Sex hustling, injection drug use, and non-gay identification by men who have sex with men - Associations with high-risk sexual behaviors and condom use
Sex hustling, injection drug use, and non-gay identification by men who have sex with men - Associations with high-risk sexual behaviors and condom use
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DOI：
10.1097/00007435-199808000-00006
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发表时间：
1998-08-01
影响因子：
3.1
通讯作者：
Cohn, DL
中科院分区：
文献类型：
--
作者：
Rietmeijer, CA;Wolitski, RJ;Cohn, DL
目的：探讨男同性恋者（MSM）亚群（包括男同性恋者和非男同性恋者、注射吸毒者和性交易者）的人口统计学特征、风险行为和预防行为的差异。设计：对MSM有目的样本中通过访谈者管理的问卷收集的横断面数据进行二次分析。环境：同性恋酒吧，浴室，成人视频游戏厅，丹佛和长滩的户外巡航区。参与者：在过去一年中报告与另一名男性发生口交或肛交的男性，并对非同性恋的男同性恋者进行抽样调查。结果：在1290名男男性行为者中，417人（32%）不认同同性恋，86人（7%）注射毒品，117人（9%）是嫖客。在注射毒品的男男性行为者中，55%报告有性行为，40%的嫖客报告有注射毒品。嫖客与伴侣数量较多、与男性和女性肛交频率较高、肛交时使用安全套频率较低有关，偶尔与男性伴侣发生肛交。与其他男男性行为者相比，卖淫者和注射毒品的男男性行为者在与女性伴侣进行阴道性交时使用避孕套的频率较低。结论：在男男性行为者中，可以确定艾滋病毒特别高风险的亚群，尽管这些亚群可能相对较小，但它们可能是更大的男男性行为者和异性恋者社区的重要流行病学联系，并需要重点行为干预以防止艾滋病毒的进一步传播。
Objective: To explore differences in demographic characteristics, risk practices, and preventive behaviors among subgroups of men who have sex with men (MSM), including gay- and non-gay-identified MSM, MSM who inject drugs, and those engaging in sex hustling.Design: A secondary analysis of cross-sectional data collected through interviewer-administered questionnaires in a purposive sample of MSM.Setting: Gay bars, bath houses, adult video arcades, and outdoor cruising areas in Denver and Long Beach.Participants: Men who reported oral or anal sex with another man in the past year with oversampling of non-gay-identified MSM.Results: Of 1,290 MSM, 417 (32%) did not gay-identify, 86 (7%) were drug injectors, and 117 (9%) were hustlers, Of drug-injecting MSM, 55% reported sex hustling and 40% of hustlers reported injection drug use, Hustling was associated with higher number of partners, more frequent anal sex with men and women, and less frequent condom use during anal sex,vith occasional male partners. Hustlers and drug-injecting MSM used condoms less consistently during vaginal intercourse with female partners than did other MSM.Conclusions: Among MSM, subgroups at particularly high risk for HIV can be identified, Although these subgroups may be relatively small, they may be important epidemiologic links to the larger MSM and heterosexual communities and warrant focused behavioral interventions to prevent the further spread of HIV.