互联网作为性传播疾病的新兴风险环境
M McFarlane1, S S Bull, C A Rietmeijer
1Division of Sexually Transmitted Disease Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. MmcFarlane@cdc.gov
JAMA
|July 25, 2000
概括
在网上寻找性伴侣增加了性传播疾病 (STD) 的风险. 与不使用互联网进行性接触的人相比,使用互联网进行性接触的人报告了更多的性传播疾病和更高风险的行为.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 包括艾滋病毒在内的性传播疾病 (STD) 的传播与与多个匿名伴侣的无保护性行为有关.
- 互联网在性病传播风险中的具体作用以前是未知的.
研究的目的:
- 为了比较在线寻找性伴侣的个人中传播性病的风险,与那些不使用互联网寻找伴侣的人相比.
- 评估基于互联网的寻找伴侣和性传播疾病风险因素之间的关联.
主要方法:
- 从1999年9月到2000年4月进行了一项横截面调查.
- 来自丹佛公共卫生艾滋病毒咨询和检测站点的856名客户参加了这次活动.
- 收集的数据包括自我报告的互联网使用寻找伴侣,伴侣数量,避孕套使用,以及与艾滋病毒风险评估记录的联系.
主要成果:
- 15.8%的客户在网上寻找性伴侣;其中65.2%的人报告与互联网接触的伴侣发生性关系.
- 互联网性寻求者更有可能是男性,同性恋者,并且报告了更多以前的性传播疾病,更多的伴侣和更高风险的性行为.
- 在互联网寻找性行为和多个伴侣,交和已知的艾滋病毒阳性伴侣的接触增加之间发现了显著的关联.
结论:
- 通过互联网寻找性伴侣是寻求HIV检测的个人中常见的做法.
- 与非互联网用户相比,使用互联网寻找性伴侣的客户表现出与非互联网用户相比,性传播疾病的风险明显更高.
- 通过互联网促进的性网络是获得性传播疾病的显著风险因素.
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