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Men Who Have Sex with Men in Eastern Europe: A Time to Act 东欧的男同性恋者:是时候采取行动了
Journal of LGBT health research
Pub Date : 2009-12-03 DOI: 10.1080/15574090903327935
J. Lazarus, S. Matic
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引用次数: 3
“Quite Frankly, I Have Doubts About Remaining”: Aging-In-Place and Health Care Access for Rural Midlife and Older Lesbian, Gay, and Bisexual Individuals “坦率地说，我对留下来有疑问”:农村中年和老年女同性恋、男同性恋和双性恋个体的老龄化和医疗保健获取
Journal of LGBT health research
Pub Date : 2009-12-03 DOI: 10.1080/15574090903392830
S. King, Holly Dabelko-Schoeny
ABSTRACT Midlife and older adults prefer to stay in their communities as they age. The ability to age-in-place is affected by physical health status, along with access to services and social support. Few previous studies have included the experiences of lesbian, gay, and bisexual (LGB) midlife and older adults living in rural communities and their concerns about aging-in-place. This study used a qualitative approach to explore health care service utilization and support networks of 20 midlife and older LGB participants over the age of 40 who live in rural communities. Themes emerging from this study included transportation difficulties, lack of choices for care, affordability of care, and the lack of connection and sense of belonging to a community. Unique issues faced by LGB adults, such as isolation and the lack of informal support, make obstacles to aging-in-place for LGB adults living in rural communities particularly more difficult to overcome. Future studies are needed to gain a better understanding...
随着年龄的增长，中年人和老年人更愿意留在自己的社区。就地养老能力受到身体健康状况以及获得服务和社会支持的影响。以前很少有研究包括生活在农村社区的女同性恋、男同性恋和双性恋(LGB)中年和老年人的经历以及他们对原地衰老的担忧。本研究采用质性方法探讨20名40岁以上农村LGB中老年参与者的卫生保健服务利用和支持网络。从这项研究中得出的主题包括交通困难、缺乏护理选择、护理的可负担性以及缺乏联系和归属感。LGB成年人面临的独特问题，如孤立和缺乏非正式支持，使得生活在农村社区的LGB成年人就地养老的障碍尤其难以克服。需要进一步的研究来更好地理解……
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引用次数: 50
Risk Factors Associated with Condom Use Among Men Who Have Sex with Men in Ukraine 乌克兰男男性行为者使用避孕套的风险因素
Journal of LGBT health research
Pub Date : 2009-12-03 DOI: 10.1080/15574090903393416
Maxim Kasianczuk, L. Johnston, Anna V. Dovbakh, Eugeny B. Leszczynski
ABSTRACT In 2007, a large scale behavioral surveillance survey (N = 1764) was conducted in 10 Ukrainian cities using chain referral sampling to measure HIV risk behaviors and service utilization among men who have sex with men (MSM). The majority of MSM were 25 years or older, completed secondary school or higher, never married, and currently single. Just over a third of MSM reported not using a condom at last penetrative sex with a man. In a multivariate regression analysis controlling for several factors MSM had significantly higher odds of using a condom at last penetrative sex with another man if they were younger, had occasional partners in the past 6 months, ever had an HIV test and perceived themselves to be at high risk for HIV and significantly lower odds if they had sexual contact with a main male or with any female partner in the past 6 months and used alcohol in the past month. This article provides baseline data about MSM's sexual risk behaviors in Ukraine and discusses the need for essential...
摘要2007年，在乌克兰10个城市进行了一项大规模的行为监测调查(N = 1764)，采用连锁转诊抽样方法来衡量男男性行为者(MSM)的艾滋病毒风险行为和服务利用情况。大多数男男性行为者年龄在25岁或以上，中学或以上学历，未婚，目前单身。超过三分之一的男男性接触者报告说，他们在与男性发生插入性行为时没有使用避孕套。在多元回归分析中控制了几个因素男男同性恋者的几率明显高于有使用避孕套最后插入式性交和另一个男人如果他们年轻,有偶尔的合作伙伴在过去6个月,过艾滋病毒检测,认为自己是艾滋病毒和显著降低高危如果他们有性接触几率主要与任何男性或女性伙伴在过去6个月,用酒精在过去的一个月。这篇文章提供了乌克兰MSM性危险行为的基线数据，并讨论了必要的…
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引用次数: 7
Respecting local sexual cultures—The process of innovative HIV prevention outreach within a public sex environment 尊重当地的性文化-在公共性环境中创新的艾滋病预防推广过程
Journal of LGBT health research
Pub Date : 2009-12-03 DOI: 10.1080/15574090903392798
J. Frankis, P. Flowers
Despite emerging evidence of the efficacy and continued importance of sexual health outreach within public sex environments (PSE), current literature fails to examine how such interventions work. Accordingly, we present a qualitative process evaluation of an innovative PSE outreach service in England, UK. Through interviewing volunteers (n = 5), cruisers (n = 14), and all salaried staff (n = 5), we provide an insider's perspective highlighting both the challenges of PSE outreach provision and the unique solutions developed locally. Outreach success is achieved through respecting the local sexual culture within which cruising activities occur. Moreover, this illustrates the importance of local cultural sensitivity when delivering health promotion in challenging settings.
