Department of Communication, University of Texas at San Antonio, 78249, USA.
AIDS Behav. 2011 Apr;15(3):557-64. doi: 10.1007/s10461-009-9636-9.
There exist many subcultures of men who have sex with men (MSM), all with differing values and health behaviors. The Leathermen comprise one such subculture, which is characterized by a heightened valuation of hypersexuality and adherence to sexual control dynamics (i.e., submission and dominance). No previous research has specifically examined this community for differences in sexual health (e.g., HIV rates) and sexual health behaviors (e.g., condom use). We conducted a large survey of men (N = 1,554) at one leather and non-leather event, collecting data from 655 Submissives, Dominants, Switches, and non-orienting Leathermen. Leathermen were 61% more likely to be HIV-positive than non-Leathermen. Decreased condom use found in HIV-positive Leathermen (relative to HIV-positive non-Leathermen) was a potential factor contributing to heightened HIV rates. Universal low condom use in Submissives engaging in receptive, and Dominants engaging in insertive, anal intercourse was an additional trend that potentially contributed to increased numbers of HIV-positive Leathermen. Our recommendation is for heightened awareness of the risks associated with sex among Leathermen, especially unprotected anal intercourse with sero-uncertain Submissives.
存在许多男男性行为者（MSM）亚文化群体，它们都具有不同的价值观和健康行为。 Leathermen 是这样的一个亚文化群体，其特点是高度重视过度性行为，并坚持性控制动态（即服从和支配）。以前没有研究专门针对 Leathermen 社区的性健康（例如，艾滋病毒感染率）和性健康行为（例如， condom 使用）进行差异研究。我们在一次 Leathermen 和非 Leathermen 的活动中对男性进行了一项大型调查（N=1554），从 655 名服从者、支配者、切换者和非定向 Leathermen 中收集数据。 Leathermen 比非 Leathermen 感染艾滋病毒的可能性高 61%。 Leathermen 中 HIV 阳性者（与 HIV 阳性非 Leathermen 相比） condom 使用减少，这可能是导致 HIV 感染率升高的一个因素。从事被动接受性行为的 HIV 阳性服从者和从事插入式肛交的 HIV 阳性支配者 condom 使用普遍较低，这是 Leathermen 中 HIV 阳性人数增加的另一个潜在趋势。我们的建议是提高对 Leathermen 之间性行为相关风险的认识，特别是与血清不确定的服从者进行无保护的肛交。
