Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments

Sexual and drug-using practices of HIV-positive men who frequent public and commercial sex environments
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DOI:
10.1080/0954012021000031886
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发表时间:
2002-12-01
影响因子:
1.7
通讯作者:
Halkitis, PN
Halkitis, PN
中科院分区:
医学4区
文献类型:
--
作者:
Parsons, JT;Halkitis, PN

文献摘要

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一个种族多样的样本(69.7%的男性的颜色)的艾滋病毒血清阳性的男男性接触者从纽约市和弗朗西斯科大都市地区从各种社会环境中招募。虽然只有27.0%的参与者是从PSE(公共性环境,男人“巡航”潜在的性伴侣,如公园)和CSE(商业性环境,入场费,如浴室和性俱乐部)招募的,但49.6%的人报告参加PSE,40.7%的人报告参加CSE。在全部抽样中,只有少数参与者报告说,他们的性行为会使其伴侣面临艾滋病毒血清转化的最高风险。然而,经常光顾CSE的人与不经常光顾CSE的人之间的差异出现在几个心理社会因素(寻求性感觉、抑郁、对保护性伴侣免受艾滋病毒感染的责任感)、性风险行为(无保护的口交和肛交)以及使用的娱乐性药物类型上。在那些经常光顾PSE的人和那些不经常光顾PSE的人之间发现的差异较小。
An ethnically diverse sample ( 69.7% men of colour) of HIV-seropositive MSM from the New York City and San Francisco metropolitan areas were recruited from a variety of social settings. While only 27.0% of the participants were recruited from PSEs (public sex environments where men 'cruise' for potential sex partners, such as parks) and CSEs ( commercial sex environments where an admission is paid for entrance, such as bathhouses and sex clubs), 49.6% reported attending PSEs and 40.7% reported attending CSEs. Only a minority of participants from the full sample reported sexual behaviours that would have placed a partner at highest risk for HIV seroconversion. However, differences between those who frequented CSEs and those who did not emerged on several psychosocial factors ( sexual sensation seeking, depression, perceived responsibility towards protecting sexual partners from HIV infection), sexual risk behaviours ( unprotected oral and anal sex) and types of recreational drugs used. Fewer differences were found between those who frequented PSEs and those who did not.