肯尼亚、马拉维和南非男男性行为者避孕套失效的相关性:来自艾滋病预防试验网络075研究的发现。

IF 1.7 4区 医学 Q3 INFECTIOUS DISEASES
Sexually transmitted diseases Pub Date : 2025-11-01 Epub Date: 2025-06-23 DOI:10.1097/OLQ.0000000000002208
Theo G M Sandfort, Charlotte E Rinnooy Kan, Thomas Corbeil, Victor Mudhune, Erica L Hamilton, Sufia Dadabhai, Caitlin Laughney, Ravindre Panchia, Doerieyah Reynolds
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引用次数: 0

摘要

背景:关于非洲男男性行为者(MSM)避孕套失效的研究很少;因此,我们试图确定避孕套失效的多层次相关性。方法:使用逻辑回归,我们确定了参与艾滋病毒预防试验网络(HPTN) 075的非洲男同性恋者中各种参与者,伙伴关系和性互动特征与避孕套滑落和破裂的关联,这是一项为期一年的跨国前瞻性队列研究(2015 - 2017)。结果:在401名参与者中,387人(96.5%)报告至少有一次使用避孕套的性行为。在参与者报告的1908次性行为中,有194次(10.2%)发生安全套滑落,223次(11.7%)发生安全套破裂。与没有亲密关系的参与者相比,有持续亲密关系的参与者报告滑动和破裂的频率更低(OR = 0.52, 95% CI: 0.29, 0.95;Or = 0.57, 95% ci: 0.34, 0.93)。在物质影响下发生性行为时,滑移和断裂发生的频率更高(OR = 1.67, 95% CI: 1.13, 2.46;OR = 2.08, 95% CI: 1.48, 2.93)或当性行为被强迫时(OR = 3.18, 95% CI: 1.68, 6.02;Or = 2.39, 95% ci: 1.41, 4.04)。有过恐同经历的人也与滑脱和断裂有关(OR = 1.32, 95% CI: 1.35, 1.68;Or = 1.35, 95% ci: 1.10, 1.65)。结论:持续的避孕套失败提示了继续对非洲男男性行为者进行避孕套教育的重要性,解决促进或阻碍最佳使用的情况,并加强他们对性行为的控制。恐同经历可能是导致避孕套失效的一个远端因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlates of Condom Failure in Men Who Have Sex With Men in Kenya, Malawi, and South Africa: Findings From the HIV Prevention Trials Network 075 Study.

Background: Research on condom failure among African men who have sex with men (MSM) is rare; therefore, we sought to identify multilevel correlates of condom failure.

Methods: Using logistic regression, we identified the associations of various participant, partnership, and sexual interaction characteristics with condom slippage and breakage among African MSM participating in HIV Prevention Trials Network (HPTN) 075, a 1-year, multinational, prospective cohort study (2015-2017).

Results: Of 401 participants, 387 (96.5%) reported at least one sexual interaction in which condoms were used. Condom slippage was reported in 194 (10.2%) of the 1908 sexual interactions reported by participants and breakage in 223 (11.7%) interactions. Both slippage and breakage were reported less frequently by participants in ongoing intimate relationships compared with those who were not (odds ratio [OR], 0.52; 95% confidence interval [CI], 0.29-0.95; OR, 0.57; 95% CI, 0.34-0.93). Slippage and breakage occurred more frequently when sex happened under the influence of substances (OR, 1.67; 95% CI, 1.13-2.46; OR, 2.08; 95% CI, 1.48-2.93) or when sex was forced (OR, 3.18; 95% CI, 1.68-6.02; OR, 2.39; 95% CI, 1.41-4.04). Having experienced homophobia was also associated with slippage and breakage (OR, 1.32; 95% CI, 1.04-1.68; OR, 1.35; 95% CI, 1.10-1.65).

Conclusions: Ongoing condom failures suggest the importance of continued condom education of African MSM, addressing circumstances that promote or hinder optimal use, and increasing their control in sexual interactions. Experienced homophobia might as a distal factor also contribute to condom failure.

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来源期刊
Sexually transmitted diseases
Sexually transmitted diseases 医学-传染病学
CiteScore
4.00
自引率
16.10%
发文量
289
审稿时长
3-8 weeks
期刊介绍: ​Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association​, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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