Sexual Health Among U.S. Black and Hispanic Men and Women: A Nationally Representative Study

Sexual Health Among U.S. Black and Hispanic Men and Women: A Nationally Representative Study
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DOI:
10.1111/j.1743-6109.2010.02019.x
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发表时间:
2010-10-01
影响因子:
3.5
通讯作者:
Fortenberry, J. Dennis
Fortenberry, J. Dennis
中科院分区:
医学2区
文献类型:
--
作者:
Dodge, Brian;Reece, Michael;Fortenberry, J. Dennis

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目的:这项研究试图建立美国黑人和西班牙裔成年男性和女性的性行为的现在率、性保健做法(即性传播感染的检测和诊断性传播疾病的经验)和使用安全套的概率样本。主要结果测量:评估包括单独自慰、伴侣自慰、接受口交和口交、阴道性交和肛交在内的性行为。检查HIV和其他性传播感染检测的自我报告率,以及自我报告性传播感染诊断史。此外,还评估了最近和过去10次阴道性交事件中避孕套的使用率。方法:对1246名黑人和西班牙裔成年人的概率样本数据进行分析,以探索性行为、避孕套使用、性传播感染检测和诊断趋势。结果:自慰、口交和阴道性交在黑人和西班牙裔男性和女性整个生命过程中普遍存在。肛交和同性性行为不太常见。自我报告的艾滋病毒检测比率相对较高,但不同年龄段的性别有所不同。同样,其他性传播感染的检测率很高,而且不同年龄段的性别不同。黑人和西班牙裔男性和女性的总体避孕套使用率相对较高,似乎与各种情景因素无关,包括性行为地点、关系状况、其他避孕措施的使用和性行为中的物质使用。结论这些数据为了解美国黑人和西班牙裔男性和女性总人口的多样化性行为、性保健做法和避孕套使用提供了基础。道奇B、里斯·M、赫本尼克·D、希克·V、桑德斯·SA和Fortenberry JD.美国黑人和西班牙裔男女的性健康:一项具有全国代表性的研究。《性医学杂志》2010;第7期(第5期):330-345。
Introduction.Little is known about the prevalence of sexual behaviors among the black and Hispanic populations in the United States outside the context of sexual risk and disease transmission in "high-risk" samples.Aim.This study sought to establish current rates of sexual behaviors, sexual health care practices (i.e., experiences with testing and diagnosis of sexually transmitted infections [STIs]), and condom use in a probability sample of black and Hispanic adult men and women in the United States.Main Outcome Measures.Sexual behaviors including solo masturbation, partnered masturbation, receiving oral sex and giving oral sex, vaginal intercourse, and anal intercourse were assessed. Self-reported rates of HIV and other STI testing, and self-reported history of STI diagnosis were examined. Also assessed were rates of condom use during most recent and past 10 vaginal intercourse events.Methods.Data from a probability sample of 1246 black and Hispanic adults were analyzed to explore sexual behaviors, condom use, and STI testing and diagnosis trends.Results.Masturbation, oral sex, and vaginal intercourse were prevalent among black and Hispanic men and women throughout the life course. Anal intercourse and same-gender sexual activities were less common. Self-reported rates of HIV testing were relatively high but varied by gender across age groups. Similarly, rates of testing for other STI were high and differed by gender across age groups. Overall rates of condom use among black and Hispanic men and women were relatively high and did not appear to be related to a variety of situational factors including location of sexual encounter, relationship status, other contraceptive use, and substance use during sexual activity.Conclusion.These data provide a foundation for understanding diverse sexual behaviors, sexual health-care practices, and condom use among the general population of black and Hispanic men and women in the United States. Dodge B, Reece M, Herbenick D, Schick V, Sanders SA, and Fortenberry JD. Sexual health among U.S. black and Hispanic men and women: a nationally representative study. J Sex Med 2010;7(suppl 5):330-345.