Department of Physiatry and Nursing, Health Sciences Faculty, University of Zaragoza, Zaragoza, Spain.
Aragón Health Service (SALUD), Miguel Servet University Hospital, Zaragoza, Spain.
J Nurs Manag. 2021 Jan;29(1):32-42. doi: 10.1111/jonm.13179. Epub 2020 Nov 4.
To determine the frequency of and identify risk factors associated with sexual practices leading to hepatitis A infection in the population of men who have sex with men in Spain.
The increased incidence of hepatitis A as a result of sexual contact among this population is a public health concern and a challenge in controlling sexually transmitted infections.
This cross-sectional, online survey-based study included 881 men who have sex with men. Unprotected oro-anal and insertive-anal sex are considered to be unsafe sexual practices associated with hepatitis A infection.
Of all respondents, 83.4% engaged in insertive-anal sex and 71.3% in unprotected oro-anal sex during the previous 12 months. An association was found with sociodemographic factors [living alone (OR = 2; 95%CI = 1.13-3.35)] and contextual factors of sexual behaviour [previous diagnosis of sexually transmitted infection(s) (OR = 1.74; 95%CI = 1.15-2.61) and participating in 'chemsex' (OR = 5.15; 95%CI = 1.05-25.15)].
The frequency of unsafe sexual practices associated with hepatitis A among men who have sex with men in Spain is high. Interventions based on sociodemographic and contextual factors of sexual behaviour should be implemented.
Nurse managers should update and incorporate the support needs of men who have sex with men and take advantage of the opportunity to implement harm reduction strategies.
确定西班牙男男性行为人群中导致甲型肝炎感染的性行为的频率和识别相关风险因素。
由于该人群中通过性接触导致甲型肝炎发病率增加，这是一个公共卫生关注点，也是控制性传播感染的挑战。
这项横断面、基于在线调查的研究纳入了 881 名男男性行为者。无保护的肛交和插入性肛交被认为是与甲型肝炎感染相关的不安全性行为。
在所有受访者中，83.4%在过去 12 个月内进行了插入性肛交，71.3%进行了无保护的肛交。社会人口学因素（独居（OR=2；95%CI=1.13-3.35））和性行为的情境因素（以前诊断出性传播感染（OR=1.74；95%CI=1.15-2.61）和参与“嗑药性行为”（OR=5.15；95%CI=1.05-25.15））与甲型肝炎感染相关的不安全性行为之间存在关联。
西班牙男男性行为人群中与甲型肝炎相关的不安全性行为频率很高。应根据性行为的社会人口学和情境因素实施干预措施。
护理管理人员应更新并纳入男男性行为者的支持需求，并利用这一机会实施减少伤害策略。
