Increased high risk sexual behavior after September 11 in men who have sex with men: An internet survey
Increased high risk sexual behavior after September 11 in men who have sex with men: An internet survey
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DOI：
10.1007/s10508-005-6278-5
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发表时间：
2005-10-01
影响因子：
3.8
通讯作者：
Remien, RH
中科院分区：
文献类型：
--
作者：
Chiasson, MA;Hirshfield, S;Remien, RH
已经发表了许多关于恐怖袭击对心理健康影响的研究报告，其中一些报告称吸烟、吸毒和酗酒的情况有所增加。没有人报告性行为的变化。为了调查911袭击事件对男男性行为者（MSM）的性行为、吸毒和酗酒行为的影响，进行了一项匿名互联网调查，以回顾性地获得袭击前后三个月内的行为信息。来自美国50个州的2,915名男男性行为者完成了这项调查。由于用于招募的在线横幅广告没有提到9月11日，因此暴露于袭击的男性在调查中没有区别对待。11.4%的人失去了朋友或亲戚; 5%的人亲眼目睹了袭击;几乎所有人都在袭击发生后一小时内在电视上看到了袭击。几乎相同比例的男性报告说，在9月11日之后，性伴侣的数量增加或减少。当9月11日之后的行为与袭击前相比时，发现无保护的肛交和酒精使用，但不是非法药物使用，有统计学意义的小幅度增加。在袭击中失去朋友或亲戚的男性比那些没有朋友或亲戚的男性更有可能报告无保护的肛交，性伴侣数量增加，以及在9月11日之后饮酒增加。关于药物滥用和危险性行为的咨询应该纳入青少年和成年人的创伤相关计划。
Numerous studies on the mental health effects of terrorist attacks have been published, with some reporting increases in smoking and drug and alcohol use. None have reported on changes in sexual behavior. To investigate the impact of the September 11 attacks on sexual and drug- and alcohol-using behaviors of men who have sex with men (MSM), an anonymous Internet survey was conducted to obtain information retrospectively on behavior during three month periods before and after the attacks. A total of 2,915 MSM from all 50 U.S. states completed the survey. Men who were exposed to the attacks were not differentially targeted for the survey since the online banner ad used to recruit did not mention September 11. Exposure to the attacks varied: 11.4% lost a friend or relative; 5% witnessed the attacks in person; and nearly all saw the attacks on television within one hour of their occurrence. Nearly equal proportions of men reported increases and decreases in the number of sex partners following September 11. Small, statistically significant increases in unprotected anal intercourse and alcohol use, but not illicit drug use, were found when behavior after September 11 was compared to that before the attacks. Men who lost a friend or relative in the attacks were significantly more likely to report unprotected anal intercourse, an increased number of sex partners, and increased alcohol use after September 11 than those who did not. Counseling about substance abuse and risky sexual behavior should be incorporated into trauma-related programs for adolescents and adults.