Bingham Trista A, Secura Gina M, Behel Stephanie K, Bunch J Gordon, Simon Paul A, MacKellar Duncan A
Los Angeles County Department of Public Health, HIV Epidemiology Program, Los Angeles, California 90005, USA.
Sex Transm Dis. 2008 Jun;35(6):631-6. doi: 10.1097/OLQ.0b013e31816b475a.
We aimed to describe the use of voluntary HIV counseling and testing services, risk behaviors, and risk factors for unprotected anal sex (UAS) among men who have sex with men (MSM) who attended a bathhouse in Los Angeles during 2001-2002.
Using 2 cross-sectional study samples, we compared (in order below) 458 of 640 MSM who used voluntary HIV counseling and testing in the bathhouse with 398 MSM surveyed upon exit. Within each group, logistic regression identified factors associated with UAS at their most recent bathhouse visit.
Of 640 MSM, 71 (11%) tested HIV-positive for the first time. Of the 50 HIV-positive MSM who completed a survey, 50% tested because of the convenient services. Similar proportions of MSM in both survey samples reported UAS (7%-8%) during their recent bathhouse visit. Risk factors associated with UAS in both survey samples were UAS with men outside the bathhouse and greater numbers of partners within the bathhouse.
Comprehensive prevention services provided within bathhouses may reduce undiagnosed HIV infections among MSM, and targeting HIV prevention at the bathhouse may reduce risks with partners both inside and outside the bathhouse.
我们旨在描述2001 - 2002年期间在洛杉矶一家澡堂光顾的男男性行为者（MSM）中自愿接受HIV咨询和检测服务的使用情况、危险行为以及无保护肛交（UAS）的危险因素。
我们使用2个横断面研究样本，依次比较了在澡堂接受自愿HIV咨询和检测的640名MSM中的458名与离开时接受调查的398名MSM。在每组中，逻辑回归确定了与他们最近一次光顾澡堂时的无保护肛交相关的因素。
在640名MSM中，71名（11%）首次检测出HIV呈阳性。在完成调查的50名HIV阳性MSM中，50%是因为服务便利而进行检测。两个调查样本中类似比例的MSM报告在最近一次光顾澡堂期间有过无保护肛交（7% - 8%）。两个调查样本中与无保护肛交相关的危险因素是与澡堂外男性的无保护肛交以及在澡堂内有更多性伴侣。
在澡堂内提供的综合预防服务可能会减少男男性行为者中未被诊断出的HIV感染，并且在澡堂针对HIV预防可能会降低在澡堂内外与性伴侣发生性行为的风险。
