TY - JOUR AU - Stahlman, Shauna AU - Grosso, Ashley AU - Ketende, Sosthenes AU - Mothopeng, Tampose AU - Taruberekera, Noah AU - Nkonyana, John AU - Mabuza, Xolile AU - Sithole, Bhekie AU - Mnisi, Zandile AU - Baral, Stefan PY - 2015 DA - 2015/05/25 TI -南非在线寻求性行为的男性与男性发生性关系的特征:背景:使用互联网寻找性伴侣的人数正在增加，尤其是在男男性行为者(MSM)中。特别是，在网上寻求性行为的男男性接触者是人类免疫缺陷病毒(HIV)/性传播感染(STI)干预的重要目标群体，因为他们往往具有较高的性风险行为水平，而且因为互联网本身可能作为一种有希望的干预传递机制。然而，很少有研究调查撒哈拉以南非洲男同性恋者在网上寻找性伴侣的相关性。目的:这些分析的目的是描述使用互联网寻找新的男性性伴侣在两个南部非洲国家的男男性行为者的流行。此外，这些分析还检查了社会人口统计学特征、歧视和耻辱经历、心理健康和物质使用特征，以及与在线性伴侣会面相关的男同性恋者中与艾滋病毒相关的知识、态度和行为。方法:在莱索托的两个地点(N=530)和斯威士兰的一个地点(N=322)采用受访者驱动的抽样方法，将男男性行为者纳入横断面研究。参与者完成了一项调查和艾滋病毒检测。使用双变量和多变量logistic回归模型对数据进行分析，以确定哪些因素与MSM中使用互联网寻找性伴侣有关。结果:网络性寻求的患病率较高，莱索托和斯威士兰分别有39.4%(209/530)和43.8%(141/322)的MSM报告在网上遇到新的男性性伴侣。 In the multivariable analysis, younger age (adjusted odds ratio [aOR] 0.37, 95% confidence interval [CI] 0.27-0.50 per 5 years in Lesotho; aOR 0.68, 95% CI 0.49-0.93 in Swaziland), having more than a high school education (aOR 18.2, 95% CI 7.09-46.62 in Lesotho; aOR 4.23, 95% CI 2.07-8.63 in Swaziland), feeling scared to walk around in public places (aOR 1.89, 95% CI 1.00-3.56 in Lesotho; aOR 2.06, 95% CI 1.23-3.46 in Swaziland), and higher numbers of male anal sex partners within the past 12 months (aOR 1.27, 95% CI 1.01-1.59 per 5 partners in Lesotho; aOR 2.98, 95% CI 1.51-5.89 in Swaziland) were significantly associated with meeting sex partners online in both countries. Additional country-specific associations included increasing knowledge about HIV transmission, feeling afraid to seek health care services, thinking that family members gossiped, and having a prevalent HIV infection among MSM in Lesotho. Conclusions: Overall, a high proportion of MSM in Lesotho and Swaziland reported meeting male sex partners online, as in other parts of the world. The information in this study can be used to tailor interventions or to suggest modes of delivery of HIV prevention messaging to these MSM, who represent a young and highly stigmatized group. These data suggest that further research assessing the feasibility and acceptability of online interventions will be increasingly critical to addressing the HIV epidemic among MSM across sub-Saharan Africa. SN - 1438-8871 UR - //www.mybigtv.com/2015/5/e129/ UR - https://doi.org/10.2196/jmir.4230 UR - http://www.ncbi.nlm.nih.gov/pubmed/26006788 DO - 10.2196/jmir.4230 ID - info:doi/10.2196/jmir.4230 ER -