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Condom Use during Most Recent Anal Intercourse Event among a U.S. Sample of Men Who Have Sex with Men

机译:在最近一次与男人发生性关系的男性样本中的肛门性交事件中使用避孕套

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Introduction. Recent nationally representative data documenting event-level condom use have included samples that are predominantly heterosexual, resulting in limited information on rates of condom use for penile-anal intercourse (PAI) among men who have sex with men (MSM). Aim. This study sought to document the demographic and event-specific situational factors associated with condom use during most recent PAI among MSM. Methods. Data were collected via an Internet survey from 14,750 MSM (ages 18-87years) from 50 U.S. states and the District of Columbia. Main Outcome Measures. Measures included items related to sociodemographics, recent sexual behavior history, event characteristics, condom use, and items associated with ejaculation during the event. Results. Participants' median age was 39.0years; race/ethnicities included white (83.2%), Latino (7.2%), and African American (3.9%), and most men (85.3%) identified as homosexual. Age (P≤0.001), race/ethnicity (P≤0.001), partner status (P≤0.001), and location of sexual event (P≤0.001) were all significantly related to the likelihood of condom use during men's most recent PAI with another man. In total, only 2.5% of the entire sample reported that ejaculation occurred in their own or their sexual partner's anus without a condom during most recent PAI. Conclusions. This study provides a large-scale assessment of condom use during the most recent PAI among MSM in the United States. Findings from this study highlight diversity in condom use behaviors and demonstrate varying degrees of potential risk for human immunodeficiency virus and other sexually transmitted infections. Future prevention efforts should consider contextual components of condom use, including partner type, location of the sexual event, and semen exposure, to more accurately develop individualized risk reduction strategies.
机译:介绍。记录事件级安全套使用情况的近期全国代表性数据包括了主要为异性恋的样本,导致有关与男性发生性关系的男性(MSM)的阴茎-肛门性交(PAI)使用安全套的比率的信息有限。目标。这项研究试图记录MSM中最近一次PAI期间与使用安全套有关的人口统计学和特定事件情况因素。方法。数据是通过互联网调查从美国50个州和哥伦比亚特区的14,750名MSM(年龄18-87岁)中收集的。主要观察指标。措施包括与社会人口统计学,近期性行为史,事件特征,安全套使用以及事件期间射精相关的项目。结果。参与者的中位年龄为39.0岁;种族/族裔包括白人(83.2%),拉丁裔(7.2%)和非裔美国人(3.9%),以及大多数被确认为同性恋的男性(85.3%)。年龄(P≤0.001),种族/民族(P≤0.001),伴侣状态(P≤0.001)和性事件的位置(P≤0.001)均与男性最近一次PAI期间使用安全套的可能性密切相关。另一个人。总体而言,整个样本中只有2.5%的人报告说,在最近的PAI中,射精发生在自己或性伴侣的肛门中,没有避孕套。结论。这项研究对美国MSM中最近一次PAI期间使用安全套的情况进行了大规模评估。这项研究的结果突出了避孕套使用行为的多样性,并证明了人类免疫缺陷病毒和其他性传播感染的潜在风险程度不同。未来的预防工作应考虑安全套使用的背景因素,包括伴侣类型,性事件的位置和精液暴露,以更准确地制定个性化的风险降低策略。

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