Exchange Sex and HIV Risk among MSM Online

在线 MSM 之间交流性和艾滋病毒风险

基本信息

批准号：
9482305
负责人：
KAROLYNN SIEGEL
金额：
$ 59.56万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-25 至 2021-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9482305
关键词：
Age Anal Sex Attitude Centers for Disease Control and Prevention (U.S.)Cities Client Communities Cybersex Data Analyses Data Collection Disease Vectors Ethnic group Face Gays Goals HIV HIV Seropositivity HIV diagnosis HIV risk Hispanics Internet Intervention Interview Latino Mediation New York City Participant Pathway interactions Pharmaceutical Preparations Population Population Sizes Psychopathology Public Health Reporting Research Respondent Risk Risk Behaviors Risk Reduction Safe Sex Sampling Sexually Transmitted Diseases Shelter facility Source Stigmatization Surveys Technology Testing Violence Work age group aged behavior test consistent condom use deviant ethnic diversity heuristics high risk juvenile delinquent male male sex worker meetings men men who have sex with men migration new technology pre-exposure prophylaxis racial and ethnic sex sex risk sexual health intervention sexual risk taking social stigma study population theories web site willingness young man young men who have sex with men

项目摘要

Summary For men who have sex with men (MSM) who engage in exchange sex (i.e., offering sex in exchange for money, drugs, shelter, or goods), gay hookup apps and websites have become a common venue for meeting clients. Further, it has been argued that these new technologies have made male sex work safer, more anonymous and normalized in the gay community, thus likely diversifying and expanding the number of MSM who participate in exchange sex. However, this population of MSM is currently not well characterized or understood from a public health perspective. The goal of the study is to investigate a very under-studied population—MSM who use hookup apps/websites to find clients for exchange sex. The proposed research will be extremely valuable in better characterizing this population and its sexual practices, risk behavior, and risk reduction strategies. We will also examine participants’ HIV and STI testing behavior and their attitudes toward PrEP. Because exchange sex is most prevalent among Black, Hispanic, and White MSM ages 18–45, we will conduct in-depth qualitative interviews with an ethnically diverse sample of 180 HIV-uninfected MSM (60 Black, 60 Latino, and 60 White participants, half of them ages 18–29 and half 30–45). To better understand the factors associated with sexual risk taking among men who engage in exchange sex, half of the men in each age and racial/ethnic group will have only had protected sex (either consistent condom use or consistent use of PrEP) and half will have had unprotected anal sex (condomless sex without taking PrEP) with their clients in the prior three months. The study aims are: 1. To investigate participants’ pathways into exchange sex, how they use hookup apps/websites to find and negotiate with clients, and how they evaluate the worth of different acts and partners. 2. To investigate the heuristics and risk-reduction strategies—including PrEP and HIV and STI testing—participants use to try to manage the risks of becoming HIV infected and their reasons for their choices. 3. To investigate what types of HIV/STI and sexual health interventions participants would find useful, how they would like these delivered, and then, use findings to develop a provisional intervention to reduce sexual-risk behavior among MSM who use hookup apps/websites to find clients for exchange sex.

概括适用于与男性发生性关系的男人（MSM）进行交换性行为（即提供性别以换取金钱，毒品，庇护所或商品），同性恋连接应用程序和网站已成为开会的常见场所客户。此外，有人认为这些新技术使男性性工作更加安全，更多在同性恋社区中匿名和标准化，因此可能使MSM的数量多样化和扩大参加交换性行为的人。但是，目前，MSM的人群的特征尚未得到很好的特征或从公共卫生的角度理解。该研究的目的是调查一个非常不足的人口-MMSM使用联播应用程序/网站来寻找交换性别的客户。拟议的研究将在更好地描述该人群及其性行为，风险行为和风险方面非常有价值还原策略。我们还将检查参与者的艾滋病毒和性传播感染测试行为及其与会者准备。因为在18-45岁的黑人，西班牙裔和白色MSM中，交换性最普遍，我们将对180种HIV未感染的MSM的种族多样性样本进行深入的定性访谈（60个黑色， 60名拉丁裔和60名白人参与者，其中一半是18-29岁，一半30-45岁）。更好地了解与从事交换性行为的男性中的性冒险相关的因素，其中一半的男人年龄和种族/种族群体只有受到保护的性别（避孕套的使用或一致的使用准备）和一半将与他们的客户有未受保护前三个月。该研究的目的是：1。调查参与者的途径交换性行为，如何他们使用联播应用程序/网站查找和与客户进行谈判，以及他们如何评估不同的价值行为和伴侣。 2。调查启发式法和降低风险策略 - 包括PREP和HIV以及 STI测试 - 参与者试图管理感染艾滋病毒的风险及其原因选择。 3。调查哪种类型的HIV/STI和性健康干预措施会发现有用，他们将如何交付这些内容，然后使用发现来制定临时干预以减少 MSM的性风险行为，他们使用联播应用程序/网站来寻找交换性别的客户。