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Association between 'safer sex fatigue' and rectal gonorrhea is mediated by unsafe sex with casual partners among HIV-positive homosexual men.

机译:“安全性疲劳”与直肠淋病之间的关联是由与艾滋病毒呈阳性的同性恋男性中的临时伴侣进行不安全的性行为而介导的。

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摘要

OBJECTIVE: The objective of this study was to investigate whether and what sexual risk behavior is a mediator of associations between rectal gonorrhea (RG) and highly active antiretroviral therapy-related beliefs, safer sex fatigue, or sexual sensation-seeking among homosexual men. STUDY DESIGN: This study consisted of a cross-sectional survey between March 2002 and December 2003 among homosexual visitors of the Amsterdam sexually transmitted disease clinic. METHODS: In total, 1568 men answered a written questionnaire. Associations were determined using logistic regression corrected for repeated measurements. RESULTS: The RG infection rate was high among homosexual men who were HIV-positive (16%) compared with those with negative or unknown HIV status. Mediation could be confirmed among HIV-positive men only. Those who experienced higher levels of safer sex fatigue were more likely to be positive for RG. This association was mediated by unprotected anal intercourse (UAI) with casual partners. CONCLUSION: Addressing safer sex fatigue might help prevent UAI with casual partners and possibly also RG among HIV-positive homosexual men.
机译:目的:本研究的目的是调查是否和哪些性危险行为是直肠淋病(RG)与高活性抗逆转录病毒疗法相关的信念,更安全的性疲劳或同性恋男性之间寻求性感觉之间的中介。研究设计:该研究包括2002年3月至2003年12月在阿姆斯特丹性传播疾病诊所的同性恋访问者中进行的横断面调查。方法:共有1568名男性回答了书面问卷。使用校正后的逻辑回归确定重复次数的关联。结果:与HIV阴性或未知的男性相比,HIV阳性的同性恋男性的RG感染率较高(16%)。只能在HIV阳性男性中确认调解。那些经历了更高水平的安全性疲劳的人更可能是RG阳性。这种联系是通过与休闲伴侣的无保护肛交(UAI)进行的。结论:解决更安全的性疲劳可能有助于预防艾滋病毒阳性同性恋男性与随性伴侣的UAI以及RG。

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