Correlates of sexual risk behaviors among HIV-positive men who have sex with men
Correlates of sexual risk behaviors among HIV-positive men who have sex with men
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DOI：
10.1521/aeap.15.6.383.24043
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发表时间：
2003-10-01
影响因子：
1.8
通讯作者：
Gómez, CA
中科院分区：
文献类型：
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作者：
Parsons, JT;Halkitis, PN;Gómez, CA
本研究调查了来自纽约市和旧金山大都会地区的不同种族的hiv血清阳性男男性行为者（MSM）无保护的性行为风险的相关性。参与者完成了一项自我报告调查，评估性风险行为和潜在的相关因素。总共有367名男性报告在过去3个月内与随迁的男性伴侣发生过性行为。参与者根据与HIV阴性或未知状态的伴侣的HIV传播风险水平分为三组：无保护肛交（58.9%），仅无保护的接受性肛交（14.2%）和无保护的插入性肛交（22.6%）。多因素logistic回归分析表明，报告无保护肛插入性行为的男性认为保护其伴侣免受艾滋病毒感染的责任较小。报告没有无保护肛交的男性也报告硝酸盐吸入剂的使用较少，不安全性行为的诱惑较低，艾滋病毒阴性和身份不明的伴侣较少。报告无保护肛交的男性比其他两组更少焦虑，但也比没有报告无保护肛交的男性更抑郁，比报告无保护肛交的男性更孤独。对艾滋病毒阳性男男性行为者干预的意义提出。
This study examines correlates of unprotected sexual risk practices of an ethnically diverse sample of HIV-seropositive men who have sex with men (MSM) from the New York City and San Francisco metropolitan areas. Participants completed a self-report survey that assessed sexual risk behaviors and potential correlates. A total of 367 men reported sex with a casual male partner in the previous 3 months. Participants were divided into three groups based on level of HIV-transmission risk with HIV negative or unknown-status partners: no unprotected anal sex (58.9%), unprotected receptive anal sex only (14.2%), and unprotected insertive anal sex (22.6%). Multivariate logistic regression analyses indicated that men reporting unprotected anal insertive sex perceived less responsibility to protect their partners from HIV. Men reporting no unprotected anal sex also reported less use of nitrate inhalants, lower temptation for unsafe sex, and fewer HIV-negative and unknown-status partners. Men reporting unprotected receptive anal sex were less anxious than the other two groups but also reported greater depression than those not reporting unprotected anal sex and greater loneliness than those reporting unprotected anal insertive sex. Implications for interventions with HIV-positive MSM are presented.