Sexual risk behavior in men attending Mardi Gras celebrations in New Orleans, Louisiana
Sexual risk behavior in men attending Mardi Gras celebrations in New Orleans, Louisiana
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DOI：
10.1007/s10900-007-9054-8
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发表时间：
2007-10-01
影响因子：
5.9
通讯作者：
Mikytuck, John J.
中科院分区：
文献类型：
--
作者：
Benotsch, Eric G.;Nettles, Christopher D.;Mikytuck, John J.
之前对旅行者的研究指出，度假期间的风险行为更高。与日常生活相比，休闲旅行者有更多的空闲时间进行性行为，而且可能比在家时使用更高的物质。度假期间的危险行为尚未在男男性行为者(MSM)中进行彻底检查，男男性行为者(MSM)是艾滋病毒的关键风险人群。本研究调查了参加新奥尔良狂欢节的男男性接触者的药物使用、性危险行为和信息-动机-行为技能(IMB)模型的组成部分。在新奥尔良，近一半的性活跃男性报告与艾滋病毒状况不明的伴侣发生了性关系，同样数量的男性没有向所有性伴侣披露自己的艾滋病毒状况。吸毒和酗酒与无保护措施的性行为有关(PS<；0.05)。IMB模型的组成部分也预测性危险行为：拥有更准确的艾滋病毒传播信息的人报告的无保护措施的性行为较少，在度假时进行性行为的动机与更多的无保护措施的性行为有关(PS<；0.05)。研究结果表明，一些度假的男男性接触者正将自己置于感染艾滋病毒的风险之中。传统的艾滋病毒预防干预措施不容易用于流动人口。需要新的干预方法来减少休闲旅行人员的性危险行为。
Previous research with travelers points to higher risk behaviors during vacations. Relative to their day-to-day lives, leisure travelers have more free time to pursue sexual activities and are likely to engage in higher rates of substance use than when at home. Risk behaviors during vacation have not been thoroughly examined in men who have sex with men (MSM), a key group at risk for HIV. The present investigation examined substance use, sexual risk behaviors, and components of the Information-Motivation-Behavioral Skills (IMB) Model in MSM attending Mardi Gras celebrations in New Orleans. Almost half of the sexually active men reported having sex with a partner of unknown HIV status while in New Orleans and a similar number did not disclose their own HIV status to all of their sexual partners. Drug use and excessive alcohol use were associated with unprotected sex (ps < .05). Components of the IMB model also predicted sexual risk behavior: individuals with more accurate HIV transmission information reported fewer unprotected sex acts, and motivation to engage in sexual activity on vacation was associated with more unprotected sex (ps < .05). Findings suggest that some MSM on vacation are placing themselves at risk for HIV. Traditional HIV prevention interventions do not readily lend themselves for use with transient populations. New intervention approaches are needed to reduce sexual risk behaviors in persons traveling for leisure.