ENVIRONMENTAL FACTORS IN RELATION TO UNPROTECTED SEXUAL BEHAVIOR AMONG GAY, BISEXUAL, AND OTHER MSM
ENVIRONMENTAL FACTORS IN RELATION TO UNPROTECTED SEXUAL BEHAVIOR AMONG GAY, BISEXUAL, AND OTHER MSM
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DOI：
10.1521/aeap.2009.21.4.340
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发表时间：
2009-08-01
影响因子：
1.8
通讯作者：
Halkitis, Perry N.
中科院分区：
文献类型：
--
作者：
Pollock, James A.;Halkitis, Perry N.
这篇描述性文章展示了纽约市经常去健身房的男同性恋者、双性恋者和其他男性(MSM)的不同样本(N=311)的随意性行为。约88%的被调查者指出在过去6个月内与临时伴侣发生过性关系。参与者报告了无保护措施的性行为的频率，他们的伴侣被认为是艾滋病毒状态，以及他们遇到临时性伴侣的背景。研究结果表明，MSM选择会见临时性伴侣的环境对他们遇到的临时性伴侣的数量以及与他们进行无保护接受性肛交和无保护插入式肛交的临时性伴侣的数量都有影响。我们发现，风险最高的性行为发生在无马背的性派对上，这通常是在私人场所举行的。在无马鞍性派对上遇到性伴侣的男性也可能经常去浴室/性俱乐部和非无马鞍性派对，这表明他们对性背景、伴侣和行为的探索多种多样。我们试图通过提出个人受到他做出决定的物理环境的影响来加强个人层面的模型来理解性行为和风险。
This descriptive article illustrates the casual sexual behaviors of a diverse sample (N = 311) of gay, bisexual, and other men who have sex with men (MSM) regularly attending gyms in New York City. Approximately 88% of the sample noted sex with a casual partner in the previous 6 months. Participants reported the frequency of unprotected sexual acts, the perceived HIV status of their partners, and the contexts where they met their casual sex partners. The study findings suggest that the context in which MSM choose to meet casual sex partners has an effect on both the number of casual sex partners they meet and the number of casual sex partners with whom they engage in unprotected receptive anal intercourse and unprotected insertive anal intercourse. We found that the highest risk sexual behaviors took place at bareback sex parties, which are often held at private venues. Men who meet their sexual partners at bareback sex parties are also likely to frequent bathhouses/sex clubs and nonbareback sex parties, Suggesting a varied exploration of sexual contexts, partners, and behaviors. We attempt to enhance individual-level models of understanding sexual behavior and risk by proposing that the individual is influenced by the physical context where he makes his decisions.