Prevalence and Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men (MSM) Who Use Mobile Geo-Social Networking Applications in Greater Tokyo
Prevalence and Factors Associated with Inconsistent Condom Use among Men Who Have Sex with Men (MSM) Who Use Mobile Geo-Social Networking Applications in Greater Tokyo
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DOI：
10.3390/ijerph15122815
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发表时间：
2018-12-01
影响因子：
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通讯作者：
Armstrong, Gregory
中科院分区：
文献类型：
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作者：
Hill, Adam O.;Bavinton, Benjamin R.;Armstrong, Gregory
这项研究调查了大东京地区使用同性恋移动地理社交网络应用程序（同性恋移动应用程序）的男男性行为者（MSM）中安全套使用不一致的患病率和相关因素。在通过同性恋移动应用程序广告招募的 1657 名男男性行为者样本中，超过三分之一 (37%) 的参与者表示，与固定男性伴侣的参与者不一致使用安全套，与临时男性伴侣的参与者比例为 18%，与女性伴侣的参与者比例为 20%。在多元回归分析中，未受过大学教育的参与者以及报告安全性行为自我效能较低的参与者中，与定期和临时男性伴侣不一致使用安全套的情况更为常见。居住在东京中部 23 区的参与者中，与临时男性伴侣使用安全套不一致的情况更为常见。在那些被认定为同性恋群体成员且只有男性伴侣的参与者中，与固定男性伴侣使用安全套不一致的情况更为常见。这些结果表明，大东京地区同性恋移动应用程序用户中很大一部分使用安全套的方式不一致，尤其是与固定伴侣时，并且可能面临感染艾滋病毒的风险。本文提供了有用的信息，帮助设计定制策略，以减少安全套使用不一致的情况。
This study examined the prevalence and factors associated with inconsistent condom use among men who have sex with men (MSM) who use gay mobile geo-social networking applications (gay mobile apps) in Greater Tokyo. Among a sample of 1657 MSM recruited through advertisements on gay mobile apps, inconsistent condom use was reported by over one-third (37%) of participants with regular male partners, 18% with casual male partners, and 20% with female partners. In multiple regression analysis, inconsistent condom use with both regular and casual male partners was more commonly reported among participants without a university education, and among participants reporting lower self-efficacy for safer sex. Inconsistent condom use with casual male partners was more commonly reported among participants living in the central 23 wards of Tokyo. Inconsistent condom use with regular male partners was more commonly reported among participants who identified as a member of the gay community, and who only had male partners. These results indicate that a substantial proportion of Greater Tokyo gay mobile app users use condoms inconsistently, particularly with regular partners, and may be at risk for HIV. This paper provides useful information to help design tailored strategies to reduce inconsistent condom use.