Place and practice: Sexual risk behaviour while travelling abroad among Swedish men who have sex with men
Place and practice: Sexual risk behaviour while travelling abroad among Swedish men who have sex with men
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DOI：
10.1016/j.tmaid.2018.01.009
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发表时间：
2018-09-01
影响因子：
12
通讯作者：
Forsberg, Birger
中科院分区：
文献类型：
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作者：
Persson, Kristina Ingemarsdotter;Berglund, Torsten;Forsberg, Birger
背景资料：在瑞典，男男性行为者中在国外感染的新诊断艾滋病毒和性传播感染病例的比例一直在增加。本研究旨在探讨男男性行为者无保护肛交（UAI）和出国旅游的相关因素。方法：采用分层横断面调查方法，对2751名男男性行为者进行问卷调查。在国外有偶然UAI的男性的性行为频率（< 12个月）与仅在瑞典有偶然UAI的男性进行了比较，并通过回归分析确定了与国外偶然UAI相关的因素。去同性恋桑拿房（OR 6.15，95% CI 3.43-11.06），访问同性恋咖啡馆/酒吧/酒馆（OR 3.24，95% CI 1.62-6.48），与外国访客发生UAI的经历（OR 4.80，95% CI 2.37-9.75），HIV感染者（OR 2.73，95% CI 1.15-6.48），报告总体健康状况较差（OR 2.24，95% CI 1.13-4.44），出生于瑞典境外（OR 2.21，95% CI 1.08-4.53），接种甲型肝炎、B型肝炎或两者兼有结论：MSM在境外从事偶然性UAI需要提高对相关风险的认识，且风险因地、因业而异。卫生保健专业人员应满足旅行MSM的预防需求，并提供咨询和性传播感染预防措施。
Background: The proportion of newly diagnosed HIV and STI cases among men who have sex with men (MSM) that were contracted abroad has been increasing in Sweden. The present study explored factors associated with casual unprotected anal intercourse (UAI) and travelling abroad among MSM.Methods: A cross-sectional stratified survey with 2751 MSM was conducted. The frequency of sexual practices among men who had casual UAI abroad (< 12 months) with that of men who had casual UAI only in Sweden were compared and factors associated with casual UAI abroad were identified through regression analysis.Results: Factors associated with casual UAI abroad within the previous 12 months were: visit a gay sauna (OR 6.15, 95% CI 3.43-11.06), visit gay cafe/bar/pub (OR 3.24, 95% CI 1.62-6.48), experience of UAI with a foreign visitor (OR 4.80, 95% CI 2.37-9.75), living with HIV (OR 2.73, 95% CI 1.15-6.48), reporting poor overall health (OR 2.24, 95% CI 1.13-4.44), being born outside Sweden (OR 2.21, 95% CI 1.08-4.53), and being vaccinated against hepatitis A, hepatitis B, or both (OR 1.92, 95% CI 1.13-3.27).Conclusion: MSM who engage in casual UAI abroad need to increase their understanding of related risks and that risk varies with place and practice. Health care professionals should address the preventive needs of traveling MSM and offer counselling and STI-preventive measures.