Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey
Behaviourally bisexual men as a bridge population for HIV and sexually transmitted infections? Evidence from a national probability survey
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DOI：
10.1258/ijsa.2008.008215
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发表时间：
2009-02-01
影响因子：
1.4
通讯作者：
Cassell, J. A.
中科院分区：
文献类型：
--
作者：
Mercer, C. H.;Hart, G. J.;Cassell, J. A.
我们通过比较行为双性恋男性（BBM）的性风险行为、态度和性健康结果，考虑BBM作为性传播感染（STI）/艾滋病传播的桥梁人群的潜力（定义为报告与男性和女性发生性关系的男性），报告（i）纯男性伴侣（MEMP）和（ii）纯女性伴侣（MEFP）的男性，使用1999年至2001年对英国16-44岁普通人群（n = 5168名男性）进行的概率调查。在过去五年中报告性行为的男性中，约有1.3%是BBM（占报告男性伴侣的所有男性的44.1%）; 29.0%的BBM已婚/与女性同居。在这段时间内，BEIM中的中位伴侣数量为7人，MEFP中为2人，MEMP中为10人。BBM和MEMP在过去五年中报告STI诊断的比例相似，但BEIM报告HIV检测的可能性低于MEMP（经社会人口统计学调整的比值比：0.31）。因此，BBM在性风险行为方面介于MEFP和MEMP之间，但在报告STI诊断方面与MEMP相似。这些数据对健康促进和伴侣通知有影响，因为BBM不太可能成为针对同性恋男性的安全性行为信息的适当目标。
We consider the potential of behaviourally bisexual men (BBM) as a bridge population in sexually transmitted infection (STI)/HIV transmission by comparing sexual risk behaviours, attitudes and sexual health outcomes of BBM (defined as men who reported sex with men and women), with men who reported (i) exclusively male partners (MEMP) and (ii) exclusively female partners (MEFP), using a probability survey of the British general population aged 16-44 years, conducted between 1999 and 2001 (n = 5168 men). About 1.3% of men who reported sex in the past five years were BBM (44.1% of all men reporting male partners); 29.0% of BBM were married/cohabiting with women. Median partner numbers in this timeframe were seven among BEIM, two among MEFP and 10 among MEMP. Similar proportions of BBM and MEMP reported STI diagnosis/es in the past five years, yet BEIM were less likely than MEMP to report HIV-testing (odds ratio adjusted for sociodemographics: 0.31). BBM are thus mid-way between MEFP and MEMP in their sexual risk behaviour, but are similar to MEMP in reporting STI diagnosis/es. These data have implications for health promotion and partner notification, as BBM are unlikely to be appropriately targeted by safe-sex messages aimed at men identifying as gay.