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Men who have sex with men (MSM) in public sex environments (Pses): a systematic review of quantitative literature.

机译:在公共性环境(Pses)中与男性发生性关系的男性(MSM):定量文献的系统综述。

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摘要

We systematically review quantitative research relating to the sexual behaviours of MSM in PSEs. We examine the methodological rigour of these studies to determine an appropriate framework for future PSE-based research and quantify sexual behavioural trends therein. Medline, BIDS, Web of Science and recent HIV/AIDS conferences were searched according to a systematic inclusion criteria. Nine papers were included for review. Recruitment of participants' outwith PSE settings, and low response rates (6%) of participants contacted in situ, question the validity and generalizability of current evidence. Most PSE users were gay or bisexually identified and half of men in the gay community reported recent PSE use. Around 10% of men reported casual status-unknown/serodiscordant unprotected anal intercourse (UAI) within PSEs. HIV testing rates amongst PSE users were similar to the wider gay community, though the proportion of men who tested positive was twice as high. Rates of casual UAI suggest that PSEs represent important sites for HIV prevention. However, since extant evidence is scant and methodologically flawed, further research is urgent. Such work must recruit participants in situ, and obtain satisfactory response rates, to be generalizable to the wider population of men who cruise.
机译:我们系统地回顾了与PSE中MSM的性行为有关的定量研究。我们检查了这些研究的方法学严谨性,以确定未来基于PSE的研究的适当框架,并量化了其中的性行为趋势。根据系统的纳入标准,检索了Medline,BIDS,Web of Science和最近的HIV / AIDS会议。包括九篇论文进行审查。征集参与者的PSE设置,以及就地联系的参与者的回应率低(6%),质疑当前证据的有效性和可推广性。大多数PSE用户是同性恋者或双性恋者,同性恋社区中一半的男性报告了最近使用PSE的情况。约有10%的男性报告说,PSE内的状态不明/血清恶性,无保护的肛门性交(UAI)。 PSE使用者中的HIV检测率与更广泛的同性恋社区相似,尽管检测出阳性的男性比例是后者的两倍。偶然的UAI的发生率表明PSE代表了预防HIV的重要场所。但是,由于现有证据很少且在方法上存在缺陷,因此迫切需要进一步研究。此类工作必须在现场招募参与者,并获得令人满意的回应率,才能推广到更广泛的乘船旅行人群中。

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