Subsequent Sexual Risks Among Men Who Have Sex with Men May Differ by Sex of First Partner and Age at Sexual Debut: A Cross-Sectional Study in Beijing, China

被引：12
|
作者：
Liu, Yu [1 ]
Qian, Han-Zhu [1 ,2 ]
Amico, K. Rivet [3 ]
Liu, Hongjie [4 ]
Yin, Lu [1 ]
Ruan, Yuhua [5 ]
Shao, Yiming [5 ]
Zhang, Chen [1 ]
Vermund, Sten H. [1 ,6 ]
机构：
[1] Vanderbilt Univ, Med Ctr, Vanderbilt Inst Global Hlth, Suite 750,2525 West End Ave, Nashville, TN 37203 USA
[2] Vanderbilt Univ, Med Ctr, Dept Med, Div Epidemiol, Nashville, TN USA
[3] Univ Michigan, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA
[4] Univ Maryland, Sch Publ Hlth, Dept Epidemiol & Biostat, College Pk, MD 20742 USA
[5] Chinese Ctr Dis Control & Prevent, State Key Lab Infect Dis Prevent & Control SKLID, Collaborat Innovat Ctr Diag & Treatment Infect Di, Beijing, Peoples R China
[6] Vanderbilt Univ, Med Ctr, Dept Pediat, Nashville, TN 37232 USA
来源：
AIDS AND BEHAVIOR | 2017年 / 21卷 / 10期
基金：
中国国家自然科学基金; 美国国家卫生研究院;
关键词：
HIV; Syphilis; Sexual debut; Chinese men who have sex with men; Sexual risk; YOUNG MIGRANT MEN; HIV RISK; BISEXUAL BEHAVIOR; UNITED-STATES; WOMEN; SYPHILIS; PREVALENCE; PREVENTION; INFECTION; CITIES;
D O I：
10.1007/s10461-017-1677-x
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Sexual debut experience may influence HIV/sexual risks among men who have sex with men (MSM). We assessed associations between age of sexual debut and sex of debut partner with recent (past-3-month) sexual/HIV/syphilis risks among 3588 community-based Chinese MSM. Sexual debut with women was associated with more recent (condomless) insertive anal sex with men, more recent (condomless) vaginal sex, and more lifetime female partners. Sexual debut with men was associated with more recent (condomless) receptive anal sex with men and more lifetime male partners. All associations were strongest among those having first sex18 years in both groups. Earlier sexual debut was associated with higher HIV/syphilis risk; HIV risk was higher with first sex with a man, but syphilis was higher with first sex with a woman. Earlier age of sexual debut is associated with greater HIV/syphilis and sexual risks, but MSM risk differs with first sex with women versus men.
引用
收藏
页码：2913 / 2923
页数：11
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