Department of Epidemiology, New York University, New York, NY, USA.
Department of Epidemiology, New York University, 665 Broadway, Suite 800, New York, NY, 10012, USA.
AIDS Behav. 2019 Dec;23(12):3315-3323. doi: 10.1007/s10461-019-02551-3.
Non-gay identifying men who have sex with men and women (MSMW) are an important subgroup of men who have sex with men (MSM) and have been underrepresented in studies of MSM that only use gay venues to draw their samples. We assessed heterosexual and drug use risks of MSMW who use drugs in a sample of male entrants to the Mount Sinai Beth Israel drug treatment programs from 2005 to 2018. Blood samples were collected and tested for HIV and HSV-2 infections. Among HIV seronegative participants, MSMW had significantly greater odds of sharing used needles with others, and reporting unprotected sex with female casual partners and female commercial sex partners, compared to their counterparts who reported sex with women exclusively (MSWE). Although not recruited from gay venues, MSMW had a significantly higher HIV prevalence than MSWE (23% vs. 10%, p < 0.001). Interventions that are specifically tailored to HIV prevention among MSMW are needed to ameliorate the prevalence of HIV risks and infection.
非同性恋男性与男性和女性发生性关系（MSMW）是男性与男性发生性关系（MSM）的一个重要亚组，在仅使用同性恋场所抽取样本的 MSM 研究中代表性不足。我们评估了在 2005 年至 2018 年期间，进入西奈山贝斯以色列药物治疗项目的男性参与者中，使用毒品的 MSMW 的异性恋和吸毒风险。采集血液样本并检测 HIV 和 HSV-2 感染。在 HIV 血清阴性的参与者中，与仅报告与女性发生性关系的参与者相比，MSMW 与他人共用使用过的针头、报告与女性偶然伴侣和女性商业性伴侣发生无保护性行为的可能性显著更高。尽管不是从同性恋场所招募的，但 MSMW 的 HIV 感染率显著高于 MSWE（23%比 10%，p<0.001）。需要针对 MSMW 的 HIV 预防量身定制干预措施，以改善 HIV 风险和感染的流行率。
