Evans Mark W, Borrero Sonya, Yabes Jonathan, Rosenfeld Elian A
1 University of Pittsburgh, School of Medicine, Pittsburgh, PA, USA.
2 Division of General Internal Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, PA, USA.
Am J Mens Health. 2017 Jul;11(4):791-800. doi: 10.1177/1557988317698615. Epub 2017 Mar 22.
Little is known about the sexual health of male veterans. This study used nationally representative data from the 2011 to 2013 National Survey of Family Growth to compare sexual behaviors and history of sexually transmitted infections (STIs) between male veterans and nonveterans. The sample included 3,860 men aged 18 to 44 years who reported ever having sex with a man or woman. The key independent variable was veteran status. Sexual behavior outcomes included ≥6 lifetime female partners, ≥10 lifetime partners of either sex, ≥2 past-year partners of either sex, having past-year partners of both sexes, and condom nonuse at last vaginal sex. STI outcomes included past-year history of chlamydia, gonorrhea, or receiving any STI treatment; lifetime history of herpes, genital warts, or syphilis; and an aggregate measure capturing any reported STI history. Logistic regression models were used to evaluate associations between veteran status and each outcome. In models adjusting for age, race/ethnicity, education, income, and marital status, veterans had significantly greater odds than nonveterans of having ≥6 lifetime female partners ( OR = 1.5, 95% CI [1.02, 2.31]). In models adjusting for age and marital status, veterans had significantly greater odds of having partners of both sexes in the past year ( OR = 4.8, 95% CI [1.2, 19.8]), and gonorrhea in the past year ( OR = 3.2, 95% CI [1.2, 8.5]). Male veterans were thus significantly more likely than nonveterans to have STI risk factors. Health care providers should be aware that male veterans may be at higher risk for STIs and assess veterans' sexual risk behaviors.
对于男性退伍军人的性健康状况,人们了解甚少。本研究使用了2011年至2013年全国家庭成长调查中的全国代表性数据,以比较男性退伍军人和非退伍军人之间的性行为及性传播感染(STIs)病史。样本包括3860名年龄在18至44岁之间、报告曾与男性或女性发生过性行为的男性。关键自变量为退伍军人身份。性行为结果包括一生中有≥6名女性伴侣、一生中有≥10名任何性别的伴侣、过去一年中有≥2名任何性别的伴侣、过去一年中有两性伴侣以及最近一次性交时未使用避孕套。性传播感染结果包括过去一年的衣原体、淋病病史或接受过任何性传播感染治疗;一生的疱疹、尖锐湿疣或梅毒病史;以及一个综合指标,涵盖任何报告的性传播感染病史。使用逻辑回归模型来评估退伍军人身份与每个结果之间的关联。在调整了年龄、种族/族裔、教育程度、收入和婚姻状况的模型中,退伍军人一生中有≥6名女性伴侣的几率显著高于非退伍军人(比值比[OR]=1.5,95%置信区间[CI][1.02,2.31])。在调整了年龄和婚姻状况的模型中,退伍军人在过去一年中有两性伴侣的几率显著更高(OR=4.8,95%CI[1.2,19.8]),以及过去一年患淋病的几率也显著更高(OR=3.2,95%CI[1.2,8.5])。因此,男性退伍军人比非退伍军人更有可能具有性传播感染风险因素。医疗保健提供者应意识到男性退伍军人可能有更高的性传播感染风险,并评估退伍军人的性风险行为。