美国男男性行为青少年的交友应用使用、性行为和性健康。
Hookup App Use, Sexual Behavior, and Sexual Health Among Adolescent Men Who Have Sex With Men in the United States.
机构信息
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, Illinois.
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois; Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, Illinois.
出版信息
J Adolesc Health. 2018 Jun;62(6):708-715. doi: 10.1016/j.jadohealth.2018.01.001.
PURPOSE
Geosocial networking applications (e.g., "hookup apps") are widely used among adult men who have sex with men (MSM). Little is known about adolescent MSM's (AMSM) use of these apps. Exploratory research is needed as AMSM's app use poses various ethical, legal, and sexual health concerns. This article examined AMSM's app use patterns and its associations with their sexual health and behavior.
METHODS
Two hundred sexually experienced AMSM in the United States (M age = 16.6, 49% racial/ethnic minority) completed online survey questions assessing their use of apps specific to MSM and not specific to MSM to meet partners for dating and sex, as well as their sexual behavior and HIV risk.
RESULTS
Overall, 52.5% of participants (n = 105) reported using MSM-specific apps to meet partners for sex. Of these, most participants reported having oral (75.7%, n = 78) and anal sex (62.1%, n = 64) with those partners. Of those who reported having anal sex, 78.1% (n = 50) had sex with those partners more than once, and only 25.0% (n = 16) always used condoms with those partners. Relative to those who used only non-MSM-specific apps, MSM-specific app users reported more sex partners and condomless anal sex partners, greater perceived risk of HIV, more engagement in sexual health services, and greater odds of HIV testing.
CONCLUSIONS
Use of MSM-specific apps was not uncommon among this sample of AMSM. Patterns of risk behavior and HIV testing were similar to samples of adult MSM app users. Further research should investigate AMSM's app-related sexual and HIV/sexually transmitted infection prevention decision-making to guide sexual health education efforts for AMSM.
目的
社交定位应用程序（例如“ hookup 应用程序”）在与男性发生性关系的男性（MSM）中广泛使用。对于青少年男男性行为者（AMSM）对这些应用程序的使用知之甚少。由于 AMSM 的应用程序使用会带来各种道德、法律和性健康问题，因此需要进行探索性研究。本文研究了 AMSM 的应用程序使用模式及其与性健康和行为的关系。
方法
美国 200 名有性经验的 AMSM（M 年龄= 16.6，49%为少数族裔）完成了在线调查问题，评估了他们使用特定于 MSM 的应用程序和非特定于 MSM 的应用程序来约会和发生性关系的情况，以及他们的性行为和 HIV 风险。
结果
总体而言，52.5%的参与者（n=105）报告使用 MSM 特定的应用程序与性伴侣约会。在这些参与者中，大多数人报告与这些伴侣发生了口腔性行为（75.7%，n=78）和肛交（62.1%，n=64）。在报告发生肛交的人中，78.1%（n=50）与这些伴侣不止一次性交，只有 25.0%（n=16）与这些伴侣始终使用安全套。与仅使用非 MSM 特定应用程序的人相比，使用 MSM 特定应用程序的人报告了更多的性伴侣和无保护套的肛交伴侣，更高的 HIV 风险感知，更多地参与性健康服务，以及更高的 HIV 检测几率。
结论
在本 AMSM 样本中，使用 MSM 特定的应用程序并不罕见。风险行为和 HIV 检测模式与成年 MSM 应用程序使用者的样本相似。进一步的研究应该调查 AMSM 与应用程序相关的性和 HIV/性传播感染预防决策，以指导 AMSM 的性健康教育工作。
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