Institute for Sexual and Gender Minority Health and Wellbeing, Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
AIDS Behav. 2021 Jan;25(1):191-202. doi: 10.1007/s10461-020-02961-8.
Young men who have sex with men (YMSM) are disproportionally affected by HIV, and main partnerships account for a large proportion of new HIV infections. HIV prevention is largely focused on urban YMSM, and less is known about sexual health of rural male couples. The present study used data from a randomized controlled trial of a relationship education and HIV prevention program for male couples to test associations of rurality with HIV/STI testing, PrEP use, number of sexual partners, and condomless anal sex (CAS) acts. Participants were 430 YMSM in relationships. Rural YMSM were less likely to have been tested for HIV/STIs, and to have used PrEP, compared to urban YMSM. Although higher rurality was associated with fewer CAS acts, CAS was not infrequent among rural YMSM, highlighting the need for increased HIV prevention geared toward young male couples living in rural, less resourced areas.
男男性行为者（YMSM）中 HIV 感染比例过高，而主要性伴侣在新的 HIV 感染中占很大比例。HIV 预防主要集中在城市 YMSM，而农村男性伴侣的性健康知之甚少。本研究使用了一项针对男性伴侣关系教育和 HIV 预防计划的随机对照试验的数据，以检验农村与 HIV/性传播感染检测、PrEP 使用、性伴侣数量和无保护肛交行为之间的关联。参与者是 430 名处于伴侣关系中的 YMSM。与城市 YMSM 相比，农村 YMSM 进行 HIV/性传播感染检测和使用 PrEP 的可能性较小。尽管较高的农村性与较少的 CAS 行为有关，但农村 YMSM 的 CAS 行为并不罕见，这凸显了需要针对生活在农村、资源较少地区的年轻男性伴侣制定更多的 HIV 预防措施。
