Department of Epidemiology, Emory University, Atlanta, GA, USA.
Epicentro, Lima, Peru.
AIDS Behav. 2024 Aug;28(8):2547-2558. doi: 10.1007/s10461-024-04362-7. Epub 2024 May 16.
Geosocial networking dating apps (GSN apps) are an increasingly widespread technology used by populations throughout the world to facilitate sexual encounters. Studies from a variety of settings suggest a possible association between GSN app use and HIV risk behaviors, including among sexual and gender minority populations such as men who have sex with men (MSM) and transgender women (TW). However, it remains unclear to what extent GSN apps play a causal role. We explored the relationship between GSN app use and sexual risk behaviors among MSM and TW in Lima, Peru by analyzing data from a multi-site cross-sectional survey assessing both general and partner-specific sexual behaviors. We performed bivariate analysis to estimate the association of GSN app use with different individual and partner-specific factors, then fit multivariable regression models adjusting for age and education. Among 741 total participants (698 MSM, 43 TW), 64% met at least one sex partner in the prior three months using a GSN app. GSN app users were significantly more likely to report engaging in HIV risk behaviors in general, including condomless receptive anal sex, group sex, transactional sex, and sex under the influence of alcohol or drugs. Having condomless anal sex with a given partner was not associated with meeting that partner via GSN app. These findings highlight GSN app users as a particularly vulnerable subpopulation among MSM and TW in Lima. GSN apps could provide a useful vehicle for targeted HIV prevention efforts for priority populations in Peru.
基于社交地理位置的网络约会应用(GSN 应用)是一种在全球范围内广泛使用的技术,用于促进性接触。来自不同环境的研究表明,GSN 应用的使用与 HIV 风险行为之间可能存在关联,包括男男性行为者(MSM)和跨性别女性(TW)等性和性别少数群体。然而,GSN 应用在多大程度上起因果作用仍不清楚。我们通过分析来自秘鲁利马多地点横断面调查的数据,评估了 GSN 应用的使用与 MSM 和 TW 中的性风险行为之间的关系,该调查评估了一般和特定伴侣的性行为。我们进行了双变量分析,以估计 GSN 应用的使用与不同的个体和特定伴侣因素之间的关联,然后拟合了调整年龄和教育的多变量回归模型。在 741 名总参与者(698 名 MSM,43 名 TW)中,有 64%的人在前三个月至少通过 GSN 应用与一名性伴侣发生了性关系。GSN 应用使用者更有可能报告一般性行为中的 HIV 风险行为,包括无保护的肛交、群交、易性交易和在酒精或毒品影响下的性行为。与特定伴侣发生无保护的肛交与通过 GSN 应用结识该伴侣无关。这些发现突显了 GSN 应用使用者是利马 MSM 和 TW 中的一个特别脆弱的亚群体。GSN 应用可以为秘鲁的重点人群提供有针对性的 HIV 预防工作的有用工具。
Cochrane Database Syst Rev. 2008-7-16
JMIR Public Health Surveill. 2025-7-8
AIDS Behav. 2022-6
Soc Personal Psychol Compass. 2021-11