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首页> 外文期刊>Archives of sexual behavior >Sexual risk behavior of HIV-positive methamphetamine-using men who have sex with men: the role of partner serostatus and partner type.
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Sexual risk behavior of HIV-positive methamphetamine-using men who have sex with men: the role of partner serostatus and partner type.

机译：与男性发生性关系的使用HIV阳性甲基苯丙胺的男性的性风险行为：伴侣血清状况和伴侣类型的作用。

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This study examined the role of partner serostatus and partner type in relation to the sexual risk behaviors and disclosure practices of HIV-positive methamphetamine (meth)-using men who have sex with men (MSM). The sample consisted of 132 HIV-positive meth-using MSM who reported having both serodiscordant (i.e., HIV-negative and unknown serostatus) and seroconcordant (i.e., HIV-positive) partners. HIV-positive meth-using MSM engaged in significantly fewer acts of anal sex with serodiscordant partners as compared to seroconcordant partners. However, mean levels of unprotected anal and oral sex were high, and mean levels of protected sex were low for both seroconcordant and serodiscordant partners. Oral sex was practiced twice as often as anal sex; however, both types of sex were primarily unprotected. This pattern of risky sexual behavior was reported for steady, casual, and anonymous partners, regardless of partner serostatus. Despite high rates of unprotected sex, rates of HIV serostatus disclosure were consistently high for HIV-positive and HIV-negative steady, casual, and anonymous partners. However, rates of disclosure to unknown serostatus partners were low, particularly in relation to anonymous partners. Future research should address the reasons why HIV-positive meth-using MSM engage in risky sexual activity with serodiscordant partners, and HIV prevention programs for this population should emphasize the risks associated with unprotected sex with seroconcordant partners.
机译：这项研究检查了性伴侣血清状况和性伴侣类型在与使用HIV阳性甲基苯丙胺（甲基）的男男性接触者的性风险行为和披露实践方面的作用。样本由132名使用HIV阳性的使用MSM的男男性行为者组成，他们报告同时伴有血清溶粘剂（即HIV阴性和未知血清状况）和血清调和剂（即HIV阳性）伴侣。与血清调和伴侣相比，使用艾滋病毒阳性的男男性接触者与血清溶脂伴侣发生肛交的行为明显更少。然而，血清调和伴侣和血清黏附伴侣的平均无保护肛交和口交水平较高，而受保护性交的平均水平较低。口交的次数是口交的两倍。但是，两种类型的性行为基本上都没有受到保护。据报道，无论伴侣的血清状态如何，稳定，随便和匿名伴侣都会有这种危险的性行为模式。尽管未受保护的性行为发生率很高，但对于HIV阳性和HIV阴性的稳定，随便和匿名伴侣，HIV血清状况的暴露率一直很高。但是，向未知血清伴侣的披露率很低，尤其是与匿名伴侣有关。未来的研究应解决使用艾滋病毒阳性的使用MSM的男男性接触者与Serodiscordant伴侣进行危险的性活动的原因，针对该人群的HIV预防计划应强调与eroconcordant伴侣进行无保护的性行为有关的风险。

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