让我们谈谈性：秘鲁利马男男性行为者和跨性别女性（MSM 和 TW）的伴侣关系背景对 HIV 感染状况和 condom 使用交流的影响。
Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru.
机构信息
South American Program in HIV Prevention Research, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Avenue, Los Angeles, CA, USA.
David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Avenue, CHS 37-121, Los Angeles, CA, 90095, USA.
出版信息
AIDS Behav. 2021 Jul;25(7):2139-2153. doi: 10.1007/s10461-020-03144-1. Epub 2021 Jan 7.
Abstract
Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.
摘要
与伴侣进行性行为沟通可以帮助进行风险评估和性行为实践。我们评估了与 446 名男男性行为者 (MSM) 和 122 名跨性别女性 (TW) 参与者、伴侣和网络因素相关的与避孕套使用和 HIV 感染状况有关的沟通情况，并探讨了这些因素与无保护肛交 (CAI) 之间的关系，这些参与者都来自秘鲁利马。广义估计方程评估了沟通和与近期性伴侣性行为实践的背景影响。报告更频繁进行 HIV 沟通的 MSM 特征如下：他们认同异性恋，而不是双性恋或同性恋；将伴侣关系描述为稳定，而不是随意、匿名或商业关系；或与亲密的社会联系人讨论 HIV/性传播感染 (p < 0.05)。处于同时期伴侣关系中的 TW 比处于一夫一妻制关系中的 TW 更频繁地讨论避孕套使用问题 (p < 0.05)。MSM 中避孕套使用讨论和酒精使用与 CAI 有关 (p < 0.05)。研究结果突出了性行为决策的复杂性，并呼吁进一步研究对话内容和实践，以提供 HIV 预防信息。
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