Crosby Richard A, Mena Leandro, Geter Angelica, Hickson DeMarc
College of Public Health at the University of Kentucky, 151 Washington Ave., Lexington, KY, 40506-0003, USA.
University of Mississippi Medical Center, Jackson, USA.
AIDS Behav. 2016 Apr;20(4):717-21. doi: 10.1007/s10461-015-1227-3.
The objective of this study is to determine whether young Black MSM who also have sex with females report similar levels of sexual risk behaviors as those not having sex with females. YBMSM (N = 400) were recruited from an STI clinic, located in the Southern U.S. Men completed an audio-computer assisted self-interview and donated specimens for STI/HIV testing. Forty-three percent recently engaged in penile-vaginal sex. They were less likely to report having concurrent partners (P = .01), unprotected fellatio (P = .04), multiple partners as a bottom (P < .02), any unprotected anal sex as a bottom (P < .013), and any anal sex (P = .007). They were equally likely to report favorable attitudes toward serosorting (P = .80), multiple male partners as a top (P = .20), unprotected anal insertive sex with males (P = .15). Frequency of sex with males as a top (P = .61) or bottom (P = .61) did not differ. Compared to YBMSM not having sex with females, those having sex with females may be exercising greater caution.
本研究的目的是确定同时与女性发生性行为的年轻黑人男男性行为者报告的性风险行为水平是否与未与女性发生性行为的人相似。从位于美国南部的一家性传播感染诊所招募了400名年轻黑人男男性行为者。男性完成了一次音频计算机辅助的自我访谈，并捐赠了用于性传播感染/艾滋病毒检测的样本。43%的人最近有过阴茎阴道性交。他们报告有同时性伴侣（P = 0.01）、无保护口交（P = 0.04）、作为被动方有多个性伴侣（P < 0.02）、作为被动方有任何无保护肛交（P < 0.013）以及有任何肛交（P = 0.007）的可能性较小。他们报告对血清学分类持积极态度（P = 0.80）、作为主动方有多个男性性伴侣（P = 0.20）、与男性进行无保护肛交插入（P = 0.15）的可能性相同。作为主动方（P = 0.61）或被动方（P =
