Bug chasing and gift giving: The potential for HIV transmission among barebackers on the Internet
Bug chasing and gift giving: The potential for HIV transmission among barebackers on the Internet
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DOI：
10.1521/aeap.2006.18.6.490
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发表时间：
2006-12-01
影响因子：
1.8
通讯作者：
Parsons, Jeffrey T.
中科院分区：
文献类型：
--
作者：
Grov, Christian;Parsons, Jeffrey T.
“追虫”和“送礼”是一些男男性行为者 (MSM) 用来描述故意无保护肛交（“无鞍”）的口语术语，其目的是传播艾滋病毒。很少有大规模的描述性研究调查这种现象的普遍性。这项研究分析了 2004 年秋季在美国一个以裸男为中心的网站上自称为追虫者或送礼者的 MSM（n = 1,228）的互联网资料。大多数男性 (79%) 是白人，大多数 (70%) 居住在美国。根据男性的 HIV 血清状况和他们想要的伴侣的期望血清状况，确定了六类追虫和送礼者见面。只有一小部分男性真正在寻找血清状态不一致的伴侣：1.1% 的 HIV 阳性男性和 21.3% 的 HIV 阴性男性。更大一部分人对其伴侣的 HIV 血清状况持矛盾态度：72% 的 HIV 阳性男性和 35% 的 HIV 阴性男性。在网上被认定为追虫者或送礼者并不总是符合行为意图，因为 24% 的 HIV 阳性男性和 36% 的 HIV 阴性男性专门寻找具有相同血清状态的伴侣。这些数据表明，追虫和送礼确实存在；然而，相当一部分的追虫者和送礼者并不打算传播艾滋病毒。
"Bug chasing" and "gift giving" are colloquial terms used by some men who have sex with men (MSM) to describe intentional unprotected anal sex ("barebacking") with the goal of spreading HIV. There is little large-scale descriptive research that has investigated the prevalence of this phenomenon. This study analyzed the Internet profiles of MSM who self-identified as bug chasers or gift givers (n =1,228) on a single U.S.-based barebacking-centered Web site in the fall of 2004. Most men (79%) were White, and most (70%) lived in the U.S. Six categories of bug chasing and gift giving were identified based on the HIV serostatus of men and the desired serostatus of partners they wanted to meet. Only a small portion of men were genuinely seeking partners of discordant serostatus:1.1 % of HIV-positive men and 21.3% of HIV-negative men. A larger portion were ambivalent about their partners HIV serostatus: 72% of HIV-positive men and 35% of HIV-negative men. Having identified online as a bug chaser or gift giver did not consistently correspond to behavioral intentions, as 24% of HIV-positive men and 36% of HIV-negative men were specifically seeking partners of the same serostatus. These data suggest bug chasing and gift giving do exist; however a sizable portion of both bug chasers and gift givers were not intent on spreading HIV.