Center for Health, Identity, Behavior, and Prevention Studies, The Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, USA.
J Urban Health. 2011 Dec;88(6):1063-75. doi: 10.1007/s11524-011-9590-5.
Very little information exists with regard to sex party behaviors in young men who have sex with men (YMSM), often defined as men ranging in age from 13 to 29 years. The current analysis examines sex party attendance and behavior in a sample of 540 emergent adult gay, bisexual, and other YMSM in New York City, ages 18-29 years. Findings indicate that 8.7% (n = 47) of the sample had attended a sex party 3 months prior to assessment. Sex party attendees reported that parties included both HIV-positive and HIV-negative men; attendees also reported unprotected sex and limited access to condoms and lubricant. As compared with those who did not attend sex parties, those who did indicated significantly more lifetime and recent (last 3 months) casual sex partners, drug use (both number of different drugs used and total lifetime use), psychosocial burden (history of partner violence and number of arrests), and total syndemic burden (a composite of unprotected anal sex, drug use and psychosocial burden). These results indicate that while only a small percentage of the overall sample attended sex parties, the intersection of both individual risk factors coupled with risk factors engendered within the sex party environment itself has the potential to be a catalyst in the proliferation of the HIV/AIDS epidemic in urban settings. Lastly, given that sex parties are different than other sex environments, commercial and public, with regard to how they are accessed, public health strategies may need to become more tailored in order to reach this potentially highly risky group.
关于与男性发生性关系的男男性行为者（MSM）年轻人的性派对行为，相关信息非常有限，通常定义为年龄在 13 至 29 岁之间的男性。目前的分析检查了纽约市 540 名成年初显期男同性恋、双性恋和其他 MSM 样本中的性派对参与和行为。研究结果表明，8.7%（n=47）的样本在评估前 3 个月参加过性派对。性派对参与者报告说，派对上既有 HIV 阳性男性，也有 HIV 阴性男性；参与者还报告了无保护的性行为以及有限的获得避孕套和润滑剂的途径。与未参加性派对的人相比，参加者表示有更多的终生和最近（过去 3 个月）的随意性伴侣、吸毒（使用的不同药物数量和总终生使用量）、心理社会负担（伴侣暴力和被捕次数的历史）以及总综合征负担（无保护的肛交、吸毒和心理社会负担的综合）。这些结果表明，尽管只有一小部分总体样本参加了性派对，但个人风险因素的交集，加上性派对环境本身产生的风险因素，有可能成为城市环境中 HIV/AIDS 流行的催化剂。最后，鉴于性派对与商业和公共的其他性环境不同，在如何进入性派对环境方面，公共卫生策略可能需要更加有针对性，以便接触到这个潜在的高风险群体。
