Online Sex-Seeking, Substance Use, and Risky Behaviors in Taiwan: Results from the 2010 Asia Internet MSM Sex Survey
Online Sex-Seeking, Substance Use, and Risky Behaviors in Taiwan: Results from the 2010 Asia Internet MSM Sex Survey
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DOI：
10.1007/s10508-012-9908-8
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发表时间：
2012-10-01
影响因子：
3.8
通讯作者：
Hsu, Su-Ting
中科院分区：
文献类型：
--
作者：
Ko, Nai-Ying;Koe, Stuart;Hsu, Su-Ting
我们进行了一项在线行为调查，以估计在线性寻求和物质使用行为的流行程度，并比较使用不同场所寻求男性性行为的男性风险行为。2010年1月1日至2月28日，一项名为“亚洲互联网男同性恋者性调查”的横断面在线调查在网上进行。在来自台湾的1,645名参与者中，72.4%的人表示互联网是寻找性伴侣的主要方式，73.9%的人与网上找到的伴侣发生过性关系，16%的人在过去6个月内使用过娱乐性药物。没有证据表明，通过互联网寻找性行为的男性比那些使用其他同性恋场所的男性更有可能与他们的临时伴侣进行无保护的肛交。有网上的性伴侣在前6个月明显与年轻有关[奇怪的调整比例(AOR) = 0.97, 95%置信区间CI: 0.95 - -0.99),在去年没有稳定伴侣(优势比= 0.24,95% CI: 0.15—-0.39),有超过五伙伴在前6个月(优势比= 4.57,95% CI: 2.95—-7.11),使用娱乐性毒品在前6个月(优势比= 2.24,95% CI: 1.30—-3.87),和有一个性病在前6个月(优势比= 4.24,95%置信区间CI:1.59 - -11.30)。综上所述，由于互联网是台湾男同性恋者的热门聚会场所，因此应制定有效且有针对性的预防方案，以最大限度地降低互联网时代艾滋病毒传播的风险。
We conducted an online behavioral survey to estimate the prevalence of online sex-seeking and substance use behaviors and to compare risky behaviors among men using different venues to seek sex with men. A cross-sectional online survey, the Asia Internet MSM Sex Survey, was conducted online from January 1 to February 28, 2010. Of the 1,645 participants enrolled from Taiwan, 72.4% reported the Internet as the main way of seeking sexual partners, 73.9% had had sex with partners found online, and 16% had used recreational drugs in the previous 6 months. There was no evidence to suggest that men who looked for sex through the Internet were more likely to engage in unprotected anal intercourse with their casual partners than those using other gay venues. Having had online sex partners in the previous 6 months was significantly associated with being young [adjusted odd ratio (AOR) = 0.97, 95% CI: 0.95-0.99], having had no steady partners in the previous year (AOR = 0.24, 95% CI: 0.15-0.39), having had more than five partners in the previous 6 months (AOR = 4.57, 95% CI: 2.95-7.11), having used recreational drugs in the previous 6 months (AOR = 2.24, 95% CI: 1.30-3.87), and having had an STI in the previous 6 months (AOR = 4.24, 95% CI: 1.59-11.30). In conclusion, because the Internet is a popular meeting place for MSM in Taiwan, effective and targeted prevention programs should be developed to minimize the HIV transmission risk in the Internet era.