Koblin Beryl A, Chesney Margaret A, Husnik Marla J, Bozeman Sam, Celum Connie L, Buchbinder Susan, Mayer Kenneth, McKirnan David, Judson Franklyn N, Huang Yijian, Coates Thomas J
New York Blood Center, New York, NY 10021, USA.
Am J Public Health. 2003 Jun;93(6):926-32. doi: 10.2105/ajph.93.6.926.
We describe the prevalence of risk behaviors at baseline among men who have sex with men (MSM) who were enrolled in a randomized behavioral intervention trial conducted in 6 US cities.
Data analyses involved MSM who were negative for HIV antibodies and who reported having engaged in anal sex with 1 or more partners in the previous year.
Among 4295 men, 48.0% and 54.9%, respectively, reported unprotected receptive and insertive anal sex in the previous 6 months. Unprotected sex was significantly more likely with 1 primary partner or multiple partners than with 1 nonprimary partner. Drug and alcohol use were significantly associated with unprotected anal sex.
Our findings support the continued need for effective intervention strategies for MSM that address relationship status, serostatus of partners, and drug and alcohol use.
我们描述了参与在美国6个城市进行的一项随机行为干预试验的男男性行为者(MSM)在基线时的风险行为流行情况。
数据分析涉及HIV抗体检测呈阴性且报告在前一年与1名或多名性伴发生过肛交的男男性行为者。
在4295名男性中,分别有48.0%和54.9%报告在过去6个月中有无保护的被动肛交和主动肛交。与1名主要性伴或多名性伴发生无保护性行为的可能性显著高于与1名非主要性伴。药物和酒精使用与无保护肛交显著相关。
我们的研究结果支持持续需要针对男男性行为者的有效干预策略,这些策略应涉及性伴关系状况、性伴血清学状态以及药物和酒精使用。