Department of Health and Nutrition Sciences, Brooklyn College of the City University of New York, 2900 Bedford Avenue, Brooklyn, NY 11210, USA.
Arch Sex Behav. 2013 Feb;42(2):291-302. doi: 10.1007/s10508-011-9854-x. Epub 2011 Oct 20.
Venue-based characteristics (e.g., alcohol in bars, anonymous chat online, dark/quiet spaces in bathhouses) can impact how men who have sex with men (MSM) negotiate sex and HIV-associated risk behavior. We sought to determine the association between HIV-associated risk factors and the venues where MSM met their most recent new (first-time) male sex partner, using data from a 2004 to 2005 national online anonymous survey of MSM in the U.S. (n = 2,865). Most men (62%) met their partner through the Internet. Among those reporting anal sex during their last encounter (n = 1,550), half had not used a condom. In multivariate modeling, and among men reporting anal sex during their last encounter, venue where partner was met was not significantly associated with unprotected anal intercourse (UAI). Nevertheless, venue was related to other factors that contextualized men's sexual encounters. For example, HIV status disclosure was lowest among men who met their most recent partner in a park, outdoors, or other public place and highest among men who met their most recent partner online. Alcohol use prior to/during the last sexual encounter was highest among men who met their most recent partner in a bathhouse or a bar/club/party/event. These data suggest it is possible to reach men online who seek sex in many different venues, thus potentially broadening the impact of prevention messages delivered in virtual environments. Although not associated with UAI, venues are connected to social-behavioral facets of corresponding sexual encounters, and may be important arenas for differential HIV and STI education, treatment, and prevention.
基于场所的特征（例如酒吧中的酒精、在线匿名聊天、浴室中的黑暗/安静空间）会影响男男性行为者（MSM）协商性行为和与艾滋病相关的风险行为的方式。我们试图确定与艾滋病相关的风险因素与 MSM 最近遇到的新（首次）男性性伴侣的场所之间的关联，使用的是 2004 年至 2005 年美国全国性在线匿名 MSM 调查的数据（n=2865）。大多数男性（62%）通过互联网结识伴侣。在报告最近一次性行为中使用了避孕套的男性中（n=1550），有一半没有使用避孕套。在多变量模型中，在报告最近一次性行为中使用了避孕套的男性中，伴侣的见面场所与未使用避孕套进行肛门性交没有显著关联。尽管如此，场所与其他因素有关，这些因素使男性的性接触背景化。例如，在公园、户外或其他公共场所遇到最近的伴侣的男性中，艾滋病病毒状况披露率最低，而在最近的伴侣在网上遇到的男性中，艾滋病病毒状况披露率最高。在最近一次性行为之前/期间饮酒的男性中，在浴室、酒吧/俱乐部/派对/活动中遇到最近的伴侣的男性比例最高。这些数据表明，有可能接触到在许多不同场所寻求性的在线男性，从而有可能扩大在虚拟环境中传递预防信息的影响。尽管与未使用避孕套进行肛门性交没有关联，但场所与相应性行为的社会行为方面有关，并且可能是针对不同的艾滋病和性传播感染教育、治疗和预防的重要领域。
