Is the experience of hunger associated with risk of engaging in condomless anal sex among minority young men who have sex with men?
Is the experience of hunger associated with risk of engaging in condomless anal sex among minority young men who have sex with men?
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与男人发生性关系的少数年轻男性中，饥饿的经历是否与从事避孕套肛交的风险有关？
DOI：
10.1177/0956462420911562
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发表时间：
2020-04
影响因子：
1.4
通讯作者：
Kipke MD
中科院分区：
文献类型：
--
作者：
Crosby RA;Kubicek K;Kipke MD
虽然新出现的证据表明，饥饿可能是从事导致艾滋病毒感染的风险行为的一个风险因素，但很少对与男性发生性关系的年轻少数民族男性（YMSM）进行探索。本研究探讨了一系列性风险行为与饥饿的关系，评估了448名居住在洛杉矶的YMSM。45%经历过饥饿（过去12个月）。饥饿与无安全套肛交（汽车）显著相关（校正比值比1.74; 95%可信区间1.01-3.01; P.049）. 此外，饥饿也与汽车的百分比更高显著相关（β.12; t 2.18; P.03）。 相对于无安全套肛交插入，未观察到平行效应。研究结果表明，饥饿的经验，年轻的少数男男性接触者一般不与性风险的环境。一个重要的例外是，饥饿可能导致有汽车。这表明一个潜在的“权衡”接受合作伙伴经历饥饿和部分支持的想法，在饥饿可能会使少数YMSM的合作伙伴要求不使用避孕套。
Although emerging evidence suggests that hunger may be a risk factor for engaging in risk behaviors that lead to HIV acquisition, this has rarely been explored for young minority men who have sex with men (YMSM). This study explored a range of sexual risk behaviors for associations with a measure of hunger, assessed among 448 YMSM residing in Los Angeles, CA. Forty-five percent experienced hunger (past 12 months). Hunger was significantly associated with engaging in any condomless anal receptive sex (CARS) (adjusted odds ratio 1.74; 95% confidence interval 1.01–3.01; P .049). Further, hunger was also significantly associated with a greater percentage of CARS (Beta .12; t 2.18; P .03). Parallel effects were not observed relative to condomless anal insertive sex. Findings suggest that the experience of hunger among young minority MSM is generally not associated with a milieu of sexual risk. One important exception is that hunger may lead to having CARS. This suggests a potential ‘trade off’ for receptive partners experiencing hunger and partially supports the idea that at hunger may predispose minority YMSM to partner demands not to use condoms.
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