尽管越来越多的证据表明在公共性环境(PSE)中性健康推广的有效性和持续重要性，但目前的文献未能研究这些干预措施是如何起作用的。因此，我们提出了一个定性的过程评估创新PSE外展服务在英国英格兰。通过面试志愿者(n = 5),巡洋舰(n = 14),和所有受薪员工(n = 5),我们提供一个内部的角度强调PSE外联条款的挑战和独特的本地开发的解决方案。外联的成功是通过尊重当地的性文化，其中巡航活动发生。此外，这说明在具有挑战性的环境中提供健康促进时，当地文化敏感性的重要性。
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引用次数: 2
Requests for Safer Sex Among Men Who Have Sex with Men Who Use the Internet to Initiate Sexual Relationships: Implications for Healthcare Providers 使用互联网与男性发生性关系的男性对安全性行为的要求:对医疗保健提供者的启示
Journal of LGBT health research
Pub Date : 2009-12-03 DOI: 10.1080/15574090903327943
Christopher W. Blackwell
ABSTRACT The number of men who have sex with men (MSM) who are using the Internet to initiate sexual relationships is increasing. Research suggests these men might have a higher likelihood of participation in high-risk sexual activities that might place them at greater risk for transmission of sexually-transmitted infections, including HIV. Although a few research studies have assessed higher risk behaviors among this population, studies have not typically focused on safer sex practices. This article presents findings from an original research study designed to assess both high-risk and safer-sex requests among MSM within a sample from Florida (n = 483) who use a popular Internet social networking site to initiate sexual relationships. Although the findings indicated a majority of MSM did not specifically request safe sex only within their profiles, its prevalence was higher in men with a reported negative HIV serostatus. This suggests some HIV-negative MSM are possibly participating in sexually-protectiv...
使用互联网发起性关系的男男性行为者(MSM)的数量正在增加。研究表明，这些男性可能更有可能参与高风险的性活动，这可能使他们更有可能传播性传播感染，包括艾滋病毒。尽管有一些研究评估了这一人群的高风险行为，但这些研究通常并不关注安全性行为。本文介绍了一项原始研究的结果，该研究旨在评估佛罗里达州MSM (n = 483)中使用流行的互联网社交网站发起性关系的高危性行为和安全性行为的要求。尽管研究结果表明，大多数男男性行为者并没有在他们的个人资料中明确要求安全性行为，但在报告的艾滋病毒血清状态为阴性的男性中，其患病率更高。这表明一些艾滋病毒阴性的男男性接触者可能参与了性保护…
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引用次数: 9
Associations Between Three Measures of Sexual Orientation and High Risk Sexual Behaviors in Young Adults 年轻人性取向与高危性行为的三种测量方法之间的关系
Journal of LGBT health research
Pub Date : 2009-11-30 DOI: 10.1080/15574091.2011.633448
Marla E. Eisenberg, S. Pettingell, P. Berg, J. Haines
ABSTRACT This study examines associations between three separate measures of sexual orientation: condom use, number of sexual partners, and time before sex with a new partner. Data come from Wave III of the National Longitudinal Study of Adolescent Health, and include 11,619 participants (mean age = 22) who provided complete data on sexual orientation and behavior. Chi-square and multiple logistic regression analysis were used to examine associations between sexual orientation measures and sexual behaviors. Results indicate that males with a same-sex orientation (using an attraction, behavior or identity measure) were more likely than those with an opposite-sex or both-sex orientation to report engaging in sexual activity after a very brief acquaintance, and females with a both-sex orientation (using any measure) were more likely than those with an opposite- or same-sex orientation to report having multiple sexual partners. Associations with condom use and number of partners (for males) and length of acqu...
