Konda Kelika Anne, Lescano Andres G, Leontsini Elli, Fernandez Percy, Klausner Jeffrey D, Coates Thomas J, Cáceres Carlos F
Division of Infectious Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
AIDS Behav. 2008 May;12(3):483-91. doi: 10.1007/s10461-007-9221-z. Epub 2007 Mar 22.
In this paper we describe sex with men, including the frequency of sex and unprotected sex, among high-risk, heterosexually-identified men in urban, low-income, coastal Peru. During 2001--2002, a random community-based sample of these men was administered an epidemiologic survey collecting sexual risk behavior data. Among the 924 high-risk heterosexually-identified men, 131 (14.2%) reported at least one male partner in the past 6 months. Of these, 113 (86.3%) reported male and female partners and among those with partners of both sexes, 84.2% and 57.0% of sex acts with female and male partners, respectively, were unprotected, (RR 1.48, 95% CI = 1.31-1.68). We observed a high rate of recent bisexual behavior compared to past studies showing frequent, unprotected sex with male and female partners. This population has substantial potential to act as a bridge population between and their male and female partners and should be addressed by prevention programs.
在本文中,我们描述了秘鲁沿海城市低收入地区高危、自认为是异性恋的男性中与男性发生性行为的情况,包括性行为频率和无保护性行为情况。在2001年至2002年期间,对这些男性进行了一项基于社区的随机抽样流行病学调查,收集性风险行为数据。在924名高危、自认为是异性恋的男性中,131人(14.2%)报告在过去6个月中至少有一名男性伴侣。其中,113人(86.3%)报告有男性和女性伴侣,在有两性伴侣的人中,与女性伴侣和男性伴侣发生性行为时分别有84.2%和57.0%未采取保护措施(相对危险度1.48,95%可信区间 = 1.31 - 1.68)。与过去显示与男性和女性伴侣频繁发生无保护性行为的研究相比,我们观察到近期双性行为的发生率很高。这一人群极有可能成为其男性和女性伴侣之间的桥梁人群,预防项目应关注这一群体。