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首页> 美国卫生研究院文献>AIDS Patient Care and STDs >The Duality of Oral Sex for Men Who Have Sex with Men: An Examination Into the Increase of Sexually Transmitted Infections Amid the Age of HIV Prevention
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The Duality of Oral Sex for Men Who Have Sex with Men: An Examination Into the Increase of Sexually Transmitted Infections Amid the Age of HIV Prevention

机译：与男人发生性关系的男人的口交二重性：对预防HIV时代性传播感染的增加的检验

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Several studies suggest that the increase in sexually transmitted infections (STIs) among men who have sex with men (MSM) could be due, in part, to human immunodeficiency virus (HIV) risk reduction strategies, which include engaging in oral sex over anal sex. The aims of this study were to evaluate oral sex behaviors and STI diagnoses and to investigate the potential dual role of oral sex as being protective for HIV, yet perpetuating STI transmission among MSM. We analyzed records from 871 MSM presenting to the Rhode Island STI Clinic between 2012 and 2015. We compared outcomes in men engaging in two HIV protective oral sex behaviors: (1) HIV/STI outcomes by men engaging only in oral sex versus those that did not, and (2) HIV/STI outcomes by men engaging in condomless oral sex with 100% condom use for all other sex acts versus those that did not. Men engaging in HIV protective oral sex behaviors were more likely to be HIV negative compared to men not engaging in them (99% vs. 93%, p < 0.01). In contrast, there was no significant difference in STI diagnoses between those that engaged in HIV protective oral sex behaviors and those that did not. The findings provide evidence to support the unique duality of oral sex: decreased risk for HIV and perpetuation of STI risk. Promotion of routine STI testing, including extragenital sites, is critical to address STI prevention among MSM. In the age of HIV prevention, addressing the ambiguous risks of discrete sex acts would be beneficial for both HIV and STI prevention education for MSM.
机译：几项研究表明，与男性发生性关系的男性中的性传播感染（STIs）的增加可能部分归因于人类免疫缺陷病毒（HIV）风险降低策略，其中包括进行口交而非肛交。这项研究的目的是评估口交行为和性传播感染的诊断，并调查口交作为艾滋病毒的保护者的潜在双重作用，但仍可在男男性接触者中长期传播性传播疾病。我们分析了2012年至2015年间在罗德岛STI诊所就诊的871个MSM的记录。我们比较了从事两种HIV保护性口交行为的男性的结局：（1）仅从事口交的男性与那些从事口交的男性的HIV / STI结果否；（2）男性进行无避孕套口交且所有其他性行为均使用100％避孕套的情况下的HIV / STI结果。与未参加艾滋病毒保护性口交行为的男性相比，未参加艾滋病毒的男性更有可能是艾滋病毒阴性（99％比93％，p <0.01）。相比之下，从事艾滋病毒保护性口交行为的人与未进行过艾滋病毒保护性行为的人在性传播感染的诊断上没有显着差异。这些发现为支持口交的独特性提供了证据：降低了艾滋病毒的感染风险和性传播感染的风险长期存在。促进常规STI测试，包括生殖器外部位，对于解决MSM中的STI预防至关重要。在预防HIV的时代，解决离散性行为的模棱两可的风险，对于MSM的HIV和STI预防教育都是有益的。

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