Open, closed, or in between: relationship configuration and condom use among men who use the internet to seek sex with men.
Open, closed, or in between: relationship configuration and condom use among men who use the internet to seek sex with men.
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DOI：
10.1007/s10461-012-0316-9
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发表时间：
2013-05
影响因子：
4.4
通讯作者：
Rosser BR
中科院分区：
文献类型：
--
作者：
Brady SS;Iantaffi A;Galos DL;Rosser BR
据估计，近 70% 的 HIV+ MSM（男男性行为者）是从主要伴侣处感染 HIV 的。我们检查安全套的使用是否因关系配置而异，包括有或没有作弊的开放关系。通过色情社交网站招募了 656 名已建立忠诚关系的男男性行为者。在过去 90 天内与非主要伴侣发生过肛交的 MSM 中，有 55% 的人没有使用安全套。调整协变量后，与一夫一妻制的开放性作弊关系相比，男男性行为者更有可能与主要和非主要伴侣进行无保护的肛交。认为伴侣玩弄或欺骗的 MSM 更有可能与非主要伴侣进行无保护的肛交。预防信息应努力减少欺骗并增加个人保护伴侣免受艾滋病毒感染的责任。消息应该经过定制以反映开放和一夫一妻制的关系。
Nearly 70% of HIV+ MSM (men who have sex with men) are estimated to have contracted HIV from a main partner. We examine whether condom use varies by relationship configuration, including open relationships with and without cheating. 656 MSM in committed relationships were recruited through a sexually explicit social networking website. Of the 55% of MSM who had anal sex with a non-main partner in the past 90 days, two-thirds did not use a condom. Adjusting for covariates, MSM in relationships characterized as open with cheating versus monogamous were more likely to have unprotected anal sex with both main and non-main partners. MSM who perceived that their partner played around or cheated were more likely to have unprotected anal sex with a non-main partner. Prevention messages should attempt to reduce cheating and increase personal responsibility for protecting partners from HIV. Messages should be tailored to reflect open and monogamous relationships.