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.

概括对于从事交换性行为（即提供性行为以换取性服务）的男男性行为者 (MSM) 金钱、毒品、住所或商品），同性恋交友应用程序和网站已成为见面的常见场所此外，有人认为，这些新技术使男性性工作变得更安全、更安全。同性恋群体中的匿名化和标准化，从而可能使 MSM 的数量多样化并扩大然而，目前尚不清楚这一 MSM 人群的特征或特征。从公共卫生的角度来看，这项研究的目的是调查一个尚未充分研究的问题。人群——使用联播应用程序/网站寻找客户进行性交的 MSM 拟议的研究将。对于更好地描述这一人群及其性行为、危险行为和风险非常有价值我们还将检查参与者的艾滋病毒和性传播感染检测行为及其态度。由于交换性行为在 18-45 岁的黑人、西班牙裔和白人 MSM 中最为普遍，因此我们将对 180 名未感染 HIV 的 MSM（60 名黑人、 60 名拉丁裔参与者和 60 名白人参与者，其中一半年龄为 18-29 岁，一半年龄为 30-45 岁）。与进行性交换的男性中承担性风险有关的因素，每个人中都有一半的男性年龄和种族/族裔群体将仅进行受保护的性行为（持续使用安全套或持续使用 PrEP），一半会与他们的客户进行无保护的肛交（不采取 PrEP 的无套性行为）前三个月的研究目的是： 1. 调查参与者进行性交换的途径、方式。他们使用联播应用程序/网站来寻找客户并与客户谈判，以及他们如何评估不同客户的价值 2. 研究启发法和降低风险策略——包括 PrEP 和 HIV 以及性传播感染检测——参与者用来尝试管理感染艾滋病毒的风险及其原因 3. 调查哪些类型的艾滋病毒/性传播感染和性健康干预措施对参与者有用，他们希望如何提供这些服务，然后利用调查结果制定临时干预措施以减少使用联播应用程序/网站寻找客户进行性交易的 MSM 中的性风险行为。