Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, 722 West 168th Street, New York, NY, USA.
Center for Ethics Education and Department of Psychology, Fordham University, Bronx, NY, USA.
AIDS Behav. 2023 Mar;27(3):761-771. doi: 10.1007/s10461-022-03808-0. Epub 2022 Aug 5.
Sexual and gender minority individuals who attend collective sex venues (CSVs; establishments where people can have sex in groups or the presence of others) are at elevated risk for HIV and STIs. On-site sexual health interventions have been attempted at CSVs, but attendees' interest in receiving such services is under-investigated. This paper presents results from a 2020 online cross-sectional survey completed by 342 sexual and gender minority individuals who attended CSVs in New York City. Interest in services such as on-site testing for STIs, testing vans near CSVs, and informational referrals was overall high, particularly among younger participants. Among participants who reported being HIV negative, those of younger age and those who were not using PrEP reported being more likely to take an HIV test if it would be offered at CSVs. In open-text survey responses, participants expressed interest in CSVs providing free prevention services such as HIV/STI testing, PEP, PrEP, and STI medications or vaccination, as well as in ways to improve norms surrounding condom use and consent at these venues. Some participants expressed barriers to on-site services such as privacy concerns, preexisting access to health services, an emphasis on personal responsibility, and negative reactions to the presence of service providers. However, some participants also felt that these services could be delivered in a positive, acceptable, and non-judgmental way, especially by involving CSV organizers and attendees in their implementation. Findings from this study can inform future initiatives to develop sexual health interventions at CSVs.
性少数群体和跨性别者（LGBT+）在集体性场所（CSVs；人们可以集体或在他人在场的情况下发生性行为的场所）参加性活动时，感染 HIV 和性传播感染（STIs）的风险较高。曾在 CSVs 尝试过现场性健康干预措施，但参与者对接受此类服务的兴趣尚未得到充分调查。本文介绍了 2020 年在纽约市参加 CSVs 的 342 名性少数群体和跨性别者完成的一项在线横断面调查的结果。对现场 STI 检测、在 CSVs 附近设立检测车和信息转介等服务的兴趣总体较高，尤其是在年轻参与者中。在报告 HIV 阴性的参与者中，年龄较小的参与者和未使用 PrEP 的参与者报告说，如果在 CSVs 提供 HIV 检测，他们更有可能接受 HIV 检测。在开放文本调查回复中，参与者表示有兴趣在 CSVs 提供免费的预防服务，如 HIV/STI 检测、PEP、PrEP 和 STI 药物或疫苗接种，以及改善这些场所的 condom 使用和同意规范的方法。一些参与者表示对现场服务存在障碍，例如隐私问题、已经可以获得医疗服务、强调个人责任以及对服务提供者存在负面反应。然而，一些参与者也认为这些服务可以以积极、可接受和非评判的方式提供，特别是通过让 CSV 组织者和参与者参与服务的实施。本研究的结果可以为未来在 CSVs 开展性健康干预措施提供信息。
