Associations of sexually transmitted infections with condom problems among young men who have sex with men.
Associations of sexually transmitted infections with condom problems among young men who have sex with men.
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DOI：
10.1097/olq.0000000000000150
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发表时间：
2014-07
影响因子：
3.1
通讯作者：
Garofalo R
中科院分区：
文献类型：
--
作者：
Mustanski B;Ryan DT;Garofalo R
男男性行为者（YMSM）感染性传播感染的比例过高。使用避孕套是预防性传播感染的最广泛可用的手段，但有效性取决于正确使用。安全套使用错误，如使用油基润滑剂，与安全套失效有关，如破裂。关于避孕套问题对感染性传播感染的可能性的影响，几乎没有进行过研究。数据来自Crew 450，这是一项关于YMSM（N = 450）艾滋病毒风险的纵向研究。所有的自我报告数据都是使用计算机辅助自我访谈（CASI）技术收集的，并进行了淋病、衣原体和艾滋病毒的临床检测。几乎所有的参与者都犯了至少一个错误，使用油基润滑剂和不完全使用的比例很高。与男性肛交和与女性阴道性交时，避孕套问题的发生率没有差异。黑人YMSM报告的油基润滑剂使用率显著高于白色和西班牙裔YMSM，这一错误与HIV状态显著相关（AOR = 2.60; 95% CI：1.04 - 6.51）。报告避孕套失效的参与者更有可能患有性传播感染（AOR=3.27; 95%CI：1.31 - 8.12）。青年男男性接触者的安全套问题率较高，在控制了无保护措施的性行为后，安全套失效与性传播感染显著相关。需要开展教育活动，以提高青年男男性行为者正确使用安全套的能力。需要进一步研究油基润滑剂在解释性传播感染和艾滋病毒的种族差异方面的作用。
Young men who have sex with men (YMSM) are disproportionately infected with STIs. Condom use is the most widely available means of preventing the transmission of STIs, but effectiveness depends on correct use. Condom errors, such as using an oil-based lubricant, have been associated with condom failures, such as breakage. Little research has been done on the impact of condom problems on the likelihood of contracting an STI. Data came from Crew 450, a longitudinal study of HIV risk among YMSM (N = 450). All self-report data were collected using computer-assisted self-interview (CASI) technology and clinical testing was done for gonorrhea, Chlamydia, and HIV. Nearly all participants made at least one error, with high rates of using oil based lubricant and incomplete use. No differences were found in rates of condom problems during anal sex with a man versus vaginal sex with a woman. Black YMSM reported significantly higher use of oil based lubricants than White and Hispanic YMSM, an error significantly associated with HIV status (AOR = 2.60; 95% CI: 1.04 – 6.51). Participants who reported a condom failure were significantly more likely to have a STI (AOR=3.27; 95% CI: 1.31 – 8.12). YMSM report high rates of condom problems, and condom failures were significantly associated with STIs after controlling for unprotected sex. Educational programs are needed to enhance correct condom use among YMSM. Further research is needed on the role of oil based lubricants in explaining racial disparities in STIs and HIV.