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法国男同性恋者的性伴会面场所类型与性风险行为

Partner meeting venue typology and sexual risk behaviors among French men who have sex with men.

作者信息

Al-Ajlouni Yazan A, Park Su H, Schneider John A, Goedel William C, Rhodes Hambrick H, Hickson DeMarc A, Cantor Michael N, Duncan Dustin T

机构信息

1 Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, NY, USA.

2 Departments of Medicine and Public Health Sciences, University of Chicago School of Medicine, Chicago, IL, USA.

出版信息

Int J STD AIDS. 2018 Nov;29(13):1282-1288. doi: 10.1177/0956462418775524. Epub 2018 Jul 4.

Abstract

Previous research has given considerable attention to venues where men who have sex with men (MSM) meet their sex partners. However, no previous study examined a vast range of sexual risk behaviors. The objective of this study was to examine the association between the types of venues for meeting sexual partners, condomless anal intercourse, engagement in group sex, and HIV and sexually transmitted infection (STI) risk among a sample of MSM. Users of a popular geosocial-networking app in Paris were provided an advertisement with text encouraging them to complete an anonymous web-based survey ( n = 580), which included questions about sex-seeking venues, condomless anal intercourse, HIV status and STI history, and sociodemographic characteristics. A log-binomial model was used to assess association between venues (i.e. public venues [gay clubs, bars, and discos], cruising venues [such as gay saunas, beaches, and parks], and internet-based venues [internet chat sites and geosocial-networking apps]), condomless anal intercourse, engagement in group sex, and HIV infection as well as infection with other STIs, after adjustment for sociodemographics. In multivariable models, attending cruising venues was associated with condomless receptive anal intercourse (adjusted relative risk [aRR] = 1.47; 95% confidence interval [CI] = 1.20-1.81), any kind of condomless anal intercourse (aRR = 1.34; 95% CI = 1.14-1.58), an STI (aRR = 1.50; 95% CI = 1.09-2.05), engagement in group sex (aRR = 1.42; 95% CI = 1.27-1.59), and multiple partners for both condomless insertive (aRR = 2.00; 95% CI = 1.38-2.88), and receptive (aRR = 1.70; 95% CI = 1.23-2.36) anal intercourse, STI infection (aRR = 1.50, 95% CI = 1.09-2.05) and HIV infection (aRR = 1.76; 95% CI = 1.05-2.96). No associations were found with other venue types and sexual risk behaviors, STIs, and HIV infection, except for group sex, which was associated with all venue types. Use of cruising where the primary aim is to have sex was found to be associated with risky sexual behavior. Risky behavior reduction strategies such as preexposure prophylaxis campaigns should be targeted to MSM who frequent cruising venues.

摘要

以往的研究相当关注男男性行为者(MSM)结识其性伴侣的场所。然而,此前尚无研究考察过范围广泛的性风险行为。本研究的目的是在一组男男性行为者样本中,考察结识性伴侣的场所类型、无保护肛交、群交行为与感染艾滋病毒及性传播感染(STI)风险之间的关联。向巴黎一款热门地理社交网络应用的用户投放了一则带有文字的广告,鼓励他们完成一项基于网络的匿名调查(n = 580),该调查包括有关寻求性接触场所、无保护肛交、艾滋病毒感染状况和性传播感染病史以及社会人口学特征的问题。采用对数二项模型评估在对社会人口学因素进行调整之后,场所(即公共场所[同性恋俱乐部、酒吧和迪斯科舞厅]、寻欢场所[如同性恋桑拿浴室、海滩和公园]以及基于互联网的场所[互联网聊天网站和地理社交网络应用])、无保护肛交、群交行为与艾滋病毒感染以及其他性传播感染之间的关联。在多变量模型中,前往寻欢场所与无保护接受肛交(调整后相对风险[aRR]=1.47;95%置信区间[CI]=1.20 - 1.81)、任何形式的无保护肛交(aRR = 1.34;95% CI = 1.14 - 1.58)、性传播感染(aRR = 1.50;95% CI = 1.09 - 2.05)、群交行为(aRR = 1.42;95% CI = 1.27 - 1.59)以及无保护插入式(aRR = 2.00;95% CI = 1.38 - 2.88)和接受式(aRR = 1.70;95% CI = 1.23 - 2.36)肛交的多个性伴侣、性传播感染(aRR = 1.50,95% CI = 1.09 - 2.05)以及艾滋病毒感染(aRR = 1.76;95% CI = 1.05 - 2.96)相关。除群交行为(与所有场所类型均相关)外,未发现其他场所类型与性风险行为、性传播感染及艾滋病毒感染之间存在关联。发现以性行为为主要目的前往寻欢场所与危险性行为相关。诸如暴露前预防宣传活动等降低危险行为的策略应针对经常前往寻欢场所的男男性行为者。

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