"It's a Quick Way to Get What You Want": A Formative Exploration of HIV Risk Among Urban Massachusetts Men Who Have Sex with Men Who Attend Sex Parties
"It's a Quick Way to Get What You Want": A Formative Exploration of HIV Risk Among Urban Massachusetts Men Who Have Sex with Men Who Attend Sex Parties
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DOI：
10.1089/apc.2010.0071
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发表时间：
2010-10-01
影响因子：
4.9
通讯作者：
Mayer, Kenneth H.
中科院分区：
文献类型：
--
作者：
Mimiaga, Matthew J.;Reisner, Sari L.;Mayer, Kenneth H.
以社区为基础的对男男性行为者（MSM）的研究表明，8%至25%的男男性行为者最近在私人性聚会上遇到过男性性伴侣。人们对参加性聚会的男男性接触者的艾滋病毒性风险行为知之甚少，也不知道在这种情况下是否可以采取降低风险的干预措施。2008年，40名在过去12个月在马萨诸塞州参加和/或举办性派对的男男性行为者完成了一项定性访谈和定量评估。参与者报告说，在过去的12个月里，他们在马萨诸塞州平均参加了10次性派对。相当大比例（43%）的人还会举办性派对。参与者在多个场所建立了性伴侣关系，包括公共游泳区、酒吧/俱乐部和互联网。在最近参加的性聚会中，大多数人使用酒精（58%）和/或药物（50%），四分之一（25%）的人与平均三名血清不一致的男性性伴侣进行无保护的肛交，使自己面临感染或传播艾滋病毒或其他性传播感染（性病）的风险。尽管许多参与者认为在性聚会中谈论性健康会“破坏气氛”，但大多数人（80%）认为在性聚会中进行某种形式的艾滋病毒预防是适当和必要的，也是可以接受的。非侵入性预防和教育活动特别得到认可（即避孕套、润滑剂和免费艾滋病毒/性传播感染检测券）。大多数参与者（75%）表示对“安全性行为”派对有一定兴趣。参加性聚会的男男性行为者似乎是艾滋病毒和性传播感染的高危人群。针对参加性聚会的男男性行为者的需要采取降低风险的干预措施是必要的。
Community-based studies with men who have sex with men (MSM) suggest that between 8% and 25% of MSM have met recent male sexual partners at private sex parties. Little is known about HIV sexual risk behaviors of MSM who attend sex parties and whether risk reduction interventions can be delivered in this setting. In 2008, 40 MSM who reported attending and/or hosting sex parties in Massachusetts in the past 12 months completed a qualitative interview and quantitative assessment. Participants reported attending a mean number of 10 sex parties in Massachusetts in the past 12 months. A significant percentage (43%) reported also hosting sex parties. Participants had made sexual partner connections across multiple venues, including public cruising areas, bars/clubs, and the Internet. At the most recent sex party attended, the majority had used alcohol (58%) and/or drugs (50%), and one quarter (25%) put themselves at risk of acquiring or transmitting HIV or other sexually transmitted infections (STIs) by having unprotected anal sex with a mean number of three serodiscordant male sex partners. Although many participants perceived that communicating about sexual health in the sex party context would "ruin the mood,'' the majority (80%) considered some form of HIV prevention at sex parties to be appropriate and necessary, as well as acceptable. Nonintrusive prevention and education activities were especially endorsed (i.e., condoms, lubricants, and coupons for free HIV/STI testing). The majority of participants (75%) expressed some interest in "safer sex'' parties. MSM attending sex parties appear to be a subpopulation at high risk for HIV and STI acquisition and transmission. Risk reduction interventions responsive to the needs of MSM who attend sex parties are warranted.