White Jaclyn M, Reisner Sari L, Dunham Emilia, Mimiaga Matthew J
The Fenway Institute, Fenway Health, Boston, MA, USA,
J Urban Health. 2014 Aug;91(4):768-75. doi: 10.1007/s11524-013-9853-4.
Race-based sexual preferences in the online profiles of men who have sex with men (MSM) may be relevant for understanding the sexual health of this population, including racial/ethnic disparities in HIV infection. In October 2011, a content analysis was conducted of the profiles of Boston-area members of a racially diverse website for MSM. The present analysis formatively examined the use of demographic and partner selection criteria by race/ethnicity appearing in the profiles of men who indicated race-based partner preferences (n = 89). Latino men were the most frequently preferred race (54 %), followed by White (52 %), Black (48 %), and Asian (12 %) men. In separate multivariable models adjusted for age and HIV status disclosure, wanting low-risk foreplay was associated with a preference for White men (aOR) = 4.27; 95 % CI = 1.70-10.75; p = 0.002), while wanting group sex was associated with a preference for Black (OR = 2.28; 95 % CI = 1.08-4.81; p = 0.03) and Latino men (OR = 2.56; 95 % CI = 1.25-5.23; p = 0.01). Future studies are needed to replicate findings in larger online samples. Mixed-methods research should explore how racial and behavioral preferences impact the sexual mixing patterns and health of MSM online in urban areas.
男男性行为者(MSM)在线资料中基于种族的性偏好可能与了解该人群的性健康有关,包括艾滋病毒感染方面的种族/族裔差异。2011年10月,对一个面向MSM的种族多元化网站上波士顿地区会员的资料进行了内容分析。本分析形成性地研究了在表明基于种族的伴侣偏好的男性资料(n = 89)中按种族/族裔划分的人口统计学和伴侣选择标准的使用情况。拉丁裔男性是最常被偏好的种族(54%),其次是白人(52%)、黑人(48%)和亚洲男性(12%)。在针对年龄和艾滋病毒状况披露进行调整的单独多变量模型中,希望进行低风险前戏与对白种男性的偏好相关(调整后比值比[aOR]=4.27;95%置信区间[CI]=1.70 - 10.75;p = 0.002),而希望进行群交与对黑人男性(比值比[OR]=2.28;95% CI = 1.08 - 4.81;p = 0.03)和拉丁裔男性(OR = 2.56;95% CI = 1.25 - 5.23;p = 0.01)的偏好相关。未来需要开展研究以在更大的在线样本中重复这些发现。混合方法研究应探索种族和行为偏好如何影响城市地区男男性行为者在线上的性混合模式和健康状况。