Substance use and sexual behaviours of Japanese men who have sex with men: a nationwide internet survey conducted in Japan.
Substance use and sexual behaviours of Japanese men who have sex with men: a nationwide internet survey conducted in Japan.
复制标题
DOI：
10.1186/1471-2458-6-239
复制
发表时间：
2006-09-26
影响因子：
4.5
通讯作者：
Kihara M
中科院分区：
文献类型：
--
作者：
Hidaka Y;Ichikawa S;Koyano J;Urao M;Yasuo T;Kimura H;Ono-Kihara M;Kihara M
日本男男性行为者（MSM），特别是那些生活在东京和大坂等大都市地区的男男性行为者，正面临着日益严重的艾滋病毒/艾滋病流行。虽然互联网被用作一个新的场所，以满足性伴侣，它也可以作为一个有用的研究工具，调查日本男男性接触者的危险行为。这项互联网调查探讨了日本男男性接触者使用药物的程度及其与性风险行为的关系。在2003年2月28日至2003年5月16日期间，通过57个日本同性恋网站、同性恋杂志和互联网邮件列表招募了MSM。参与者通过互联网匿名完成了一份结构化问卷。共有2,062名日本MSM完成了问卷调查。参与者的平均年龄为29.0岁，70.5%被确定为同性恋，20.8%为双性恋，8.7%为其他。总体而言，34.5%的人报告从未使用过一种物质，45%的人报告曾经使用过一种物质（终生报告单一物质使用者），19.6%的人一生中使用过一种以上的物质（终生报告多种物质使用者）。最常使用的物质是亚硝酸戊酯（63.2%）、5-甲氧基-N，N-二异丙基色胺（5 MEO-DIPT）（9.3%）和大麻（5.7%）。在多变量分析中，无保护的肛交，有6个或更多的性伴侣，在过去的6个月内访问性俱乐部/同性恋场所，教育水平较低，年龄在30至39岁与终身单一和终身多种物质使用相关。终生报告的多种物质使用也与有临时性伴侣、有抑郁症状、被诊断为艾滋病毒阳性以及更多的艾滋病毒/艾滋病相关知识有关。这是第一个基于互联网的研究，重点是亚洲男男性行为者的性行为和药物使用行为。我们的研究结果表明，迫切需要采取预防干预措施，以减少日本男男性行为者中与艾滋病毒风险相关的物质使用行为。研究结果还表明，互联网可能是一个有用的工具，收集行为数据和促进预防干预措施在这一人群中。
Japanese men who have sex with men (MSM), especially those living in large metropolitan areas such as Tokyo and Osaka, are facing a growing HIV/AIDS epidemic. Although the Internet is used as a new venue for meeting sex partners, it can also serve as a useful research tool for investigating the risk behaviours of Japanese MSM. This Internet survey explored the extent of substance use and its association with sexual risk behaviours among Japanese MSM. Between 28 February 2003 and 16 May 2003 MSM were recruited through 57 Japanese gay-oriented Web sites, gay magazines, and Internet mailing lists. Participants completed a structured questionnaire anonymously through the Internet. In total, 2,062 Japanese MSM completed the questionnaire. The average age of participants was 29.0 years and 70.5% identified as gay, 20.8% as bisexual, and 8.7% as other. Overall, 34.5% reported never using a substance, 45% reported ever using one type of substance (lifetime reported single substance users), and 19.6% had used more than 1 type of substance (lifetime reported multiple substance users) in their lifetimes. The substances most commonly used were amyl nitrite (63.2%), 5-methoxy-N, N-diisopropyltryptamine (5MEO-DIPT) (9.3%), and marijuana (5.7%). In the multivariate analysis, unprotected anal intercourse, having had 6 or more sexual partners, visiting a sex club/gay venue in the previous 6 months, a lower education level, and being 30 to 39 years of age were associated with both lifetime single and lifetime multiple substance use. Lifetime reported multiple substance use was also correlated with having a casual sex partner, having symptoms of depression, being diagnosed as HIV-positive, and greater HIV/AIDS-related knowledge. This is the first Internet-based research focused on the sexual and substance use behaviours of MSM in Asia. Our findings suggest a compelling need for prevention interventions to reduce HIV risk-related substance use behaviours among Japanese MSM. The results also suggest that the Internet is potentially a useful tool for collecting behavioural data and promoting prevention interventions among this population.
登录
查看更多内容
DOI：
10.1093/jurban/jti027
发表时间：
2005-03-01
影响因子：
6.6
作者：
Fern치ndez, MI;Perrino, T;Bowen, GS
通讯作者：
Bowen, GS
DOI：
10.1016/s0899-3289(01)00060-8
发表时间：
2001-01-01
期刊：
JOURNAL OF SUBSTANCE ABUSE
影响因子：
--
作者：
Mattison, AM;Ross, MW;Franklin, D
通讯作者：
Franklin, D
DOI：
10.1093/jurban/jti122
发表时间：
2005-12-01
影响因子：
6.6
作者：
Darrow, WW;Biersteker, S;Obiaja, K
通讯作者：
Obiaja, K
DOI：
10.1080/09540120412331305106
发表时间：
2005-01-01
影响因子：
1.7
作者：
Prestage, G;Van de Ven, P;Kaldor, J
通讯作者：
Kaldor, J
影响因子：
--
作者：
ZUNG, WWK
通讯作者：
ZUNG, WWK