Reconsidering the Internet as an HIV/STD Risk for Men Who Have Sex with Men

Reconsidering the Internet as an HIV/STD Risk for Men Who Have Sex with Men
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DOI:
10.1007/s10461-010-9769-x
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发表时间:
2010-12-01
期刊:
影响因子:
4.4
通讯作者:
Murrill, Christopher S.
Murrill, Christopher S.
中科院分区:
医学2区
文献类型:
--
作者:
Jenness, Samuel M.;Neaigus, Alan;Murrill, Christopher S.

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以前的研究将在线性伙伴关系与男男性行为风险(MSM)联系起来,可能会受到对特定伙伴关系风险的混淆和不精确测量的影响。我们检查了与过去一年中只在线只离线或在线和离线伙伴相关的行为风险,多个伙伴关系的混淆效应,2008年从纽约市线下招募的男男性接触者样本中,479名参与者中有28%在过去一年中有在线伴侣,但其中大多数(82%)也有一个离线的合作伙伴有一个在线的合作伙伴与过去一年的无保护肛交(UAI)和其他风险有关,但在控制了多个合作伙伴之后没有。离线合作伙伴的风险略高,但差异主要归因于同时拥有线下和线上伴侣的MSM。这表明,在线伙伴关系可能不是行为风险的独立原因,而是独立于参与者的风险发生的标志。互联网使用
Previous studies linking online sexual partnerships to behavioral risks among men who have sex with men (MSM) may be subject to confounding and imprecise measurement of partnership-specific risks We examined behavioral risks associated with having only online only offline, or both online and offline partners in the past year, the confounding effects of multiple partnerships, and partnership-specific risks among a sample of MSM from New York City recruited offline in 2008 Overall, 28% of 479 participants had an online partner in the past year but most of those (82%) also had an offline partner Having an online partner was associated with past-year unprotected anal intercourse (UAI) and other risks, but not after controlling for multiple partnerships There were slightly higher levels of risk within offline partnerships, but differences were largely attributable to MSM who had both offline and online partners Last sex partners met offline were more likely to be HIV-serodiscordant and engage in concurrent substance use with the participant This suggests that online partnerships may not be an independent cause of behavioral risks but a marker for risks occurring independent of Internet use