Whitfield Darren L, Kattari Shanna K, Walls N Eugene, Al-Tayyib Alia
1 University of Pittsburgh, Pittsburgh, PA, USA.
2 University of Denver, Denver, CO, USA.
Am J Mens Health. 2017 May;11(3):775-784. doi: 10.1177/1557988316687843. Epub 2017 Jan 29.
In 2016, gay, bisexual, and other men who have sex with men (MSM) comprise more than half of all new HIV diagnoses in the United States, with the primary mode of infection being condomless anal sex (CAS). While studies report an association between use of Internet-based social networking sites and increased CAS, the research on the relationship between cell phone mobile applications (e.g., Grindr, Scruff, Jack'd) and CAS is much less developed. The present study examines whether the manner in which gay, bisexual, and other MSM find sexual partners predicts an increase in likelihood of engaging in CAS in an urban, noncoastal U.S. city. Conducting a secondary data analysis of the 2011 National HIV Behavioral Surveillance survey for Denver ( N = 546), the authors performed binary logistic regression analyses to assess the models that predict how MSM find sexual partners, and the odds of engaging in CAS. While the results suggest that age and race are associated with the mode of finding sexual partners, using the Internet or a mobile app to find sexual partners was not predictive of CAS ( Z = .41, p = .52; Z = .80, p = .37). In terms of HIV prevention, these findings suggest a need for intervention to address HIV prevention on multiple levels (e.g., individual, group, community).
2016年，男同性恋者、双性恋者以及其他与男性发生性行为的男性（男男性行为者）在美国新增艾滋病毒确诊病例中占比超过一半，主要感染方式为无保护肛交（CAS）。虽然研究报告称使用基于互联网的社交网站与无保护肛交增加之间存在关联，但关于手机移动应用程序（如Grindr、Scruff、Jack'd）与无保护肛交之间关系的研究则少得多。本研究调查了男同性恋者、双性恋者以及其他男男性行为者寻找性伴侣的方式是否预示着在美国一个非沿海城市中进行无保护肛交可能性的增加。作者对2011年丹佛市全国艾滋病毒行为监测调查（N = 546）进行二次数据分析，进行二元逻辑回归分析以评估预测男男性行为者寻找性伴侣方式以及进行无保护肛交几率的模型。虽然结果表明年龄和种族与寻找性伴侣的方式有关，但使用互联网或移动应用程序寻找性伴侣并不能预测无保护肛交行为（Z = .41，p = .52；Z = .80，p = .37）。在艾滋病毒预防方面，这些发现表明需要进行多层次（如个人、群体、社区）的艾滋病毒预防干预。
