Carballo-Diéguez A, Dolezal C
HIV Center for Clinical and Behavioral Studies, New York, State Psychiatric Institute, New York 10032, USA.
Am J Public Health. 1996 Nov;86(11):1619-22. doi: 10.2105/ajph.86.11.1619.
This paper describes the sexual risk behaviors of Puerto Rican men who have sex with men and their perceived obstacles to condom use.
Interviews were conducted with 182 Puerto Rican men living in New York, NY.
Condoms were used inconsistently or not at all by half of the men who had anal sex with other men, by two thirds of the men who had vaginal sex, and by three fifths of those who had anal sex with women. Most of the men had had unprotected oral sex and more than one sexual partner in the previous year. Three of 10 were positive for the human immunodeficiency virus (HIV). Dislike of condoms was the most frequently cited obstacle, followed by perception of low risk, trust in and emotional connection with partner, unavailability and inconvenience of condom use, lack of control, and indifference.
Barrier methods other than condoms, such as a microbicidal, gel, need to be developed.
本文描述了波多黎各男同性恋者的性风险行为及其在使用避孕套方面所感知到的障碍。
对居住在纽约市的182名波多黎各男性进行了访谈。
与其他男性发生肛交的男性中,有一半的人使用避孕套不规律或根本不使用;与女性发生阴道性交的男性中,有三分之二的人如此;与女性发生肛交的男性中,有五分之三的人如此。大多数男性在前一年有过无保护的口交行为且有不止一个性伴侣。十分之三的人艾滋病毒检测呈阳性。最常被提及的障碍是不喜欢避孕套,其次是认为风险低、对伴侣的信任和情感联系、无法获得避孕套以及使用不便、缺乏控制和冷漠。
需要开发除避孕套之外的屏障方法,如杀微生物凝胶。