Correlates of Bisexual Behaviors Among Men who have Sex with Men in El Salvador

被引：16

作者：

Kim, Evelyn J. ^{[1
]}

Creswell, Jacob ^{[2
]}

Guardado, Maria Elena ^{[3
,4
]}

Shah, Neha ^{[1
]}

Kim, Andrea A. ^{[1
]}

Nieto, Ana Isabel ^{[5
]}

de Maria Hernandez-Ayala, Flor ^{[3
,4
]}

Monterroso, Edgar ^{[1
]}

Paz-Bailey, Gabriela ^{[2
,3
,4
]}

机构：

[1] Ctr Dis Control & Prevent, Div Global HIV AIDS, Atlanta, GA 30333 USA

[2] Univ Valle Guatemala, Ctr Estudios Salud, Guatemala City, Guatemala

[3] Intervent Network, Training Program Epidemiol, Atlanta, GA USA

[4] Intervent Network, Training Program Publ Hlth, Atlanta, GA USA

[5] Minist Hlth, Natl AIDS Program, San Salvador, El Salvador

来源：

AIDS AND BEHAVIOR | 2013年 / 17卷 / 04期

关键词：

Men who have sex with men; Bisexual; HIV; Sexually transmitted infection; DRIVEN SAMPLING METHODOLOGY; MIDDLE-INCOME COUNTRIES; LATINO MEN; CONDOM USE; INTERNATIONAL SETTINGS; HIV-INFECTION; RISK BEHAVIOR; AMERICAN MEN; POPULATIONS; INTERVENTIONS;

D O I：

10.1007/s10461-012-0152-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Bisexual behaviors may increase transmission pathways of HIV and sexually transmitted infections (STIs) from a higher prevalence group to lower prevalence groups in El Salvador. In 2008, men who have sex with men (MSM) were recruited in San Salvador and San Miguel using respondent driven sampling. Participants were interviewed and tested for HIV and STIs. Sixteen seeds and 797 MSM participated; 34.9% in San Salvador and 58.8% in San Miguel reported bisexual behavior. Bisexual behavior was associated with drug use (adjusted odds ratio (AOR) = 2.57, 95% CI: 1.30-5.06) and insertive anal sex (AOR = 5.45, 95% CI: 3.01-9.87), and inversely associated with having a stable male partner (AOR = 0.47, 95% CI: 0.26-0.84) and disclosing MSM behavior to family (AOR = 0.41, 95% CI: 0.22-0.75). Bisexual behavior was associated with risk behaviors with male and female partners that may be associated with HIV and STI transmission. Bisexual men displayed a distinct identity calling for tailored interventions.

引用

页码：1279 / 1287

页数：9

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