The Annual American Men's Internet Survey of Behaviors of Men Who have Sex with Men in the United States: 2014 Key Indicators Report.
The Annual American Men's Internet Survey of Behaviors of Men Who have Sex with Men in the United States: 2014 Key Indicators Report.
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DOI：
10.2196/publichealth.5476
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发表时间：
2016-05-25
影响因子：
8.5
通讯作者：
Sullivan P
中科院分区：
文献类型：
--
作者：
Sanchez T;Zlotorzynska M;Sineath C;Kahle E;Sullivan P
美国男性互联网调查（英语：American Men's Internet Survey，AMIS）是一项针对居住在美国的男男性行为者（英语：Men who have sex with men）的年度网络行为调查。本快速监测报告的目的是报告第二个数据收集周期（2014年11月至2015年4月;非盟驻苏特派团-2014年）的情况，其关键指标与先前为非盟驻苏特派团报告的关键指标（2013年12月至2014年5月;非盟驻苏特派团-2013年）相同。自非盟特派团2013年以来，非盟特派团的调查方法没有实质性变化。MSM是通过横幅广告或电子邮件爆炸从各种网站招募的。目前居住在美国的成年男性有资格参加，如果他们曾经与一个男人发生过性关系。我们使用多变量回归模型（P<0.05）分层的参与者的自我报告的人类免疫缺陷病毒（HIV）状态，检查人口统计学和招募特征。AMIS-2014轮数据收集导致代表美国各州的MSM完成了9248项调查。参与者主要是白色人，年龄在40岁或以上，居住在美国南部，居住在城市/郊区，从一个普通的社交网站招募。自报感染率为11.34%（1049/9248）。与HIV阴性/未知状态的参与者相比，HIV阳性参与者在过去12个月内更有可能与任何男性伴侣发生肛交而不使用安全套（76.55% vs 67.17%; P<.001），更有可能与最后一名HIV感染状况不一致/未知的男性性伴侣进行无安全套肛交（39.66% vs 18.77%; P<.001）。在过去的12个月里，艾滋病毒阳性参与者比艾滋病毒阴性/未知状态参与者更有可能报告使用毒品和其他非法药物（分别为26.02%和21.27%，27.26%和17.60%;均P<0.001）。绝大多数（86.90%，7127/8199）的HIV阴性/未知状态的参与者以前进行过HIV检测，58.23%（4799/8199）在过去12个月内进行过检测。HIV阳性参与者报告性传播感染（STI）检测和诊断的可能性也高于HIV阴性/未知状态参与者（分别为71.02% vs 37.34%和20.59% vs 7.54%;均P<0.001）。<40岁的HIV阴性/未知状态参与者比40岁或40岁以上的参与者更有可能在没有安全套的情况下进行肛交，更有可能报告使用药物，不太可能接受HIV检测，但更有可能接受检测并诊断为STI。与一般社交网络相比，来自地理空间社交网站的HIV阴性/未知状态参与者更有可能报告所有风险行为，但更有可能接受HIV检测，STI检测和诊断为STI。
The American Men’s Internet Survey (AMIS) is an annual Web-based behavioral survey of men who have sex with men (MSM) who live in the United States. The purpose of this Rapid Surveillance Report is to report on the second cycle of data collection (November 2014 through April 2015; AMIS-2014) on the same key indicators previously reported for AMIS (December 2013 through May 2014; AMIS-2013). The AMIS survey methodology has not substantively changed since AMIS-2013. MSM were recruited from a variety of websites using banner advertisements or email blasts. Adult men currently residing in the United States were eligible to participate if they had ever had sex with a man. We examined demographic and recruitment characteristics using multivariable regression modeling (P<.05) stratified by the participants' self-reported human immunodeficiency virus (HIV) status. The AMIS-2014 round of data collection resulted in 9248 completed surveys from MSM representing every US state. Participants were mainly white, 40 years or older, living in the US South, living in urban/suburban areas, and recruited from a general social networking website. Self-reported HIV prevalence was 11.34% (1049/9248). Compared with HIV-negative/unknown status participants, HIV-positive participants were more likely to have had anal sex without a condom with any male partner in the past 12 months (76.55% vs 67.17%; P<.001) and more likely to have had anal sex without a condom with their last male sex partner who was discordant/unknown HIV status (39.66% vs 18.77%; P<.001). Marijuana and other illicit substance use in the past 12 months was more likely to be reported by HIV-positive participants than HIV-negative/unknown status participants (26.02% vs 21.27%, and 27.26% vs 17.60%, respectively; both P<.001). The vast majority (86.90%, 7127/8199) of HIV-negative/unknown status participants had been previously HIV tested, and 58.23% (4799/8199) had been tested in the past 12 months. Sexually transmitted infection (STI) testing and diagnosis was also more likely to be reported by HIV-positive participants than HIV-negative/unknown status participants (71.02% vs 37.34%, and 20.59% vs 7.54%, respectively; both P<.001). HIV-negative/unknown status participants <40 years of age were more likely than those 40 years or older to have had anal sex without a condom, were more likely to report substance use, were less likely to have been HIV tested, but were more likely to been tested for and diagnosed with an STI. Compared with those from general social networking, HIV-negative/unknown status participants from a geospatial social networking website were more likely to have reported all risk behaviors but were more likely to have been HIV tested, STI tested, and diagnosed with an STI.