Sexual Partner Characteristics, Relationship Type, and HIV Risk Among a Community Venue-Based Sample of Urban Adolescent and Young Adult Men Who Have Sex With Men
Sexual Partner Characteristics, Relationship Type, and HIV Risk Among a Community Venue-Based Sample of Urban Adolescent and Young Adult Men Who Have Sex With Men
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DOI：
10.1177/0044118x16669259
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发表时间：
2019-03-01
期刊：
影响因子：
2
通讯作者：
Stewart-Campbell, Rachel
中科院分区：
文献类型：
--
作者：
Boyer, Cherrie B.;Greenberg, Lauren;Stewart-Campbell, Rachel
很少有研究对非裔美国人/黑人和西班牙裔/拉丁裔青少年和与男性发生性行为的年轻成年男性(YMSM)的不同样本中的性伙伴关系和艾滋病毒风险进行研究，YMSM在美国是一个艾滋病毒负担很高的群体。采用社区-场所招募方法，在1215名青年男性接触者中确定了性伴类型在艾滋病毒风险方面的显著差异。与那些只有主要伴侣的人相比，那些有临时伴侣的人有更多的性伴侣，有更多的性传播感染(STI)，更有可能进行交易性行为，以及使用酒精、大麻或其他物质。在那些有女性性伴侣的人中，许多人在与临时伴侣进行阴道性行为时“每次”都使用避孕套，但相当大一部分人“从未/很少”与其主要伴侣使用避孕套。我们的发现表明，有必要进行量身定制的艾滋病毒预防教育和咨询，并提供必要的技能，以便在所有性伴侣中一致和正确地使用避孕套。
Few studies have examined sexual partnerships and HIV risk in diverse samples of African American/Black and Hispanic/Latino adolescent and young adult men who have sex with men (YMSM), a group that have a high burden of HIV in the United States. A community-venue recruitment approach was used, which identified significant differences in HIV risk by sexual partner type among 1,215 YMSM. Those with casual partners had a higher number of sexual partners, had more sexually transmitted infections (STIs), were more likely to engage in transactional sex, and to use alcohol, marijuana, or other substances compared with those with main partners only. Among those with female sexual partners, many used condoms "every time" when engaging in vaginal sex with casual partners, but a sizable proportion "never/rarely" used condoms with their main partners. Our findings demonstrate a need for tailored HIV prevention education and counseling with necessary skills regarding consistent and correct condom use with all sexual partnerships.