Zellner Jennifer A, Martínez-Donate Ana P, Sañudo Fernando, Fernández-Cerdeño Araceli, Sipan Carol L, Hovell Melbourne F, Carrillo Héctor
Center of Behavioral Epidemiology and Community Health, Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
Am J Public Health. 2009 Jan;99(1):125-32. doi: 10.2105/AJPH.2007.129809. Epub 2008 Nov 13.
We examined the sexual behavior, sexual identities, and HIV risk factors of a community sample of Latino men to inform efforts to reduce Latinos' HIV risk.
In 2005 and 2006, 680 Latino men in San Diego County, California, in randomly selected, targeted community venues, completed an anonymous, self-administered survey.
Most (92.3%) respondents self-identified as heterosexual, with 2.2%, 4.9%, and 0.6% self-identifying as bisexual, gay, or other orientation, respectively. Overall, 4.8% of heterosexually identified men had a lifetime history of anal intercourse with other men. Compared with behaviorally heterosexual men, heterosexually identified men who had sex with both men and women were more likely to have had a sexually transmitted infection, to have unprotected sexual intercourse with female partners, and to report having sex while under the influence of alcohol or other drugs. Bisexually identified men who had sex with men and women did not differ from behaviorally heterosexual men in these risk factors.
Latino men who have a heterosexual identity and bisexual practices are at greater risk of HIV infection, and efforts to reduce HIV risk among Latinos should target this group.
我们调查了拉丁裔男性社区样本的性行为、性取向及艾滋病毒风险因素，以为降低拉丁裔人群艾滋病毒风险的工作提供信息。
2005年和2006年，在加利福尼亚州圣地亚哥县随机挑选的目标社区场所，680名拉丁裔男性完成了一项匿名的自我管理调查。
大多数（92.3%）受访者自我认定为异性恋，分别有2.2%、4.9%和0.6%的受访者自我认定为双性恋、同性恋或其他性取向。总体而言，4.8%自我认定为异性恋的男性有与其他男性发生肛交的终生经历。与行为上为异性恋的男性相比，自我认定为异性恋但与男性和女性都发生过性行为的男性更有可能感染性传播感染、与女性伴侣进行无保护性行为，并报告在酒精或其他药物影响下发生性行为。在这些风险因素方面，自我认定为双性恋且与男性和女性都发生过性行为的男性与行为上为异性恋的男性没有差异。
具有异性恋身份和双性恋行为的拉丁裔男性感染艾滋病毒的风险更高，降低拉丁裔人群艾滋病毒风险的工作应针对这一群体。
