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固定性伴侣与危险行为:男同性恋者为何进行无保护性行为?

Regular partners and risky behaviour: why do gay men have unprotected intercourse?

作者信息

McLean J, Boulton M, Brookes M, Lakhani D, Fitzpatrick R, Dawson J, McKechnie R, Hart G

机构信息

Academic Department of Public Health, St Mary's Hospital Medical School, London, UK.

出版信息

AIDS Care. 1994;6(3):331-41. doi: 10.1080/09540129408258645.

DOI:10.1080/09540129408258645
PMID:7948089
Abstract

Studies in both the UK and the USA continue to show that gay and bisexual men put themselves at risk of exposure to HIV through unprotected intercourse, most often with regular partners. As part of a larger study of homosexually active men, 310 men who had had unprotected anal intercourse with a man in the previous year were asked to describe the last occasion on which this had happened. The majority of men had had unprotected intercourse with a regular partner and did not perceived it as risky, although most did not know the HIV status of their partner. Regular and non-regular partners were perceived differently. Men were more likely to be emotionally involved in regular partners and to perceive unprotected penetrative sex with a regular partner as not risky. Future health education initiatives must take into account men's emotional involvement in regular partners and their perception of unprotected intercourse with such partners as not risky.

摘要

英国和美国的研究持续表明,男同性恋者和双性恋男性会通过无保护措施的性行为使自己面临感染艾滋病毒的风险,这种情况大多发生在与固定伴侣的性行为中。作为一项针对性活跃男性的大型研究的一部分,310名在前一年与男性发生过无保护肛交的男性被要求描述最近一次发生这种情况的经过。大多数男性是与固定伴侣进行无保护措施的性行为,且并未意识到这有风险,尽管大多数人并不了解其伴侣的艾滋病毒感染状况。他们对固定伴侣和非固定伴侣的看法有所不同。男性更容易在情感上依赖固定伴侣,并认为与固定伴侣进行无保护的插入式性行为没有风险。未来的健康教育活动必须考虑到男性在情感上对固定伴侣的依赖,以及他们认为与这类伴侣进行无保护性行为没有风险的观念。

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