Goodreau Steven M, Peinado Jesus, Goicochea Pedro, Vergara Jorge, Ojeda Nora, Casapia Martin, Ortiz Abner, Zamalloa Victoria, Galvan Rosa, Sanchez Jorge R
Asociación Civil Impacta Salud y Educación, Lima, Peru.
J Sex Res. 2007 Aug;44(3):233-9. doi: 10.1080/00224490701443676.
Role versatility refers to the practice in which individual men who have sex with men (MSM) play both insertive and receptive sexual roles over time. Versatility has been thought to be relatively uncommon among Latin American MSM but possibly rising. Versatility has also been shown to be a potentially large population-level risk factor for HIV infection. In this study we examine the correlates of versatile behavior and identity among 2,655 MSM in six Peruvian cities. Versatile behavior with recent male partners was found in 9% of men and versatile ("moderno") identity was reported by 16%. Significant predictors included high education, white-collar occupation, sex work, and residence in Lima. Age was not significant in any analysis. Since sex work is negatively correlated with other predictors, versatile men appear to comprise two distinct sub-populations. Insertive-only men appear to play a strong role in bridging the HIV epidemic between MSM and women.
角色多功能性是指男男性行为者（MSM）随着时间推移既扮演插入方又扮演接受方的性行为模式。人们认为，在拉丁美洲的男男性行为者中，角色多功能性相对不常见，但可能呈上升趋势。研究还表明，角色多功能性是一个潜在的、影响人群层面的艾滋病病毒感染风险因素。在本研究中，我们调查了秘鲁六个城市2655名男男性行为者中角色多功能性行为及身份认同的相关因素。9%的男性与近期男性伴侣有角色多功能性行为，16%的男性报告有角色多功能（“现代派”）身份认同。显著的预测因素包括高学历、白领职业、性工作以及居住在利马。年龄在任何分析中均不显著。由于性工作与其他预测因素呈负相关，角色多功能的男性似乎构成两个不同的亚群体。仅扮演插入方的男性似乎在男男性行为者与女性之间的艾滋病传播中起到重要作用。
