Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment
Sex Parties among Urban MSM: An Emerging Culture and HIV Risk Environment
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DOI：
10.1007/s10461-010-9809-6
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发表时间：
2011-02-01
影响因子：
4.4
通讯作者：
Mayer, Kenneth H.
中科院分区：
文献类型：
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作者：
Mimiaga, Matthew J.;Reisner, Sari L.;Mayer, Kenneth H.
私人性聚会是男男性行为者（MSM）感染艾滋病毒的一个新的风险环境。2009年，103名参与者报告说，在过去12个月里，他们在马萨诸塞州至少参加过一次性聚会，他们完成了一项深入的、由采访者管理的定量评估。进行多变量logistic回归分析，以研究在最近的性聚会上参与一个或多个血清不一致的无保护肛交（SDUAS）行为的相关性。近三分之一（32%）的样本报告说，在最近的性聚会上参加了SDUAS。调整年龄，种族/民族和教育程度，与最近一次性聚会中参与SDUAS的几率增加相关的变量是：过去12个月内性聚会中无保护肛门接受性行为的总数，自我感知有传播或获得艾滋病毒的风险，以及寻求性感觉。在同一模型中检查，如果在最近参加的性派对上提供/提供避孕套，参与者在该性派对上参与SDUAS的几率降低。大多数（80%）表示有兴趣为参加性聚会的男男性行为者开展艾滋病毒预防活动。艾滋病毒预防干预措施，需要达到男男性行为者参加性聚会，并应考虑到个人和环境因素，可能会导致性风险。性派对环境中的环境因素，特别是避孕套的存在和可用性，可能会潜在地减轻个人层面的因素，如无保护的肛交。
Private sex parties are an emerging risk environment for HIV among men who have sex with men (MSM). In 2009, 103 participants who reported attending at least one sex party in Massachusetts in the prior 12 months completed an in-depth, interviewer-administered quantitative assessment. Multivariable logistic regression analyses were conducted to examine associations with having engaged in one or more serodiscordant unprotected anal sex (SDUAS) acts at the most recent sex party attended. Nearly one-third (32%) of the sample reported engaging in SDUAS at the most recent sex party attended. Adjusting for age, race/ethnicity, and educational attainment, variables associated with an increased odds of engaging in SDUAS at the most recent sex party were: total number of unprotected anal receptive sex acts at sex parties in the past 12 months, self-perception of being at-risk for transmitting or acquiring HIV, and sexual sensation seeking. Examined in the same model, if condoms were provided/available at the most recent sex party attended, participants were at a decreased odds of engaging in SDUAS at that sex party. The majority (80%) expressed an interest in HIV prevention activities for MSM who attend sex parties. HIV prevention interventions are needed to reach MSM who attend sex parties and should take into account individual and contextual factors that may contribute to sexual risk. Environmental factors in the sex party setting, in particular the presence and availability of condoms, may potentially mitigate individual-level factors such as unprotected anal sex.