An Event-Level Comparison of Risk-Related Sexual Practices Between Black and Other-Race Men Who Have Sex with Men: Condoms, Semen, Lubricant, and Rectal Douching
An Event-Level Comparison of Risk-Related Sexual Practices Between Black and Other-Race Men Who Have Sex with Men: Condoms, Semen, Lubricant, and Rectal Douching
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DOI：
10.1089/apc.2012.0355
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发表时间：
2013-02-01
影响因子：
4.9
通讯作者：
Reece, Michael
中科院分区：
文献类型：
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作者：
Calabrese, Sarah K.;Rosenberger, Joshua G.;Reece, Michael
与美国男性同性恋者(MSM)发生性关系的黑人男性受艾滋病毒/艾滋病的影响不成比例。一项关于性行为的在线调查由18-87岁的黑人、白人、西班牙裔/拉丁裔、亚洲/太平洋岛民和其他种族的MSM(n=11,766)完成。将完全使用避孕套、暴露精液、性交前直肠冲洗(使用灌肠)和最后一次与男性伴侣发生性行为时使用润滑剂的情况按种族进行比较，控制相关的社会人口学变量，并按性位(接受性、插入性或两者兼而有之)进行分层。在性交姿势中，55-62%的黑人MSM报告使用了避孕套，5%-8%的报告精液暴露，18%-53%的报告冲洗，33%-43%的报告使用润滑剂。报告的行为特征与其他种族没有显著不同，除了黑人MSM报告的避孕套使用量比白人MSM在插入位置更多。尽管研究结果反对不成比例的风险行为比率解释艾滋病毒流行率的种族差异，但它们仍然强调了继续进行行为干预的必要性。
Black men who have sex with men (MSM) living in the U.S. are disproportionately affected by HIV/AIDS. An online survey of sexual behavior was completed by Black, White, Hispanic/Latino, Asian/Pacific Islander, and other-race MSM (n = 11,766) ages 18-87 years. Complete condom use, semen exposure, pre-coital rectal douching (enema use), and lubricant use at last male-partnered sexual event were compared by race, controlling for relevant sociodemographic variables and stratifying by sexual position (receptive, insertive, or both). Across sexual positions, 55-62% of Black MSM reported condom use, 5-8% reported semen exposure, 18-53% reported douching, and 33-43% reported lubricant use. Reported behavioral profiles were not significantly different from other races, except that Black MSM reported greater condom use than White MSM in the insertive position. Although findings argue against disproportionate rates of risk behavior accounting for racial disparities in HIV prevalence, they nonetheless highlight a need for continued behavioral intervention.