Correlates of unprotected vaginal or anal intercourse with women among substance-using men who have sex with men.
Correlates of unprotected vaginal or anal intercourse with women among substance-using men who have sex with men.
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DOI：
10.1007/s10461-012-0357-0
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发表时间：
2013-03
影响因子：
4.4
通讯作者：
Koblin, Beryl A.
中科院分区：
文献类型：
--
作者：
Greene, Emily;Frye, Victoria;Mansergh, Gordon;Colfax, Grant N.;Hudson, Sharon M.;Flores, Stephen A.;Hoover, Donald R.;Bonner, Sebastian;Koblin, Beryl A.
与男性和女性发生性行为的男性（MSMW）在异性恋艾滋病毒传播中所起的作用尚不清楚。我们分析了MIX项目的基线数据，这是一项针对男男性行为（MSM）的药物使用男性的行为干预研究，并确定了与女性无保护的阴道性交、肛交或两者的相关性（UVAI）。大约10% （n=194）的男性报告与女性发生阴道性行为、肛交或两者兼有；在这些使用物质的MSMW中，66%（129）报告了UVAI。在使用药物的MSMW中，多变量分析发现，失业相对于全职/兼职工作（OR=2.28; 95% CI 1.01, 5.17），有主要女性伴侣相对于没有主要女性伴侣（OR=3.44; CI 1.4, 8.46），较高水平的治疗乐观（OR=1.73; 95% CI 1.18, 2.54）增加了UVAI的几率。与同种族同性恋群体的强烈联系（OR=0.71; 95% CI 0.56, 0.91）和使用伟哥（OR=0.31; 95% CI 0.10, 0.95）降低了UVAI的几率。这项研究表明，尽管使用药物的男男性接触者与女性发生性行为的比例很低，但这些男性与女性发生无保护的性行为，尤其是与主要的女性伴侣。这项工作强调需要进一步研究使用MSMW人群的物质，以告知专门针对MSMW的艾滋病毒预防干预措施。
The role men who have sex with men and women (MSMW) play in heterosexual HIV transmission is not well understood. We analyzed baseline data from Project MIX, a behavioral intervention study of substance-using men who have sex with men (MSM), and identified correlates of unprotected vaginal intercourse, anal intercourse, or both with women (UVAI). Approximately 10% (n=194) of the men reported vaginal sex, anal sex, or both with a woman; of these substance-using MSMW, 66% (129) reported UVAI. Among substance-using MSMW, multivariate analyses found unemployment relative to full/part-time employment (OR=2.28; 95% CI 1.01, 5.17), having a primary female partner relative to no primary female partner (OR=3.44; CI 1.4, 8.46), and higher levels of treatment optimism (OR=1.73; 95% CI 1.18, 2.54) increased odds of UVAI. Strong feelings of connection to a same-race gay community (OR=0.71; 95% CI 0.56, 0.91) and Viagra use (OR=0.31; 95% CI 0.10, 0.95) decreased odds of UVAI. This work suggests that although the proportion of substance-using MSM who also have sex with women is low, these men engage in unprotected sex with women, particularly with primary female partners. This work highlights the need for further research with the substance using MSMW population to inform HIV prevention interventions specifically for MSMW.
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影响因子：
3.6
作者：
MCKIRNAN, DJ;STOKES, JP;BURZETTE, RG
通讯作者：
BURZETTE, RG
DOI：
10.1097/01.qai.0000127027.55052.22
发表时间：
2004-12-01
影响因子：
3.6
作者：
Huebner, DM;Rebchook, GM;Kegeles, SM
通讯作者：
Kegeles, SM
影响因子：
3.8
作者：
Prabhu, R;Owen, CL;McFarland, W
通讯作者：
McFarland, W
影响因子：
1.8
作者：
O'Donnell, L;Agronick, G;Stueve, A
通讯作者：
Stueve, A
影响因子：
12.7
作者：
EKSTRAND, ML;COATES, TJ;HULLEY, SB
通讯作者：
HULLEY, SB