Autor: |
Boyer CB; Department of Pediatrics, Division of Adolescent and Young Adult Medicine, University of California, San Francisco, CA., Greenberg L; Westat, Rockville, MD., Korelitz J; Westat, Rockville, MD., Harper GW; Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI., Stewart-Campbell R; Department of Pediatrics, Johns Hopkins University, Baltimore, MD., Straub D; Department of Pediatrics, University of South Florida, Tampa, FL., Sanders R; Division of General Pediatrics & Adolescent Medicine, Johns Hopkins University, Baltimore, MD., Reid LH; Department of Pediatrics, Stroger Hospital, Chicago, IL., Futterman D; Adolescent AIDS Program, Children's Hospital at Montefiore Einstein College of Medicine, Bronx, NY., Lee S; Eunice Kennedy Shriver National Institute on Child Health and Human Development/Maternal and Pediatric Infectious Disease Branch, Bethesda, MD., Ellen JM; Johns Hopkins Children's Center, Johns Hopkins University, Baltimore, MD. |
Abstrakt: |
Few studies have examined sexual partnerships and HIV risk in diverse samples of African American/black and Hispanic/Latino adolescent and young adult men who have sex with men (YMSM), a group that have a high burden of HIV in the U.S. A community-venue recruitment approach was used, which identified significant differences in HIV risk by sexual partner type among 1215 YMSM. Those with casual partners had a higher number of sexual partners, had more STIs, and were more likely to engage in transactional sex, to use alcohol, marijuana, or other substances compared with those with main partners only. Among those with female sexual partners, many used condoms "every time" when engaging in vaginal sex with casual partners, but a sizeable proportion "never/rarely" used condoms with their main partners. Our findings demonstrate a need for tailored HIV prevention education and counseling with necessary skills regarding consistent and correct condom use with all sexual partnerships. |