Ibáñez-Tomás Eduardo, Gasch-Gallén Ángel
Servicio Aragonés de Salud, Hospital Universitario Miguel Servet, 50009 Zaragoza, Spain.
Departamento de Fisiatría y Enfermería, Universidad de Zaragoza, 50009 Zaragoza, Spain.
Healthcare (Basel). 2024 Aug 29;12(17):1722. doi: 10.3390/healthcare12171722.
Men who have sex with men are at an increased risk of acquiring sexually transmitted infections, and although behavioral and contextual interventions have improved, infections continue to spread. Therefore, a new focus on recent trends in sexual health in this population is needed. The aim of this study was to describe the relationship between sociodemographic and behavioral characteristics according to Grindr usage patterns, the prevalence of sexually transmitted infections (STIs), and attitudes toward HIV testing. In January 2020, a cross-sectional study was conducted using a sample of 881 men who have sex with men (MSM) who completed an online questionnaire. We evaluated their Grindr use patterns (moderate or intensive) and explored the associations of these with sociodemographic behavioral characteristics, STIs, and attitudes toward HIV testing. Of 881 participants in total, 587 (66.6%) were intensive Grindr users. Compared to moderate users, these participants reported significantly higher numbers of casual sexual partners (76.2% vs. 23.8%; < 0.001), were more likely to participate in Chemsex (77.3% vs. 22.7%: 0.031), and had a higher self-reported number of STIs (69.9% vs. 30.1; = 0.046). They also demonstrated better attitudes toward HIV testing (69.7% vs. 30.3%; = 0.045) and perceived themselves to be at moderate risk of HIV (71.2% vs. 28.8%: = 0.048). Moreover, intensive Grindr users were 1.36 times more likely than moderate users to test positive for STIs (95%CI = 1.15-1.91; = 0.048). With some limitations, age, sexual partners, intensive Grindr users, and PrEP uses were associated with the risk of STIs in the sample of Spanish Grindr users studied. As Grindr users are vulnerable to sociodemographic and behavioral factors that determine STIs and HIV infection, mainly among intensive users, it is necessary to highlight the importance of new trends such as online dating apps, PrEP use, substance use in sex, and Chemsex, and these need to be incorporated into online public health strategies.
与男性发生性行为的男性感染性传播感染的风险增加，尽管行为和环境干预有所改善，但感染仍在继续传播。因此，需要重新关注这一人群性健康的最新趋势。本研究的目的是根据Grindr使用模式、性传播感染（STIs）的患病率以及对艾滋病毒检测的态度，描述社会人口学和行为特征之间的关系。2020年1月，对881名与男性发生性行为的男性（MSM）样本进行了一项横断面研究，这些男性完成了一份在线问卷。我们评估了他们的Grindr使用模式（中度或重度），并探讨了这些模式与社会人口学行为特征、性传播感染以及对艾滋病毒检测态度之间的关联。在总共881名参与者中，587名（66.6%）是重度Grindr用户。与中度用户相比，这些参与者报告的随意性伴侣数量显著更多（76.2%对23.8%；<0.001），更有可能参与化学性行为（77.3%对22.7%：0.031），自我报告的性传播感染数量更高（69.9%对30.1；=0.046）。他们对艾滋病毒检测也表现出更好的态度（69.7%对30.3%；=0.045），并认为自己感染艾滋病毒的风险为中度（71.2%对28.8%：=0.048）。此外，重度Grindr用户检测出性传播感染呈阳性的可能性比中度用户高1.36倍（95%CI = 1.15 - 1.91；=0.048）。尽管存在一些局限性，但在所研究的西班牙Grindr用户样本中，年龄、性伴侣、重度Grindr用户和暴露前预防（PrEP）的使用与性传播感染的风险相关。由于Grindr用户易受决定性传播感染和艾滋病毒感染的社会人口学和行为因素影响，主要是在重度用户中，有必要强调在线约会应用程序、PrEP使用、性行为中使用药物以及化学性行为等新趋势的重要性，并且需要将这些纳入在线公共卫生策略。
