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Being high and taking sexual risks: findings from a multisite survey of urban young men who have sex with men.

机译:高和性冒险:发现城市年轻人的多点调查性与男性。

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摘要

Adolescent and young adult males who have sex with men (MSM) remain at high risk of HIV infection. Many sexual risk factors have been identified, yet the role of substance use remains controversial. We assess the extent to which urban young MSM report being "high" on drugs or alcohol during sex and the association between being "high" and unprotected anal intercourse (UAI). During summer 2000, 3,075 MSM aged 15-25 years completed a 20-minute interview for the Community Intervention Trial for Youth Project. Participants were asked about their last sexual contact with main and nonmain partners, including whether they were "high on drugs or alcohol." 18.6% of MSM with a main partner reported being high during their last sexual encounter; 25.0% reported UAI. Among men with a nonmain partner, 29.3% reported being high, and 12.3% reported UAI. Being high was associated with unprotected receptive anal intercourse with nonmain partners (odds ratio = 1.66, p = .02). HIV prevention should include messages about the potential dangers of drinking and drug use in situations where sexual encounters with nonmain partners may occur.
机译:青少年和年轻成人男性发生性关系男性(MSM)保持在很高的艾滋病毒感染风险。许多性危险因素已确定,然而物质使用的作用依然存在有争议的。城市年轻的男男同性恋者“高”在药物或报告酒精在性和之间的关系“高”,无保护的肛交(可用)。年完成一个20分钟的采访青年项目社区干预试验。参与者被问及他们最后的性接触主要和nonmain伙伴,包括他们是否在毒品或酒精“高”。18.6%的男男同性恋者与主要合作伙伴在他们最后的性接触;报告可用。报道报道高29.3%,和12.3%可用。与nonmain伙伴接受肛交(优势比= 1.66,p = .02点)。应该包括信息的潜力酗酒和吸毒的危险的情况下性与nonmain伙伴遇到可能在哪里发生。

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