Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary data in conflict

Are sexual partners met online associated with HIV/STI risk behaviours? Retrospective and daily diary data in conflict
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DOI:
10.1080/09540120701237244
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发表时间:
2007-07-01
影响因子:
1.7
通讯作者:
Mustanski, B. S.
Mustanski, B. S.
中科院分区:
医学4区
文献类型:
--
作者:
Mustanski, B. S.

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使用回顾性和每日日记方法探讨了互联网寻求性行为和性冒险之间的关联。通过各种互联网网站招募男男性行为者 (MSM) (N = 113)。参与者完成了关于他们使用互联网寻找性伴侣的历史以及他们参与性冒险行为的回顾性调查问卷。参与者还完成了长达 30 天的每日日记,评估是否通过互联网认识了伴侣以及发生了哪些类型的性接触。使用多级建模来分析每日日记数据。回顾性数据和每日日记数据产生了相反的结果。在回顾性数据中,网上性寻求的历史与去年性伴侣数量增加、曾经的性伴侣、不使用安全套的性行为以及未能讨论伴侣的性历史有关。在每日日记数据中,与通过其他方式认识的伴侣相比,在网上认识的伴侣发生无保护肛交(UAI)的可能性较小。这些数据表明,与其他男性进行高风险性行为的男性使用互联网作为结识性伴侣的工具,而不是在网上结识伴侣会导致高风险性行为。
The association between Internet sex-seeking and sexual risk-taking was explored using both retrospective and daily diary methodology. Men who have sex with men (MSM) (N = 113) were recruited through a variety of Internet sites. Participants completed retrospective questionnaires on their history of Internet use to seek sexual partners and their engagement in sexual risk-taking behaviours. Participants also completed daily diaries for up to 30 days, which assessed if partners were met through the Internet and what types of sexual contact occurred. Multilevel modelling was used to analyze the daily diary data. The retrospective and daily diary data produced opposite results. In the retrospective data, a history of online sex-seeking was associated with greater numbers of sexual partners in the last year, one-time sex partners, sex without condoms and failure to discuss partners' sexual histories. In the daily diary data, unprotected anal intercourse (UAI) was less likely to occur with partners met online than with partners met by other means. These data suggest that men who engage in high-risk sex with other men use the Internet as a tool for meeting sexual partners, not that meeting partners online causes high-risk sex.