The effects of sexual partnership and relationship characteristics on three sexual risk variables in young men who have sex with men.

The effects of sexual partnership and relationship characteristics on three sexual risk variables in young men who have sex with men.
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DOI:
10.1007/s10508-013-0207-9
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发表时间:
2014-01
影响因子:
3.8
通讯作者:
Mustanski, Brian
Mustanski, Brian
中科院分区:
法学2区
文献类型:
--
作者:
Newcomb, Michael E.;Ryan, Daniel T.;Garofalo, Robert;Mustanski, Brian

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在美国,男男性行为者(YMSM)的艾滋病发病率正在惊人地增加。最近的证据表明,大多数新的艾滋病毒感染YMSM发生在严重的关系,这强调了重要性,检查预测性风险行为的性伙伴关系的背景下,包括关系类型,性伴侣的特点,和关系的动态。目前的研究旨在评估关系和性伴侣对YMSM性风险行为的影响,包括区分多个性风险变量(即,任何无保护的肛门或阴道性交,无保护的插入肛门或阴道性交,以及无保护的接受性肛门性交)。在所有三个风险变量中,更严肃/熟悉的伙伴关系与更多的性风险相关,而希望关系持续下去则可以保护所有三个风险变量免受风险。一些变量与无保护的插入性行为(伴侣性别)或无保护的接受性行为(伴侣年龄,伴侣种族,相信伴侣与他人发生性关系,以及伴侣重复波)有差异。YMSM中的性风险行为在性伴侣关系中是不一致的,似乎在很大程度上取决于性伴侣的特征、关系动态和性角色(即,插入或接受伴侣)。这些影响对于了解YMSM的性风险至关重要,并为干预提供了重要目标。
Young men who have sex with men (YMSM) in the United States are experiencing an alarming increase in HIV incidence. Recent evidence suggests that the majority of new HIV infections in YMSM occur in the context of serious relationships, which underscores the importance of examining predictors of sexual risk behavior in the context of sexual partnerships, including relationship type, sexual partner characteristics, and relationship dynamics. The current study aimed to evaluate relationship and sexual partnership influences on sexual risk behavior in YMSM, including differentiating between multiple sexual risk variables (i.e., any unprotected anal or vaginal intercourse, unprotected insertive anal or vaginal intercourse, and unprotected receptive anal intercourse). More serious/familiar partnerships were associated with more sexual risk across all three risk variables, while wanting a relationship to last was protective against risk across all three risk variables. Some variables were differentially linked to unprotected insertive sex (partner gender) or unprotected receptive sex (partner age, partner race, believing a partner was having sex with others, and partners repeated across waves). Sexual risk behavior in YMSM is inconsistent across sexual partnerships and appears to be determined in no small part by sexual partner characteristics, relationship dynamics, and sexual role (i.e., insertive or receptive partner). These influences are critical in understanding sexual risk in YMSM and provide important targets for intervention.
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