Hays R B, Kegeles S M, Coates T J
Center for AIDS Prevention Studies, University of California, San Francisco 94105, USA.
AIDS Educ Prev. 1997 Aug;9(4):314-29.
A growing body of research shows that gay men in primary relationships engage in higher rates of unprotected anal intercourse than single gay men. We sought to (a) describe patterns of HIV risk taking among young gay men in boyfriend relationships and (b) identify characteristics of relationships that were most associated with engaging in unprotected intercourse. The data come from the Young Men's Survey, an ongoing longitudinal survey of 416 gay men aged 18 to 27 in three medium-sized West Coast communities. Fifty-one percent of the men with boyfriends had engaged in unprotected anal intercourse in the past 2 months, compared with 21% of the single men. Forty-two percent of the respondents who had unprotected intercourse with their boyfriend did not know their own and their partners' HIV status. Factors associated with unprotected intercourse included greater relationship involvement and time spent together, sexual behavior patterns, less involvement with the gay community, poor sexual communication skills, and misperceptions about safe sex. The findings highlight the need for HIV risk reduction interventions designed specifically for young gay men with boyfriends and identify critical areas to target in such interventions.
越来越多的研究表明，处于恋爱关系中的男同性恋者进行无保护肛交的比例高于单身男同性恋者。我们试图（a）描述处于恋爱关系中的年轻男同性恋者的艾滋病毒风险行为模式，以及（b）确定与进行无保护性行为最相关的恋爱关系特征。数据来自青年男性调查，这是一项对西海岸三个中等规模社区的416名18至27岁男同性恋者进行的持续纵向调查。在过去两个月中，有恋爱对象的男性中有51%进行了无保护肛交，而单身男性这一比例为21%。与男友进行无保护性行为的受访者中，42%不知道自己和伴侣的艾滋病毒感染状况。与无保护性行为相关的因素包括恋爱关系投入程度更高、相处时间更长、性行为模式、较少参与同性恋群体活动、性沟通技巧差以及对安全性行为的误解。研究结果凸显了为有恋爱对象的年轻男同性恋者专门设计艾滋病毒风险降低干预措施的必要性，并确定了此类干预措施的关键目标领域。
