Yale School of Medicine, Yale University, New Haven, CT, USA.
Department of Biostatistics, Yale School of Public Health, New Haven, CT, USA.
BMC Public Health. 2021 Nov 19;21(1):2127. doi: 10.1186/s12889-021-12182-w.
BACKGROUND: There are limited studies on blocking and men who have sex with men (MSM) health outcomes. We need such data in China, to better understand the relationship between Chinese MSM gay app use and health outcomes, thus providing insight on risky sexual behaviors and HIV transmission among Chinese MSM - one of the world's largest MSM communities. Blocking someone is when users select a function on an app to prevent another user from contacting them and being blocked is when someone is prevented from contacting another user. We studied the correlates of blocking on the world's largest gay dating app among Chinese MSM (N = 208). METHODS: We conducted a cross-sectional survey as part of an HIV testing intervention in Guangzhou, China, May-December 2019. Using logistic regression models, we estimated the correlates of blocking (e.g. sociodemographic characteristics, sexual behavior, HIV testing history, social network data). RESULTS: MSM had a mean age of 27.9 years (SD = 7.1) and median of one sexual partner in the last 3 months. About 62% had blocked someone in their lifetime and 46% had been blocked in their lifetime. Each additional male partner was associated with an 87% (aOR = 1.87, 95%CI = 1.03, 3.40) increased chance of being blocked. Reporting a versatile sexual role was related with a 90% (aOR = 0.10, 95%CI = 0.02, 0.45) decreased likelihood of blocking behavior and an 86% (aOR = 0.14, 95%CI = 0.04, 0.46) reduced chance of being blocked. CONCLUSIONS: Number of male partners may be associated with blocking behavior, with implications for the design of online sexual health interventions.
背景:关于阻断和男男性行为者(MSM)健康结果的研究有限。我们需要在中国获得此类数据,以更好地了解中国 MSM 对同性恋应用程序的使用与健康结果之间的关系,从而了解中国 MSM 的危险性行为和 HIV 传播情况——中国是世界上最大的 MSM 群体之一。阻止某人是指用户在应用程序上选择一个功能以防止另一个用户与他们联系,而被阻止是指某人被阻止与另一个用户联系。我们研究了世界上最大的同性恋约会应用程序在中国 MSM 中的阻断现象(N=208)的相关因素。
方法:我们在中国广州进行了一项横断面调查,作为 HIV 检测干预的一部分,时间为 2019 年 5 月至 12 月。使用逻辑回归模型,我们估计了阻断的相关因素(例如社会人口统计学特征、性行为、HIV 检测史、社交网络数据)。
结果:MSM 的平均年龄为 27.9 岁(标准差=7.1),过去 3 个月的中位数性伴侣数为 1 人。约 62%的人在其一生中曾阻止过某人,46%的人在其一生中曾被阻止过。每增加一个男性伴侣,被阻止的可能性就会增加 87%(优势比[aOR]=1.87,95%置信区间[95%CI]=1.03,3.40)。报告具有多功能性的性角色与阻止行为的可能性降低 90%(aOR=0.10,95%CI=0.02,0.45)和被阻止的可能性降低 86%(aOR=0.14,95%CI=0.04,0.46)有关。
结论:性伴侣的数量可能与阻断行为有关,这对在线性健康干预措施的设计有影响。
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