Destination-Specific and Home Environment Condom Norms Influence Sexual Behavior During Travel.

Destination-Specific and Home Environment Condom Norms Influence Sexual Behavior During Travel.
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DOI:
10.1521/aeap.2022.34.3.245
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发表时间:
2022-06
影响因子:
1.8
通讯作者:
Steward, Wayne T.
Steward, Wayne T.
中科院分区:
医学4区
文献类型:
--
作者:
Truong, Hong-Ha M.;Fatch, Robin;McFarland, Willi;Grasso, Michael;Raymond, Henry F.;Holt, Martin;Steward, Wayne T.

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旅行者可能会根据感知的目的地特定规范来适应减少艾滋病毒风险的做法。在与男性发生性行为的男性中,我们研究了在国际和国内旅行期间以及在家庭环境中感觉到的安全套规范与无避孕套肛交(CAS)之间的关系。在过去12个月内出国旅行的男性是通过受访者驱动的抽样(N=501)招募的。在国际旅行和国内环境中,不知道目的地特定的避孕套规范与较少的CAS显著相关,但在国内旅行期间则不相关。在国内旅行期间,感知家庭环境中的避孕套规范以期望使用避孕套与较少的CAS显著相关,但与国际旅行无关。在国际旅行期间,当目的地特定的避孕套规范未知时,男性不太可能参与CAS。对环境和文化的不熟悉可能会影响一些男性避免更高风险的行为。在国内旅行期间,一些男子似乎使用了家庭环境避孕套规范,这在某些情况下可能是错误的,并构成艾滋病毒风险。
Travelers may adapt HIV risk-reduction practices based on perceived destination-specific norms. We examined the association between perceived condom norms and condomless anal sex (CAS) during international and domestic travel and in the home environment among men who have sex with men. Men who traveled internationally in the past 12 months were recruited by respondent-driven sampling (N = 501). Not knowing destination-specific condom norms was significantly associated with less CAS during international travel and in the home environment but not during domestic travel. Perceiving home environment condom norms to expect use of condoms was significantly associated with less CAS during domestic but not international travel. Men were less likely to engage in CAS during international travel when destination-specific condom norms were unknown. Unfamiliarity with the environment and culture may influence some men to refrain from higher-risk behaviors. During domestic travel, some men appeared to apply home environment condom norms, which may be erroneous in some situations and pose an HIV risk.
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