Use of gay Internet sites and views about online health promotion among men who have sex with men
Use of gay Internet sites and views about online health promotion among men who have sex with men
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DOI：
10.1080/09540120412331292453
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发表时间：
2004-11-01
影响因子：
1.7
通讯作者：
Elford, J
中科院分区：
文献类型：
--
作者：
Bolding, G;Davis, M;Elford, J
2002年5月至6月，4 974名平均年龄为31岁的男男性行为者（MSM）通过联合王国两个流行的同性恋互联网网站（gaziar和gay.com UK）在线填写了一份自填问卷。大多数男性是白色（95%），有工作（83%），住在英国（91%），自我认同为同性恋（85%）。近一半（46%）的人没有接受过艾滋病毒检测，而6%的人说他们是艾滋病毒阳性。三分之一（31%）的人报告说，在过去三个月内发生了高风险的性行为，即与艾滋病毒感染状况不明或不一致的伴侣进行无保护的肛交。几乎所有的男性（82%）都在网上寻找过性伴侣，四分之三的人已经这样做了一年多。近一半的男性（47%）表示，他们更喜欢通过互联网而不是在酒吧或其他“线下”场所与男性见面。尽管近40%的男性表示，使用这些网站的最重要原因是寻找性伴侣，但另有17%的人表示，他们主要是利用这些网站与其他男性接触，16%的人是因为无聊，12%是为了娱乐，4%是因为孤独，3%是因为孤独。因为他们沉迷于此。在这项调查中，大多数男性对在线健康促进持赞成态度。大多数男子认为，互联网网站应允许卫生工作者进入聊天室（75%）;会点击横幅了解性健康情况（78%）;并说，如果他们在聊天室遇到卫生工作者，他们会了解他们必须说的话（84%）。在多变量分析中，艾滋病毒阳性、年龄较大和高风险性行为都与使用互联网寻找性的频率增加独立相关（p < 0.05）。互联网已成为男男性行为者的一个重要聚会场所。随着在线艾滋病毒预防举措的发展，必须监测在预防行为中反映出的积极态度的程度。
In May-June 2002, 4,974 men who have sex with men (MSM), average age 31 years, completed a self-administered questionnaire online accessed through two popular gay Internet sites in the UK (gaydar and gay.com UK). Most men were white (95%), employed (83%), lived in the UK (91%) and self-identified as gay (85%). Nearly half (46%) had not been tested for HIV, while 6% said they were HIV-positive. One-third (31%) reported high-risk sexual behaviour in the previous three months, i.e. unprotected anal intercourse with a partner of unknown or discordant HIV status. Nearly all the men (82%) had looked for a sexual partner on the Internet and three-quarters had been doing so for more than a year. Almost half the men (47%) said they preferred to meet men through the Internet rather than in bars or other 'offline' venues. Although nearly 40% of men said the most important reason for using these Internet sites was to find sexual partners, a further 17% said they primarily used them to have contact with other men, 16% because they were bored, 12% for entertainment, 4% because they were lonely and 3% because they were addicted to it. The majority of men in this survey had favourable attitudes towards online health promotion. Most men thought that Internet sites should allow health workers into chat-rooms (75%); would click on a banner to find out about sexual health (78%); and said if they met a health worker in a chat-room they would find out what they had to say (84%). In multivariate analysis, being HIV-positive, older age and high-risk sexual behaviour were all independently associated with an increased frequency of using the Internet to look for sex (p < 0.05). The Internet has emerged as an important meeting place for men who have sex with men. As online HIV prevention initiatives are developed it will be important to monitor the extent to which the favourable attitudes seen here are reflected in preventive behaviours.