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首页> 外文期刊>AIDS care. >HIV risk behaviour among men who have sex with men in public sex environments: an ecological evaluation.
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HIV risk behaviour among men who have sex with men in public sex environments: an ecological evaluation.

机译：在公共性环境中与男人发生性关系的男性中的HIV风险行为：生态评估。

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摘要

Men who have sex with men (MSM) in public sex environments (PSE) may be at high risk for HIV/AIDS. The majority of research on HIV risk behaviour among MSM has been conducted in open access venues more likely to be linked to networks that openly endorse preventive messages and safer sex norms. This study investigated risk practices among MSM in a PSE in order to develop effective prevention intervention strategies. Three outreach workers with previous MSM prevention experience trained in ethnographic and fieldwork observation techniques provided direct observation data. Seventy-seven observations, each lasting a minimum of two hours, were conducted over a five-month period at three city public parks. Of 614 men observed, over 250 exhibited activities and behaviours related to, or potentially related, to HIV-risk relevant sexual behaviour. Direct sexual contact between two or more men was observed 19 times, while men entering or leaving a sex area of the park was observed 66 times. Outreach workers were able to interact directly with 72 MSM, primarily discussing safer sex strategies. Sexual encounters occurred in more open areas of the PSE with partners migrating to secluded areas for intense and sexual interactions. Future prevention interventions will need to be tailored, and targeted, to specific sexual exchange access points in PSE.
机译：在公共性环境（PSE）中与男性发生性关系（MSM）的男性可能容易感染HIV / AIDS。 MSM中有关HIV风险行为的大多数研究是在开放访问场所进行的，这些场所更有可能与公开认可预防信息和更安全的性行为规范的网络相联系。这项研究调查了PSE中MSM之间的风险实践，以便制定有效的预防干预策略。三名在民族志和野外观察技术方面接受过MSM预防工作经验的外展人员提供了直接的观察数据。在五个月的时间里，对三个城市公园进行了77个观测，每个观测至少持续两个小时。在观察到的614名男性中，超过250名表现出与HIV风险相关性行为有关或可能与其相关的活动和行为。观察到两个或多个男人之间的直接性接触19次，而进入或离开公园性场所的男人被观察66次。外展人员能够直接与72名男男性接触者互动，主要讨论更安全的性行为策略。性接触发生在PSE较开放的区域，伴侣迁移到僻静的区域进行激烈的性互动。未来的预防干预措施将需要针对PSE中特定的性交流接入点进行定制和针对性。

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