The Annual American Men's Internet Survey of Behaviors of Men Who Have Sex With Men in the United States: 2015 Key Indicators Report.
The Annual American Men's Internet Survey of Behaviors of Men Who Have Sex With Men in the United States: 2015 Key Indicators Report.
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DOI：
10.2196/publichealth.7119
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发表时间：
2017-03-25
影响因子：
8.5
通讯作者：
Sanchez T
中科院分区：
文献类型：
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作者：
Zlotorzynska M;Sullivan P;Sanchez T
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。本快速监测报告描述了第三个数据收集周期（2015年9月至2016年4月; AMIS-2015）。主要指标与非盟驻苏特派团以往报告的指标相同（2013年12月至2014年5月，非盟驻苏特派团-2013年; 2014年11月至2015年4月，非盟驻苏特派团-2014年）。自非盟特派团2014年以来，非盟特派团的调查方法没有实质性变化。MSM是通过横幅广告和电子邮件爆炸从各种网站招募的。此外，来自AMIS-2014的参与者同意为未来的研究重新联系，并通过电子邮件发送了AMIS-2015调查的链接。如果男性年龄在15岁及以上，居住在美国，提供有效的美国邮政编码，并报告曾与男性发生过性关系，则有资格参与研究。我们使用多变量回归模型（P<.05）对人口统计学和招募特征进行了研究，并根据参与者自我报告的人类免疫缺陷病毒（HIV）状态进行分层。AMIS-2015轮数据收集导致来自代表美国各州和波多黎各的MSM的10，217份完整调查。参与者主要是非西班牙裔白色，年龄在40岁以上，居住在美国南部，居住在城市地区，并从一般的社交网站招募。自我报告的艾滋病毒感染率为9.35%（955/10，217）。与HIV阴性/未知状态的参与者相比，HIV阳性参与者在过去12个月内更有可能在没有安全套的情况下与任何男性伴侣进行肛交（75.50%，721/955 vs 63.09%，5843/9262，P<.001），更有可能与血清不一致或身份不明的伴侣发生肛交而不使用安全套（34.45%，329/955 vs 17.07%，1581/9262，P<.001）。在过去12个月中，报告的大麻和其他非法物质的使用在艾滋病毒阳性参与者中高于艾滋病毒阴性/未知状态参与者（大麻用途：24.61%，235/955 vs 22.96%，2127/9262;其他非法物质用途：28.59%，273/955 vs 17.51%，1622/9262;均P<.001）。大多数HIV阴性/未知状态的参与者（79.11%，7327/9262）报告既往进行过HIV检测，55.69%（5158/9262）报告在过去12个月内进行过HIV检测。与HIV阴性/未知状态参与者相比，HIV阳性参与者更有可能报告性传播感染（STI）检测和诊断（STI检测：71.73%，685/955 vs 38.52%，3568/9262; STI诊断：25.65%，245/955 vs 8.12%，752/9262;均P<.001）。
The American Men’s Internet Survey (AMIS) is an annual Web-based behavioral survey of men who have sex with men (MSM) living in the United States. This Rapid Surveillance Report describes the third cycle of data collection (September 2015 through April 2016; AMIS-2015). The key indicators are the same as previously reported for AMIS (December 2013-May 2014, AMIS-2013; November 2014-April 2015, AMIS-2014). The AMIS survey methodology has not substantively changed since AMIS-2014. MSM were recruited from a variety of websites using banner advertisements and email blasts. Additionally, participants from AMIS-2014 who agreed to be recontacted for future research were emailed a link to the AMIS-2015 survey. Men were eligible to participate if they were age 15 years and older, resided in the United States, provided a valid US ZIP code, and reported ever having sex with a man. We examined demographic and recruitment characteristics using multivariable regression modeling (P<.05) stratified by participants’ self-reported human immunodeficiency virus (HIV) status. The AMIS-2015 round of data collection resulted in 10,217 completed surveys from MSM representing every US state and Puerto Rico. Participants were mainly non-Hispanic white, older than 40 years, living in the US South, living in urban areas, and recruited from general social networking websites. Self-reported HIV prevalence was 9.35% (955/10,217). Compared to 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 (75.50%, 721/955 vs 63.09%, 5843/9262, P<.001) and more likely to have had anal sex without a condom with a serodiscordant or unknown status partner (34.45%, 329/955 vs 17.07%, 1581/9262, P<.001). The reported use of marijuana and other illicit substances in the past 12 months was higher among HIV-positive participants than HIV-negative/unknown status participants (marijuana use: 24.61%, 235/955 vs 22.96%, 2127/9262; other illicit substance use: 28.59%, 273/955 vs 17.51%, 1622/9262, respectively; both P<.001). Most HIV-negative/unknown status participants (79.11%, 7327/9262) reported ever having a previous HIV test, and 55.69% (5158/9262) reported HIV testing in the past 12 months. HIV-positive participants were more likely to report sexually transmitted infection (STI) testing and diagnosis compared to HIV-negative/unknown status participants (STI testing: 71.73%, 685/955 vs 38.52%, 3568/9262; STI diagnosis: 25.65%, 245/955 vs 8.12%, 752/9262, respectively; both P<.001).