Age of MSM Sexual Debut and Risk Factors: Results from a Multisite Study of Racial/Ethnic Minority YMSM Living with HIV
Age of MSM Sexual Debut and Risk Factors: Results from a Multisite Study of Racial/Ethnic Minority YMSM Living with HIV
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DOI：
10.1089/apc.2011.9879
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发表时间：
2011-08-01
影响因子：
4.9
通讯作者：
Green-Jones, Monique
中科院分区：
文献类型：
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作者：
Outlaw, Angulique Y.;Phillips, Gregory, II;Green-Jones, Monique
据报道，美国青少年初次性行为的平均年龄为14.4岁，其中约7%的人在13岁之前就发生了性行为。虽然关于青少年初次性行为的研究文献涉及性别和种族差异（男性和非裔美国青年经历更早的性行为），但关于与男男性行为（YMSM）的年轻男性初次性行为相关因素的数据有限。过早的性行为会带来潜在的健康风险，例如感染艾滋病毒的风险增加。鉴于目前种族/少数民族的YMSM HIV感染率很高，了解更多关于他们的初次性行为和相关的危险因素是非常重要的。本研究调查了感染HIV的少数族裔男同性恋者的危险行为、情绪困扰及其与初次性行为的关系。我们假设16岁以下的男男性接触者与16岁以上的男男性接触者相比，更容易发生高风险的性行为（无保护的性行为和交换性行为）、物质使用和情绪困扰。结果表明，16岁之前有MSM性行为的参与者报告了更多的交换性行为；吸毒（特别是大麻）；与药物使用有关的情绪/心理问题；以及有自杀企图的历史，这与后来初次接触MSM的参与者相比。需要对种族/民族敏感的综合干预措施，询问初次性经历，并关注性健康和健康的关系，以改善这一人群的健康结果。
The average reported age of sexual debut for youth in the United States is 14.4 years, with approximately 7% reporting their sexual debut prior to age 13. While the research literature on sexual debut for youth addresses gender and ethnic differences (with males and African-American youth experiencing earlier sexual debut), there is limited data regarding factors associated with sexual debut for young men who have sex with men (YMSM). Early sexual debut poses potential health risks, such as contracting HIV with an increased risk of unprotected intercourse. Given current high HIV infection rates for racial/ethnic minority YMSM, learning more about their sexual debuts and associated risk factors of this population is of great importance. This study investigated risk behaviors and emotional distress, and their association with MSM sexual debut for a multisite cohort of racial/ethnic minority YMSM living with HIV. We hypothesized that a MSM sexual debut younger than age 16 would be associated with engagement in more high-risk sexual behaviors (unprotected sex and exchange sex), substance use, and emotional distress than a MSM sexual debut at age 16 or older. Results indicated that participants having a MSM sexual debut before the age of 16 reported more exchange sex; drug use (specifically marijuana); emotional/psychological problems related to substance use; and a history of suicide attempts, compared to participants with later MSM sexual debuts. Comprehensive interventions that are racially/ethnically sensitive, inquire about initial sexual experiences, and focus on sexual health and healthy relationships are needed to improve health outcomes for this population.