Tip of the iceberg: Young men who have sex with men, the Internet, and HIV risk

Tip of the iceberg: Young men who have sex with men, the Internet, and HIV risk
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DOI:
10.2105/ajph.2005.075630
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发表时间:
2007-06-01
影响因子:
12.7
通讯作者:
Donenberg, Geri Rachel
Donenberg, Geri Rachel
中科院分区:
医学2区
文献类型:
--
作者:
Garofalo, Robert;Herrick, Amy;Donenberg, Geri Rachel

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目标。我们调查了与性伴侣(互联网伴侣)见面的互联网使用的流行率,以及与这种使用相关的HIV危险行为在16-24岁的年轻男男性中的使用情况。270名与男性发生性关系的年轻男性完成了一项计算机辅助调查。我们使用双变量X(2)分析和分层Logistic回归来评估与互联网促进的性行为相关的因素。使用互联网结交性伴侣是很常见的;我们的样本中有48%的人与他们在网上认识的伴侣发生了性关系。在这些人中,只有53%的人经常使用避孕套,47%的人报告说他们的性伴侣比自己大(>4岁)。回归分析显示,年龄增加、白人种族/民族、无保护肛交史、多个肛交伙伴以及在性俱乐部或浴室进行性行为与通过互联网结会性伴侣有关。只有无保护措施的肛交史与与互联网伴侣的危险性行为有关(P
Objectives. We examined the prevalence of Internet use for meeting sexual partners (Internet partners) and HIV risk behaviors associated with this use among young men who have sex with men (aged 16-24 years).Methods. A sample of 270 young men who have sex with men completed a computer-assisted survey. We used bivariate chi(2) analyses and hierarchical logistic regression to assess factors associated with Internet-facilitated sexual encounters.Results. Using the Internet to meet sexual partners was common; 48% of our sample had sexual relations with a partner they met online. Of these, only 53% used condoms consistently, and 47% reported having sexual partners older (>4 years) than themselves. Regression analyses showed increased age, White race/ethnicity, history of unprotected anal intercourse, multiple anal intercourse partners, and engaging in sexual activity at a sex club or a bathhouse were associated with meeting sexual partners through the Internet. Only history of unprotected anal intercourse was associated with risky sexual behaviors with Internet partners (P