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Seroadaptive Strategies of Gay Bisexual Men (GBM) With the Highest Quartile Number of Sexual Partners in Vancouver Canada

机译:加拿大温哥华性伴侣最多的四分位数的同性恋者的双性别适应策略

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摘要

Despite continued research among men with more sexual partners, little information exists on their seroadaptive behavior. Therefore, we examined seroadaptive anal sex strategies among 719 Vancouver gay and bisexual men (GBM) recruited using respondent driven sampling (RDS). Our objectives were to () describe the distribution in frequency of male sexual partnering among Vancouver GBM, and () identify important covariates associated with the number of male sexual partners. To this aims, we provide descriptive, univariate, and multivariate adjusted statistics, stratified by HIV status, for the association between having ≥7 male anal sex partners in the past six months (Population Q3, versus <7). Sensitivity Analysis were also performed to assess the robustness of this cut-off point. Results suggest that GBM with more sexual partners are more likely to employ seroadaptive strategies than men with fewer partners. These strategies may be used in hopes of offsetting risk, assessing needs for subsequent HIV testing, and balancing personal health with sexual intimacy. Further research is needed to determine the efficacy of these strategies, assess how GBM perceive their efficacy, and understand the social and health impacts of their widespread uptake.
机译:尽管对具有更多性伴侣的男性进行了持续的研究,但关于他们的自适应性行为的信息很少。因此,我们研究了使用受访者驱动抽样(RDS)招募的719名温哥华男同性恋和双性恋男人(GBM)的自适应性肛交策略。我们的目标是()描述温哥华GBM中男性性伴侣发生频率的分布,并且()确定与男性性伴侣数量相关的重要协变量。为此,我们提供了描述性,单因素和多因素校正统计数据(按HIV状况分层),用于在过去六个月中有≥7个男性肛交伴侣(人口Q3,而<7)。还进行了敏感性分析,以评估该临界点的鲁棒性。结果表明,与伴侣较少的男性相比,伴侣较多的GBM更有可能采用自我适应策略。可以使用这些策略来抵消风险,评估后续HIV测试的需求以及平衡个人健康与性亲密关系。需要进一步的研究以确定这些策略的效力,评估GBM如何看待它们的效力以及了解其广泛摄入对社会和健康的影响。

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