Differential HIV risk in bathhouses and public cruising areas

Differential HIV risk in bathhouses and public cruising areas
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DOI:
10.2105/ajph.91.9.1482
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发表时间:
2001-09-01
影响因子:
12.7
通讯作者:
Catania, JA
Catania, JA
中科院分区:
医学2区
文献类型:
--
作者:
Binson, D;Woods, WJ;Catania, JA

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目标.这份报告调查了男性同性恋者(MSM)谁去同性恋浴室,公共巡航区,或两者兼而有之的风险行为的差异。我们使用了居住在美国4个城市的MSM的概率样本(n = 2881)。使用派对药物和与非主要伴侣进行无保护肛交的男性比不使用的男性更有可能去性场所,在参与者中,只去公共巡航区的MSM最不可能,而那些去公共巡航区和浴室的MSM最有可能报告在公共场所发生危险性行为。区分以前被视为单一结构的性场所,揭示了场所使用模式与性风险之间的显着关联,将艾滋病毒预防工作定位在浴室,将触及艾滋病毒传播风险最大的男性群体。
Objectives. This report investigates differences in risk behaviors among men who have sex with men (MSM) who went to gay bathhouses, public cruising areas, or both.Methods. We used a probability sample of MSM residing in 4 US cities (n = 2881).Results. Men who used party drugs and had unprotected anal intercourse with nonprimary partners were more likely to go to sex venues than men who did not, Among attendees, MSM who went to public cruising areas only were least likely, and those who went to both public cruising areas and bathhouses were most likely to report risky sex in public settings,Conclusions, Distinguishing between sex venues previously treated as a single construct revealed a significant association between pattern of venue use and sexual risk, Targeting HIV prevention in the bathhouses would reach the segment of men at greatest risk for HIV transmission.