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首页> 外文期刊>Sexually Transmitted Infections >High-risk behaviour in steady and in casual relationships among men who have sex with men in Israel.
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High-risk behaviour in steady and in casual relationships among men who have sex with men in Israel.

机译：在以色列与男人发生性关系的男性稳定和休闲关系中的高风险行为。

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OBJECTIVE: To explore the differences in sexual risk behaviour between men who have sex with men (MSM) with steady partners versus casual partner(s) in the gay community. METHODS: This online cross-sectional convenience-sampling study assessed MSM practices, their knowledge and their motivation regarding safe sex. Participants not knowing their HIV status or who performed insertive or receptive unprotected anal intercourse (UAI) or with a sex partner whose HIV status was unknown or discordant were considered 'at-risk'. RESULTS: Of all 2569 participants who completed the questionnaire, 907/2569 (35.3%) had a steady partner, and 896/2569 (34.9%) had a casual partner(s) in the past 6 months. 262/907 (28.9%) with steady partners and 248/896 (27.7%) with casual partners demonstrated at-risk sexual behaviour. Of all participants with steady partners, 108/907 (11.9%) performed UAI with their partner without undergoing mutual HIV testing. Of all participants with steady partners, 476/907 (52.5%) had a concurrent casual partner, and 144/476 (30.3%) performed UAI with both the steady and the casual partner. Of all participants with steady partners, 775/907 (85.4%) negotiated the possibility of sex outside their relationship with their main partner. The length of the steady relationship correlated with the number of concurrent casual partners. CONCLUSIONS: At-risk sexual behaviour was associated with insufficient negotiation skills, difficulties in condom use and a general risk-taking profile. Health educators should encourage MSM with steady partners to perform HIV testing before practising UAI, to improve their negotiation skills during the contact and to support open discussions with regard to sexual contact besides the steady relationship, as it may not be monogamous.
机译：目的：探讨在同性恋社区中，有稳定伴侣的男性与有性伴侣的男性之间的性风险行为的差异。方法：该在线横断面便利性抽样研究评估了MSM行为，其知识以及有关安全性行为的动机。参与者不知道自己的艾滋病毒感染状况，或者进行插入性或接受性无保护性肛交（UAI）或与艾滋病毒状况未知或不和谐的性伴侣进行交流，都被视为“有风险”。结果：在完成问卷调查的所有2569名参与者中，在过去6个月（含）内，有907/2569（35.3％）有稳定的伴侣，有896/2569（34.9％）有休闲的伴侣。具有稳定伴侣的262/907（28.9％）和具有休闲伴侣的248/896（27.7％）表现出高风险的性行为。在拥有稳定伴侣的所有参与者中，有108/907（11.9％）与伴侣进行了UAI且未经过相互HIV测试。在拥有稳定伴侣的所有参与者中，有476/907（52.5％）拥有并发的休闲伙伴，有144/476（30.3％）的参与者有稳定伴侣和休闲伙伴。在拥有稳定伴侣的所有参与者中，有775/907（85.4％）讨论了在与主要伴侣关系之外发生性行为的可能性。稳定关系的长度与并发休闲伴侣的数量相关。结论：高风险的性行为与谈判技巧不足，使用安全套困难和一般冒险行为有关。健康教育者应鼓励MSM与稳定的伴侣在进行UAI之前进行HIV测试，提高他们在接触过程中的谈判技巧，并支持除了稳定的关系之外的性接触方面的公开讨论，因为这可能不是一夫一妻制。

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