Sexual partner selection and HIV risk reduction among Black and White men who have sex with men.
Sexual partner selection and HIV risk reduction among Black and White men who have sex with men.
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DOI：
10.2105/ajph.2008.155903
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发表时间：
2010-03
影响因子：
12.7
通讯作者：
Cherry C
中科院分区：
文献类型：
--
作者：
Eaton LA;Kalichman SC;Cherry C
在美国，与男性发生性关系的黑人男性（BMSM）被诊断出感染艾滋病毒的比率远远超过其他男性。然而，许多研究报告BMSM中的风险行为没有实质性增加。在这里，我们研究的合作伙伴选择策略作为一个潜在的风险因素，艾滋病毒之间的BMSM和白色男男性接触者（WMSM）。横断面调查收集了自报艾滋病毒阴性的BMSM和WMSM参加在亚特兰大，佐治亚州的同性恋骄傲节。HIV阴性的WMSM更有可能报告与HIV阴性的男性进行无保护的肛交，HIV阴性的BMSM更有可能报告与HIV状态未知的伴侣进行无保护的肛交。此外，WMSM比BMSM更倾向于支持血清分类（将未受保护的伴侣限制在那些具有相同HIV状态的人）信念和有利的HIV披露信念。WMSM似乎比BMSM更多地使用降低风险的策略来降低艾滋病毒感染的可能性。伴侣选择策略有严重的局限性，但它们可能部分解释了BMSM中艾滋病毒感染人数不成比例的原因。
In the US, black men who have sex with men (BMSM) are diagnosed with HIV at a rate far exceeding other men. However, many studies report no substantial increase in risk behavior among BMSM. Here we examine a partner selection strategy as a potential risk factor for HIV among BMSM and white MSM (WMSM). Cross-sectional surveys were collected from self-reported HIV negative BMSM and WMSM attending a gay pride festival in Atlanta, GA. HIV negative WMSM were more likely to report having unprotected anal intercourse with HIV negative men, and HIV negative BMSM were more likely to report unprotected anal intercourse with HIV status unknown partners. Furthermore, WMSM were more likely to endorse serosorting (limiting unprotected partners to those who have the same HIV status) beliefs and favorable HIV disclosure beliefs than BMSM. WMSM appear to be using risk reduction strategies to reduce the likelihood of HIV infection more so than BMSM. Partner selection strategies have serious limitations; however they may explain in part the disproportionate number of HIV infections among BMSM.