但没有禁止与他人UA的规则。在多变量分析中，在年轻男性中，NS比没有UA更常见。在38名NS男性中，29%的人在前3个月违反了他们的NS定义规则，其中18%的人报告了与他人的UA，18%的人报告了前一年的性传播感染（STI）。只有61%的NS男子完全遵守规则，并同意披露rulebreaking.Conclusions：虽然NS是普遍实行的艾滋病毒阴性的男性血清学一致的关系，有些人违反了NS定义的规则，把自己和潜在的艾滋病毒感染的风险，他们的主要合作伙伴。NS的预防工作应强调遵守协议、披露违规行为和常规性传播感染检测的重要性。
Objective: To examine the prevalence of negotiated safety (NS) in a diverse sample of HIV-negative men who have sex with men (MSM), characteristics of MSM practicing NS, and adherence to NS.Methods: This was a cross-sectional survey of San Francisco MSM recruited from venues and community organizations. NS relationships were defined as those in which HIV-negative men were in seroconcordant primary relationships for greater than or equal to6 months, had unprotected anal intercourse (UA) together, and had rules prohibiting UA with others. Adherence to NS was determined from self-reported sexual behavior in the prior 3 months. Presence of an agreement with NS partners to disclose rule breaking was also determined.Results: Of 340 HIV-negative participants, 76 (22%) reported a current seroconcordant primary relationship for greater than or equal to6 months. Of these 76 men, 38 (50%) had NS relationships, 30 (39%) had no UA with primary partners, and 8 (11%) had UA with primary partners without rules prohibiting UA with others. In multivariate analysis, NS was more common than no UA with primary partners in younger men. Among 38 NS men, 29% violated their NS-defining rule in the prior 3 months, including 18% who reported UA with others, and 18% reported a sexually transmitted infection (STI) in the prior year. Only 61% of NS men adhered fully to rules and agreed to disclose rule breaking.Conclusions: Although NS was commonly practiced among HIV-negative men in seroconcordant relationships, some men violated NS-defining rules, placing themselves and potentially their primary partners at risk for HIV infection. Prevention efforts regarding NS should emphasize the importance of agreement adherence, disclosure of rule breaking, and routine STI testing.