UCLA Center for Clinical AIDS Research & Education, UCLA Center for HIV Identification, Prevention, and Treatment Services, David Geffen School of Medicine, University of California, Los Angeles, CA 90035, USA.
J Urban Health. 2013 Aug;90(4):729-39. doi: 10.1007/s11524-012-9766-7.
Young men who have sex with men (YMSM) are at alarming risk for HIV acquisition, demonstrating the highest rates of incident infection of any age-risk group. GRINDR is a global positioning service-based social networking application popular with YMSM for sexual partnering. To assess the characteristics of YMSM who use GRINDR, we conducted a computer-assisted self-interview-based survey of 375 YMSM using GRINDR in metropolitan Los Angeles, recruited using the GRINDR platform. The median age was 25 (interquartile range, 22-27) years old, 42.4 % caucasian, 6.4 % African American, 33.6 % Latino, and 14.1 % Asian/Pacific Islander. Participants reported high rates of sexual partnering and unprotected anal intercourse (UAI). The majority (70 %) of those reporting unprotected anal intercourse reported low perception of HIV-acquisition risk. Of the participants, 83.1 % reported HIV testing within the past 12 months; 4.3 % had never been HIV tested. Of the participants, 4.5 % reported HIV-positive serostatus; 51.7 % indicated that they would be interested in participating in a future HIV prevention trial. Latinos were more likely than either caucasians or African Americans to endorse trial participation interest (odds ratio, 1.9; 95 % confidence interval [1.1-3.3]). HIV-positive test results were associated with increased number of anal sex partners in the past 3 months (adjusted odds ratio (AOR), 1.53 [0.97-2.40]), inconsistent inquiry about partners' serostatus (AOR, 3.63 [1.37-9.64]), reporting the purpose for GRINDR use including "friendship" (AOR, 0.17 [0.03-1.06), and meeting a sexual partner in a bookstore in the past 3 months (AOR, 33.84 [0.99-1152]). Men recruited via GRINDR were high risk for HIV acquisition or transmission and interested in clinical trial participation, suggesting potential for this method to be used for recruitment of YMSM to HIV prevention trials.
男男性行为者(MSM)感染 HIV 的风险极高,是所有年龄风险组中感染率最高的人群。Grindr 是一款基于全球定位服务的社交网络应用程序,在 MSM 群体中广受欢迎,用于寻找性伴侣。为了评估使用 Grindr 的 MSM 的特征,我们在洛杉矶大都市区招募了 375 名使用 Grindr 的 MSM,使用基于计算机的自我访谈调查了他们的情况,调查是通过 Grindr 平台进行的。参与者的中位年龄为 25 岁(四分位距 22-27 岁),42.4%为白种人,6.4%为非裔美国人,33.6%为拉丁裔,14.1%为亚裔/太平洋岛民。参与者报告称性伴侣数量和无保护肛交(UAI)的比例很高。大多数(70%)报告 UAI 的人表示对 HIV 感染风险的认识较低。在参与者中,83.1%报告在过去 12 个月内接受过 HIV 检测;4.3%从未接受过 HIV 检测。在参与者中,4.5%报告 HIV 阳性血清学结果;51.7%表示有兴趣参加未来的 HIV 预防试验。与白种人或非裔美国人相比,拉丁裔更有可能表示愿意参加试验(优势比 1.9;95%置信区间 [1.1-3.3])。HIV 阳性检测结果与过去 3 个月内肛交性伴侣数量增加有关(调整后的优势比(AOR),1.53 [0.97-2.40]),对性伴侣血清学状态的询问不一致(AOR,3.63 [1.37-9.64]),报告使用 Grindr 的目的包括“交友”(AOR,0.17 [0.03-1.06]),以及过去 3 个月在书店遇到性伴侣(AOR,33.84 [0.99-1152])。通过 Grindr 招募的男性感染 HIV 或传播 HIV 的风险很高,并且对参加临床试验感兴趣,这表明这种方法有可能用于招募 MSM 参加 HIV 预防试验。
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