Correlates of Unprotected Anal Sex at Last Sexual Episode: Analysis from a Surveillance Study of Men who have Sex with Men in Montreal

被引：29

作者：

Lambert, G. ^{[1
,2
,3
]}

Cox, J. ^{[1
,2
,4
]}

Hottes, T. S. ^{[4
,5
]}

Tremblay, C. ^{[1
]}

Frigault, L. R. ^{[1
]}

Alary, M. ^{[2
,6
,7
]}

Otis, J. ^{[8
]}

Remis, R. S. ^{[9
]}

机构：

[1] Agence Sante & Serv Sociaux Montreal, Direct Sante Publ Montreal, Montreal, PQ H2L 1M3, Canada

[2] Inst Natl Sante Publ Quebec, Quebec City, PQ, Canada

[3] Univ Montreal, Dept Med Sociale & Prevent, Montreal, PQ, Canada

[4] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada

[5] British Columbia Ctr Dis Control, Vancouver, BC, Canada

[6] Univ Quebec, Ctr Hosp, Unite Rech Sante Populat, Quebec City, PQ, Canada

[7] Univ Laval, Dept Med Sociale & Prevent, Quebec City, PQ, Canada

[8] Univ Quebec, Chaire Rech Canada Educ Sante, Montreal, PQ H3C 3P8, Canada

[9] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

来源：

AIDS AND BEHAVIOR | 2011年 / 15卷 / 03期

关键词：

HIV; Men who have sex with men; Event-level analysis; ACTIVE ANTIRETROVIRAL THERAPY; HUMAN-IMMUNODEFICIENCY-VIRUS; TRANSMISSION RISK BEHAVIOR; HIV-NEGATIVE GAY; SUBSTANCE USE; SAN-FRANCISCO; HOMOSEXUAL-MEN; LEVEL ANALYSIS; POSITIVE MEN; ALCOHOL-USE;

D O I：

10.1007/s10461-009-9605-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Recent increases in rates of unprotected anal sex (UAS) among men who have sex with men (MSM) signal the need to continually refine our understanding of factors associated with risky sexual behavior. Data were collected using a questionnaire eliciting information about the last sexual episode (LSE) with another man in the past 6 months. Logistic regression was used to identify both event-level and background correlates of UAS at LSE. 965 participants who reported having sex with a partner with whom they were not in a couple relationship at LSE were studied. Several event-level variables were significantly associated with UAS after adjusting for background factors, including finding the partner at LSE sexually attractive and using alcohol or cocaine at LSE. Our findings parallel the results of other HIV prevention studies which have highlighted the importance of interpersonal factors that influence risk-taking at the moment of a sexual act among MSM.

引用

页码：584 / 595

页数：12

共 52 条

[1]

[Anonymous], 2000, INT GUID MON ALC CON

[2]

*ARGUS, 2009, AG SANT SERV SOC MON

[3] Unsafe sexual behavior and correlates of risk in a probability sample of men who have sex with men in the era of highly active antiretroviral therapy [J].

Brewer, DD ;

Golden, MR ;

Handsfield, HH .

SEXUALLY TRANSMITTED DISEASES, 2006, 33 (04) :250-255

[4] Unprotected anal intercourse between potentially HIV-serodiscordant men who have sex with men, San Francisco [J].

Chen, SY ;

Gibson, S ;

Weide, D ;

McFarland, W .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2003, 33 (02) :166-170

[5] A comparison of on-line and off-line sexual risk in men who have sex with men - An event-based on-line survey [J].

Chiasson, Mary Ann ;

Hirshfield, Sabina ;

Remien, Robert H. ;

Humberstone, Mike ;

Wong, Tom ;

Wolitski, Richard J. .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2007, 44 (02) :235-243

[6] Substance use and unsafe sex amongst homosexual men in Edinburgh [J].

Clutterbuck, DJ ;

Gorman, D ;

McMillan, A ;

Lewis, R ;

Macintyre, CCA .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2001, 13 (04) :527-535

[7] Substance use and sexual risk: A participant- and episode-level analysis among a cohort of men who have sex with men [J].

Colfax, G ;

Vittinghoff, E ;

Husnik, MJ ;

McKirnan, D ;

Buchbinder, S ;

Koblin, B ;

Celum, C ;

Chesney, M ;

Huang, YJ ;

Mayer, K ;

Bozeman, S ;

Judson, FN ;

Bryant, KJ ;

Coates, TJ .

AMERICAN JOURNAL OF EPIDEMIOLOGY, 2004, 159 (10) :1002-1012

[8] HIV status of sexual partners is more important than antiretroviral treatment related perceptions for risk taking by HIV positive MSM in Montreal, Canada [J].

Cox, J ;

Beauchemin, J ;

Allard, R .

SEXUALLY TRANSMITTED INFECTIONS, 2004, 80 (06) :518-523

[9] Highly active antiretroviral therapy and sexual risk behavior - A meta-analytic review [J].

Crepaz, N ;

Hart, TA ;

Marks, G .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (02) :224-236

[10] Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review [J].

Crepaz, N ;

Marks, G .

HEALTH PSYCHOLOGY, 2001, 20 (04) :291-299

← 1 2 3 4 5 6 →