Prevalence and Correlates of Heterosexual Anal Intercourse Among Clients Attending Public Sexually Transmitted Disease Clinics in Los Angeles County
Prevalence and Correlates of Heterosexual Anal Intercourse Among Clients Attending Public Sexually Transmitted Disease Clinics in Los Angeles County
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DOI：
10.1097/olq.0b013e3181cbf77d
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发表时间：
2010-06-01
影响因子：
3.1
通讯作者：
Kerndt, Peter R.
中科院分区：
文献类型：
--
作者：
Javanbakht, Marjan;Guerry, Sarah;Kerndt, Peter R.
目的：通过对美国加利福尼亚州洛杉矶县13家公立性病门诊就诊者进行横断面调查，了解就诊人群中异性肛交(AI)的人口学和行为特征及其与性传播感染(STI)的关系。结果：总体而言，10%的异性恋男性(n=1,978)和10%的女性(n=1,364)在就诊前90天报告了AI与异性伴侣的关系。从事人工智能工作的女性更有可能报告用毒品或金钱换取性行为(调整后的优势比[AOR]=2.80；95%可信区间[CI]：1.95-4.02]，使用药物(AOR=1.35；95%CI：1.17-1.55)，而不太可能是非裔美国人(AOR=0.53；95%CI：0.43-0.65)。在男性中，非洲裔美国人男性报告异性AI的可能性较低(AOR=0.70；95%CI：0.60-0.82)，而西班牙裔男性(AOR=1.50；95%CI：1.29-1.76)与白人男性相比更有可能报告异性AI。其他与男性人工智能相关的因素包括毒品/金钱换取性行为、匿名性行为以及与注射吸毒者的性行为。在男性和女性中，与人工智能相关的因素因种族/民族而异。结论：最近在公立性病诊所就诊的患者中，有相当比例的人报告了最近的异性人工智能。那些报告人工智能的人也更有可能报告将他们置于传播或获得性传播感染/艾滋病毒的高风险的危险行为。
Objective: To identify demographic and behavioral correlates of heterosexual anal intercourse (AI), as well as associations with sexually transmitted infections (STI) among clients attending public sexually transmitted disease (STD) clinics.Methods: We conducted a cross-sectional study of clients attending 13 public STD clinics in Los Angeles County, CA. Data collected included information on demographics, types of sexual contact, substance use, other risk behaviors, and STI results.Results: Overall, 10% of heterosexual men (n = 1,978) and 10% of women (n = 1,364) reported AI with an opposite sex partner in the 90 days preceding their clinic visit. Women who engaged in AI were more likely to report exchange of drugs or money for sex (adjusted odds ratio [AOR] = 2.80; 95% confidence interval [CI]: 1.95-4.02], substance use (AOR = 1.35; 95% CI: 1.17-1.55), and less likely to be African American (AOR = 0.53; 95% CI: 0.43-0.65). Among men, African American men were less likely to report heterosexual AI (AOR = 0.70; 95% CI: 0.60-0.82), while Hispanic men (AOR = 1.50; 95% CI: 1.29-1.76) were more likely to report heterosexual AI when compared to white men. Other factors associated with AI among men included exchange of drugs/money for sex, anonymous sex, and sex with an injection drug user. Among both men and women factors associated with AI varied by race/ethnicity.Conclusions: Recent heterosexual AI was reported by a nontrivial proportion of clients seen at public STD clinics. Those who reported AI were also more likely to report risk behaviors that place them at high-risk for transmitting or acquiring STIs/HIV.