Sexual identity and behavior in an online sample of Indian men who have sex with men.
Sexual identity and behavior in an online sample of Indian men who have sex with men.
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与男性发生性关系的在线样本中的性认同和行为。
DOI：
10.1080/09540121.2016.1271103
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发表时间：
2017-07
期刊：
影响因子：
1.7
通讯作者：
Wilkerson JM
中科院分区：
文献类型：
--
作者：
Ekstrand ML;Rawat S;Patankar P;Heylen E;Banu A;Rosser BRS;Wilkerson JM
与男性发生性关系的印度男子受到艾滋病毒的影响不成比例。虽然迄今为止的预防工作主要集中在访问中心或物理巡航站点的男性，但对在虚拟平台上遇到性伴侣的男性知之甚少。本文探讨了与性别认同和性行为的男性谁确定为同性恋（n=279）或双性恋（n=123）的在线样本的问题。这两组人在外向度方面存在显着差异，48%的双性恋男性表示他们“没有人”，82%的人表示他们向家人和朋友展示自己是异性恋。同性恋男性的相应比例分别为15%和41%（均为p <0.001）。29%的双性恋男性报告已婚，而同性恋男性只有3%（p< 0.001）。双性恋身份的男性也更有可能报告完全插入肛交（49%对30% p< 0.001），而同性恋身份的男性更有可能报告完全接受肛交（41%对13% p< 0.0001）。两组无保护肛交率相似，但已婚男性更可能报告无保护阴道性交（76% vs 35%，P <0.012）。对无保护肛交的积极态度和较低的自我效能与两组的性风险相关，然而，物质使用仅与双性恋男性的性风险相关。这些研究结果表明，很大一部分印度双性恋男性过着封闭的生活，特别是在与朋友和家人的互动中，绝大多数人表现为异性恋。与妻子一起使用避孕套的比例较低，可能是因为社会压力要求生孩子。研究结果表明，双性恋男性可能会受益于有针对性的计划和非指导性的，非判断性的个人或夫妇咨询，强调与男性和女性伴侣使用避孕套。
Indian men who have sex with men are disproportionately impacted by HIV. While prevention efforts to date have focused on men who visit drop-in centers or physical cruising sites, little is known about men who are meeting sexual partners on virtual platforms. This paper explores issues related to sexual identity and sexual behaviors in an online sample of men who identified as gay (n=279) or bisexual (n=123). There were significant differences in outedness between the two groups, with 48% of bisexually-identified men reporting that they were out to “no one” and 82% stating that they present themselves as heterosexual to family and friends. Corresponding rates for gay-identified men were 15% and 41%, respectively (both p <0.001). Twenty-nine percent of bisexually-identified men reported being married, compared to only 3% of the gay-identified men (p< 0.001). Bisexually-identified men were also more likely to report having exclusively insertive anal sex (49% vs 30% p< 0.001), while gay-identified men were more likely to report exclusively receptive anal sex (41% vs 13% p< 0.0001). Rates of unprotected anal sex in the two groups was similar, however married men were significantly more li kely to report unprotected vaginal sex (76% vs 35%, p <0.012). Positive attitudes toward unprotected anal sex and lower self-efficacy were associated with sexual risk in both groups, however, substance use was associated with sexual risk only among bisexually-identified men. These findings show that a large proportion of Indian bisexually-identified men lead closeted lives, especially in their interactions with friends and family, with the vast majority presenting as heterosexual. The lower condom use with wives may be due to societal pressures to have children. The results suggest that bisexually-identified men may benefit from targeted programs and non-directive, non-judgmental individual or couples counseling which emphasizes condom use with both male and female partners.
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印度孟买接受自愿咨询和检测服务的男同性恋者的双性恋、性冒险和艾滋病毒感染率。
DOI：
10.1097/qai.0b013e3181c354d8
发表时间：
2010-02
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Kumta S;Lurie M;Weitzen S;Jerajani H;Gogate A;Row-kavi A;Anand V;Makadon H;Mayer KH
通讯作者：
Mayer KH
影响因子：
1.7
作者：
Mimiaga MJ;Biello KB;Sivasubramanian M;Mayer KH;Anand VR;Safren SA
通讯作者：
Safren SA
影响因子：
3.3
作者：
Chakrapani, Venkatesan;Newman, Peter A.;Samuel, Miriam
通讯作者：
Samuel, Miriam
影响因子：
--
作者：
Bush, K;Kivlahan, DR;Bradley, KA
通讯作者：
Bradley, KA
影响因子：
2.3
作者：
Grosskopf, Nicholas A.;LeVasseur, Michael T.;Glaser, Debra B.
通讯作者：
Glaser, Debra B.