Centre for Sexual Health and HIV Research, Research Department of Infection and Population Health, University College London, London, UK.
Sex Transm Infect. 2011 Jun;87(4):325-30. doi: 10.1136/sti.2010.046409. Epub 2010 Dec 8.
Since May 2004, 10 central and east European (CEE) countries have joined the European Union. While HIV rates remain low among men who have sex with men (MSM) in CEE countries, there is no research on the sexual behaviour of CEE MSM in the U.K.
CEE MSM living in the U.K. (n=691) were recruited for an online questionnaire by two popular MSM websites.
The majority of men had arrived in the U.K. since May 2004. A previous sexually transmitted infection (STI) diagnosis was reported by 30.7%, and 4.8% reported being HIV positive, the majority diagnosed in the U.K. Unprotected anal intercourse with a casual partner of unknown or discordant HIV status was reported by 22.8%. Men who had been in the U.K. for longer (>5 years vs. <1 year) reported more partners in the past 5 years (67.2% vs. 50.4% had >10 partners, p < 0.001) and were less likely to report their most recent partner was from their home country (14.9% vs. 33.6%, p < 0.001). Among migrant CEE MSM living in London, 15.4% had been paid for sex in the U.K. and 41.5% had taken recreational drugs in the past year.
CEE MSM in the U.K. are at risk for the acquisition and transmission of STI and HIV through unprotected anal intercourse with non-concordant casual partners. Sexual mixing with men from other countries, commercial sex and increased partner numbers may introduce additional risk. This has important implications for the cross-border transmission of infections between the U.K. and CEE countries.
自 2004 年 5 月以来，10 个中东欧（CEE）国家已加入欧盟。尽管 CEE 国家男男性行为者（MSM）中的艾滋病毒感染率仍然较低，但英国尚无针对 CEE MSM 性行为的研究。
通过两个流行的 MSM 网站，招募在英国居住的 CEE MSM（n=691）参加在线问卷调查。
大多数男性是在 2004 年 5 月之后抵达英国的。有 30.7%的人报告曾患有性传播感染（STI），4.8%的人报告 HIV 阳性，其中大多数是在英国被诊断出来的。22.8%的人曾与不了解或不一致的 HIV 状况的偶然伴侣发生过未采取保护措施的肛交行为。在英国居住时间较长（>5 年比<1 年）的男性报告称，过去 5 年内性伴侣更多（67.2%比 50.4%有超过 10 个性伴侣，p<0.001），报告最近的性伴侣来自本国的可能性较小（14.9%比 33.6%，p<0.001）。在伦敦居住的移民 CEE MSM 中，15.4%的人在英国有偿提供过性服务，41.5%的人在过去一年中使用过娱乐性药物。
在英国的 CEE MSM 通过与不一致的偶然伴侣发生无保护的肛交行为，面临感染性传播感染和 HIV 的风险。与来自其他国家的男性进行性混合、商业性交易和性伴侣数量的增加可能会带来额外的风险。这对英国和 CEE 国家之间的跨境感染传播具有重要影响。