摘要:本研究考察了性取向的三个独立指标之间的关系:避孕套的使用、性伴侣的数量和与新伴侣发生性行为前的时间。数据来自全国青少年健康纵向研究的第三波，包括11,619名参与者(平均年龄= 22岁)，他们提供了关于性取向和行为的完整数据。采用卡方和多元逻辑回归分析来检验性取向测量与性行为之间的关系。结果表明，同性取向的男性(用吸引力、行为或身份来衡量)比异性或双性取向的男性更有可能在非常短暂的认识后进行性活动，而双性取向的女性(用任何衡量标准)比异性或同性取向的女性更有可能报告有多个性伴侣。与避孕套的使用、伴侣数量(男性)和性交时间的关系……
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引用次数: 1
Erratum: Effects of perceived discrimination on mental health and mental health services utilization among gay, lesbian, bisexual and transgender persons (Journal of LGBT Health Research (2007) 3:4 (1-14)) 勘误:感知歧视对男同性恋、女同性恋、双性恋和跨性别者心理健康和心理健康服务利用的影响(《LGBT健康研究杂志》(2007)3:4 (1-14))
Journal of LGBT health research
Pub Date : 2008-12-01 DOI: 10.1080/15574090802667795
D. Burgess, Richard M. Lee, Alisia G. T. T. Tran, M. Ryn
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引用次数: 13
Determinants of sexual risk behavior among men who have sex with men accessing public sex environments in Chennai, India. 在印度金奈，进入公共性环境的男男性行为风险的决定因素。
Journal of LGBT health research
Pub Date : 2008-01-01 DOI: 10.1080/15574090902913669
P A Newman, V Chakrapani, C Cook, M Shunmugam, L Kakinami

We conducted structured interviews with 200 men who have sex with men (MSM) recruited using time-space sampling from public sex environments (PSEs) in Chennai, India. Predictors of sexual risk behavior were assessed with chi2 tests and multiple logistic regression. One-third reported unprotected receptive anal sex (URAS) last time and 36% inconsistent condom use in the past month. URAS was associated with younger age, less than high school education, low income, and low HIV transmission knowledge (adjusted odds ratio [AOR] = 2.1, 2.5, 3.7 and 2.5, respectively). Inconsistent condom use was associated with less than high school education (AOR = 3.2) and low HIV transmission knowledge (AOR = 3.5). Multilevel HIV prevention strategies tailored for low socioeconomic kothis and other MSM in PSEs in Chennai should include peer interventions to increase knowledge of HIV transmission risks and sexually transmitted infections (STIs), and structural interventions to expand economic and educational opportunities, and accessible STI testing and treatment.

我们对200名男男性行为者(MSM)进行了结构化访谈，这些男男性行为者使用时空抽样从印度金奈的公共性环境(pse)中招募。性危险行为的预测因素采用chi2检验和多元logistic回归进行评估。三分之一的人报告上次有无保护的接受性肛交(URAS)， 36%的人在过去一个月没有使用安全套。URAS与年龄小、高中以下教育程度、收入低、HIV传播知识低相关(调整后比值比[AOR]分别为2.1、2.5、3.7和2.5)。不一致的安全套使用与高中教育程度低(AOR = 3.2)和艾滋病毒传播知识低(AOR = 3.5)相关。针对金奈农村低社会经济人群和其他男男性行为者量身定制的多层次艾滋病毒预防战略应包括同伴干预，以提高对艾滋病毒传播风险和性传播感染(STI)的认识，以及结构性干预，以扩大经济和教育机会，以及获得性传播感染检测和治疗。
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引用次数: 32
Cultural dimension of male sexual behavior and HIV risk in South Asia with special emphasis on India: a commentary. 南亚男性性行为和艾滋病毒风险的文化层面，特别强调印度:评论。
Journal of LGBT health research
Pub Date : 2008-01-01 DOI: 10.1080/15574090902942015
Swagata Banik
This commentary focuses on male sexual behavior and HIV risk in South Asia particularly India. Its goal is to encourage well-planned research and a step towards collecting empirical data on several sociocultural and behavioral aspects of HIV transmission among men having sex with men (MSM) in the prevention programs in South Asia with emphasis on India.
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引用次数: 6
Multiple risks among male and transgender sex workers in Pakistan. 巴基斯坦男性和变性性工作者面临多重风险。
Journal of LGBT health research
Pub Date : 2008-01-01 DOI: 10.1080/15574090902913651
Martine Collumbien, Jaime Chow, Ayaz Ahmed Qureshi, Aliya Rabbani, Sarah Hawkes

Using data from a qualitative study and a subsequent quantitative survey among 918 male and transgender sex workers (MTSW), we explore the context of multiple risks they face. We show that over one-fifth of MTSW have sex with IDU clients. Combined with high levels of risk behavior and very low levels of risk reduction and knowledge, the extent of sexual networking with men who inject drugs contributes further to the sex workers' health risks. Our findings suggest that isolated interventions with single-risk groups are unlikely to be sufficient to control the spread of the epidemic in Pakistan. We highlight the need for integrated approaches to risk reduction programs among MTSW and IDUs.

通过对918名男性和变性性工作者(MTSW)的定性研究和随后的定量调查数据，我们探讨了他们面临的多重风险背景。我们的研究表明，超过五分之一的MTSW与注射过量的客户发生性关系。再加上高风险行为水平高，而降低风险的措施和知识水平极低，与注射毒品的男子发生性关系的程度进一步加剧了性工作者的健康风险。我们的研究结果表明，针对单一风险群体的孤立干预措施不太可能足以控制该流行病在巴基斯坦的传播。我们强调有必要采取综合办法，在产妇和注射吸毒者之间开展减少风险方案。
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引用次数: 15
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