Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men - Where do we go from here?
Negotiating risks in context: A perspective on unprotected anal intercourse and barebacking among men who have sex with men - Where do we go from here?
复制标题
DOI：
10.1023/a:1002700130455
复制
发表时间：
2001-06-01
影响因子：
3.8
通讯作者：
Miller, J
中科院分区：
文献类型：
--
作者：
Suarez, T;Miller, J
最近，在与男性发生性关系的男性中出现了一种令人担忧的无保护肛交趋势。无保护肛交是一种高度危险的无保护肛交形式，无保护肛交--在知道存在风险的情况下故意和有意识地选择进行肛交--在同性恋新闻界受到了很大的关注。这一趋势对艾滋病毒预防工作提出了新的挑战。随着目标人群的变化，预防干预措施也必须不断发展，以保持有效性。对风险行为的科学文献和流行文献以及专门用于无保护肛交的网站的回顾表明，许多背景因素影响了进行无保护肛交的决定。这篇综述探讨了影响男同性恋/双性恋风险行为的最突出的背景因素。它还确定了四个主要的队列和主要的背景因素，似乎激励无保护的肛交在每个。在回答问题“我们从这里去哪里”，我们的结论是，背景问题必须解决混合预防干预措施，包括火腿减少，动机访谈，和传统的方法。
Recently an alarming trend toward unprotected anal intercourse has emerged in men who have sex with men. A highly dangerous form of unprotected anal intercourse, barebacking - the deliberate and conscious choice to engage in anal sex without condoms knowing that there are risks involved - has received much attention in the gay press. This trend poses new challenges for HIV prevention. As the target population changes, prevention interventions must also evolve to remain effective. A review of the scientific literature on risk behaviors and the popular literature and websites devoted to barebacking suggests that many contextual factors influence the decision to engage in unprotected anal intercourse. This review examines the most salient contextual factors affecting risk behavior in gay/bisexual men. It also identifies four main cohorts and predominant contextual factors that appear to motivate unprotected anal intercourse in each. In answering the question "where do we go from here," we conclude that contextual issues must be addressed in hybrid prevention interventions that include ham reduction, motivational interviewing, and traditional approaches.