The Annual American Men's Internet Survey of Behaviors of Men Who Have Sex With Men in the United States: Key Indicators Report 2018.

The Annual American Men's Internet Survey of Behaviors of Men Who Have Sex With Men in the United States: Key Indicators Report 2018.
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DOI:
10.2196/21812
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发表时间:
2021-03-04
影响因子:
8.5
通讯作者:
Sanchez T
Sanchez T
中科院分区:
医学3区
文献类型:
--
作者:
Wiatrek S;Zlotorzynska M;Rai R;Sullivan P;Sanchez T

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美国男性互联网调查(AMIS)是在美国对男男性行为者(MSM)进行的一年一度的网络行为调查。这份快速监测报告描述了第六个数据收集周期(2018年9月至12月;非盟驻苏特派团2018年)。关键指标与以前报告的非盟驻苏特派团过去周期的指标相同。自非盟驻苏特派团2017年以来,非盟驻苏特派团的方法没有发生实质性变化。MSM是从各种网站招募的,使用横幅广告和电子邮件爆炸。此外,2017年非盟驻苏特派团的参与者同意被重新联系以进行未来研究,他们被电子邮件发送到2018年非盟驻苏特派团的链接。如果男性年龄为15岁,居住在美国,提供了有效的美国邮政编码,并报告曾与男性发生性关系或被认定为同性恋或双性恋,则有资格参加。这项分析仅限于那些报告在过去12个月内与男性伴侣发生过口交或肛交的人。我们使用多变量回归模型(P<0.05)检验了人口统计和招募的特征,根据参与者自我报告的艾滋病毒状况进行分层。AMIS 2018年一轮数据收集从MSM那里收集了10,129份完整的调查,这些调查代表了美国每个州、波多黎各和关岛。大多数参与者是非西班牙裔白人,年龄在15岁到24岁之间,生活在美国南部的城市地区,从一般的社交网站招募。大多数参与者(4230/10,129,41.76%)在最年轻的年龄组,15-24岁,其次是40岁及以上年龄组(3088/10,129,30.49%)。自报HIV感染率为6.08%(616/10,129)。与HIV阴性或身份不明的参与者相比,HIV阳性的参与者在过去12个月中更有可能与男性伴侣发生过不使用安全套的肛交(调整后的优势比[AOR]2.02,95%可信区间1.63~2.50),更有可能与血清不一致或身份不明的伴侣发生过不使用安全套的肛交(AOR 3.90,95%CI 3.27~4.66)。HIV阳性参与者在过去12个月中报告的大麻使用情况高于HIV阴性或未知状态参与者(AOR 1.39,95%CI 1.15-1.68)。在过去12个月中,艾滋病毒阳性参与者报告使用甲基苯丙胺和其他非法药物的比例高于艾滋病毒阴性或身份不明参与者(AOR分别为3.42,95%CI 2.41-4.87和AOR 1.90,95%CI 1.56-2.32)。大多数HIV阴性或未知状态的参与者(6838/9513,71.88%)报告曾接受过HIV检测,52.51%(4995/9513)的参与者报告在过去12个月内接受过HIV检测。与HIV阴性或未知状态参与者相比,HIV阳性参与者报告检测和诊断为性传播感染的可能性更大(AOR分别为3.50,95%CI 2.89~4.24和AOR 2.61,95%CI 2.10~3.25)。
The American Men’s Internet Survey (AMIS) is an annual web-based behavioral survey conducted in the United States of men who have sex with men (MSM). This rapid surveillance report describes the sixth cycle of data collection (September-December 2018; AMIS 2018). The key indicators were the same as those previously reported for past AMIS cycles. The AMIS methodology has not substantively changed since AMIS 2017. MSM were recruited from a variety of websites using banner advertisements and email blasts. In addition, participants from AMIS 2017 who agreed to be recontacted for future research were emailed a link to AMIS 2018. Men were eligible to participate if they were aged ≥15 years, resided in the United States, provided a valid US ZIP code, and reported ever having sex with a man or identified as gay or bisexual. The analysis was limited to those who reported having oral or anal sex with a male partner in the past 12 months. We examined demographic and recruitment characteristics using multivariable regression modeling (P<.05) stratified by the participants’ self-reported HIV status. The AMIS 2018 round of data collection resulted in 10,129 completed surveys from MSM representing every US state, Puerto Rico, and Guam. Most participants were non-Hispanic White, aged between 15 and 24 years, living in urban areas in the southern United States, and recruited from general social networking websites. The plurality (4230/10,129, 41.76%) of participants was in the youngest age group, 15-24 years, followed by the 40 years and older age group (3088/10,129, 30.49%). The self-reported HIV prevalence was 6.08% (616/10,129). Compared with HIV-negative or unknown status participants, HIV-positive participants were more likely to have had anal sex without a condom with a male partner in the past 12 months (adjusted odds ratio [aOR] 2.02, 95% CI 1.63-2.50) and more likely to have had anal sex without a condom with a serodiscordant or an unknown status partner (aOR 3.90, 95% CI 3.27-4.66). The reported use of marijuana in the past 12 months was higher among HIV-positive participants than among HIV-negative or unknown status participants (aOR 1.39, 95% CI 1.15-1.68). The reported use of methamphetamines and other illicit substances in the past 12 months was higher among HIV-positive participants than among HIV-negative or unknown status participants (aOR 3.42, 95% CI 2.41-4.87 and aOR 1.90, 95% CI 1.56-2.32, respectively). Most HIV-negative or unknown status participants (6838/9513, 71.88%) reported ever taking an HIV test previously, and 52.51% (4995/9513) of the participants reported undergoing HIV testing in the past 12 months. HIV-positive participants were more likely to report testing and diagnosis of sexually transmitted infections than HIV-negative or unknown status participants (aOR 3.50, 95% CI 2.89-4.24 and aOR 2.61, 95% CI 2.10-3.25, respectively).
DOI: 10.2196/16847
发表时间: 2020-04-01
影响因子: 8.5
作者:
Zlotorzynska, Maria;Cantu, Cera;Sanchez, Travis
通讯作者: Sanchez, Travis
DOI: 10.2196/11313
发表时间: 2019-01-01
影响因子: 8.5
作者:
Zlotorzynska, Maria;Sullivan, Patrick;Sanchez, Travis
通讯作者: Sanchez, Travis
DOI: 10.2196/publichealth.5476
发表时间: 2016-05-25
影响因子: 8.5
作者:
Sanchez T;Zlotorzynska M;Sineath C;Kahle E;Sullivan P
通讯作者: Sullivan P
DOI: 10.2196/publichealth.4314
发表时间: 2015-01
影响因子: 8.5
作者:
Sanchez TH;Sineath RC;Kahle EM;Tregear SJ;Sullivan PS
通讯作者: Sullivan PS
DOI: 10.2196/publichealth.7119
发表时间: 2017-03-25
影响因子: 8.5
作者:
Zlotorzynska M;Sullivan P;Sanchez T
通讯作者: Sanchez T