Division of STD Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA.
Sex Transm Dis. 2010 Jun;37(6):399-405. doi: 10.1097/OLQ.0b013e3181ce122b.
To describe demographic and behavioral characteristics and the prevalence of HIV and herpes simplex virus type 2 (HSV-2) infections in men who had sex with men identified through a nationally representative, population-based survey.
As part of National Health and Nutrition Examination Surveys in 2001-2006, men 18 to 59 years of age were interviewed about sexual behavior using audio computer assisted self-interview and were tested for antibodies to HIV and HSV-2.
Of the 4319 men interviewed, 5.2% reported having ever had sex with men (MSM). MSM were more likely than non-MSM (those reporting female partners only) to have first sex at <15 years (31.9% vs. 17.3%), have > or =10 lifetime sex partners (73.6% vs. 40.8%), and have ever used cocaine (46.1% vs. 26.6%) (all P < 0.004). Among MSM, the prevalence of HIV and HSV-2 was 9.1% and 18.4%, respectively. Only 44.5% of MSM reported their sexual orientation as homosexual or gay. Comparing with bisexual and heterosexual MSM, homosexual MSM reported the highest number of lifetime male partners and had the highest HIV prevalence (16.5%).
In this population-based sample of men in the United States, self-reported same-sex behavior and homosexual orientation are strong markers for high risk of HIV infection.
描述通过全国代表性的人群为基础的调查确定的男男性行为者的人口统计学和行为特征以及艾滋病毒和单纯疱疹病毒 2 型（HSV-2）感染的流行率。
作为 2001-2006 年国家健康和营养调查的一部分，年龄在 18 至 59 岁的男性通过音频计算机辅助自我访谈被问及性行为，并接受艾滋病毒和 HSV-2 抗体检测。
在接受访谈的 4319 名男性中，有 5.2%报告曾与男性发生过性行为（男男性行为者）。男男性行为者比非男男性行为者（报告仅有女性性伴侣的人）更有可能在 15 岁之前发生首次性行为（31.9%对 17.3%）、有 >或=10 个性伴侣（73.6%对 40.8%）和曾使用可卡因（46.1%对 26.6%）（所有 P < 0.004）。在男男性行为者中，艾滋病毒和 HSV-2 的流行率分别为 9.1%和 18.4%。只有 44.5%的男男性行为者将自己的性取向报告为同性恋或男同性恋。与双性恋和异性恋男男性行为者相比，同性恋男男性行为者报告的终身男性伴侣数量最多，艾滋病毒感染率最高（16.5%）。
在这个基于人群的美国男性样本中，自我报告的同性性行为和同性恋倾向是艾滋病毒感染高风险的强烈指标。
