Sexual orientation disparities in sexually transmitted infections: examining the intersection between sexual identity and sexual behavior.
Sexual orientation disparities in sexually transmitted infections: examining the intersection between sexual identity and sexual behavior.
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DOI：
10.1007/s10508-012-9902-1
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发表时间：
2013-02
影响因子：
3.8
通讯作者：
Everett, Bethany G.
中科院分区：
文献类型：
--
作者：
Everett, Bethany G.
MSM（男男性行为者）和WSW（女女性行为者）这两个术语在公共卫生文献中越来越频繁地被用来研究性健康方面的性取向差异。然而，这些类别不允许研究人员检查性取向身份在性传播感染（STI）风险方面的潜在差异。本研究利用国家青少年健康纵向调查的数据，调查了自我报告的性传播感染与性取向认同和性行为之间的关系。此外，本研究还探讨了受害和性传播感染风险行为在性取向与自报性传播感染之间的中介作用。性传播感染的风险被发现是异性恋WSW和双性恋妇女之间升高，无论他们是否报告同性伴侣，而同性恋WSW不太可能报告性传播感染相比，异性恋妇女与异性关系。在男性中，异性恋确定的男男性行为者没有更大的可能性报告性传播感染诊断;相反，性传播感染风险集中在同性恋和双性恋确定的男性谁报告男性和女性性伴侣。性传播感染风险行为介导了男女性传播感染差异，受害部分介导了女性参与者的性传播感染差异。这些结果表明，仅仅依靠基于行为的类别，如男男性行为者和女性工作者，可能会错误地描述性传播感染的性取向差异。
The terms MSM (men who have sex with men) and WSW (women who have sex with women) have been used with increasing frequency in the public health literature to examine sexual orientation disparities in sexual health. These categories, however, do not allow researchers to examine potential differences in sexually transmitted infection (STI) risk by sexual orientation identity. Using data from the National Longitudinal Survey of Adolescent Health, this study investigated the relationship between self-reported STIs and both sexual orientation identity and sexual behaviors. Additionally, this study examined the mediating role of victimization and STI risk behaviors on the relationship between sexual orientation and self-reported STIs. STI risk was found to be elevated among heterosexual-WSW and bisexual women, whether they report same-sex partners or not, whereas gay-identified WSW were less likely to report an STI compared to heterosexual women with opposite sex relationships only. Among males, heterosexual-identified MSM did not have a greater likelihood of reporting an STI diagnosis; rather, STI risk was concentrated among gay and bisexual identified men who reported both male and female sexual partners. STI risk behaviors mediated the STI disparities among both males and females, and victimization partially mediated STI disparities among female participants. These results suggest that relying solely on behavior-based categories, such as MSM and WSW, may mischaracterize STI disparities by sexual orientation.
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