Mirandola Massimo, Gios Lorenzo, Sherriff Nigel, Pachankis John, Toskin Igor, Ferrer Laia, Dias Sónia, Velicko Inga, Staneková Danica, Caplinskas Saulius, Naseva Emilia, Niedźwiedzka-Stadnik Marta
Veneto Region - Department of Health, CReMPE - Regional Coordination Centre for European Project Management, the Verona University Hospital, Verona, Italy.
Infectious Diseases Section, Department of Diagnostics and Public Health, University of Verona, P.le L.A Scuro, 10, 37134, Verona, Italy.
AIDS Behav. 2017 Oct;21(10):3013-3025. doi: 10.1007/s10461-017-1831-5.
Within the MSM population, men who have sex with both men and women (MSMW) are identified as a high-risk group both worldwide and in Europe. In a multi-centred bio-behavioural cross-sectional study, we aimed to assess the relationship(s) between socio-demographic factors, stigma, sexual behavioural patterns, test seeking behaviour and sero-status amongst MSMW. A multi-level analysis was conducted to identify factors associated with being MSMW versus Men who have Sex with Men Only (MSMO). A total of 4901 MSM were enrolled across the 13 study sites. Participants were categorised as MSMW in the 12.64% of the cases. Factors such as educational status, perceived homonegativity, testing facilities knowledge and HIV testing lifetime seem to be relevant factors when characterising the MSMW group. The results highlight the vulnerability of MSMW and the wide spectrum of risky behavioural and psycho-social patterns, particularly in terms of HIV testing, 'outness', and perceived stigma.
在男男性行为者群体中，双性恋男性在全球和欧洲都被视为高危人群。在一项多中心生物行为横断面研究中，我们旨在评估双性恋男性的社会人口学因素、耻辱感、性行为模式、检测寻求行为以及血清学状态之间的关系。我们进行了多层次分析，以确定与双性恋男性而非仅与男性发生性行为的男性（MSMO）相关的因素。13个研究地点共招募了4901名男男性行为者。在12.64%的案例中，参与者被归类为双性恋男性。教育程度、感知到的同性恋歧视、检测设施知识和终生HIV检测等因素似乎是双性恋男性群体特征的相关因素。研究结果凸显了双性恋男性的脆弱性以及广泛的危险行为和心理社会模式，尤其是在HIV检测、“出柜”和感知到的耻辱感方面。
