@Article{信息:doi 10.2196 / / jmir。4230，作者=“Stahlman, Shauna和Grosso, Ashley和Ketende, Sosthenes和Mothopeng, Tampose和Taruberekera, Noah和Nkonyana, John和Mabuza, Xolile和Sithole, Bhekie和Mnisi, Zandile和Baral, Stefan”，标题=“南非在线寻求性行为的男性与男性发生性关系的特征:一项横断面研究”，期刊=“J Med Internet Res”，年=“2015”，月=“5”，日=“25”，卷=“17”，数=“5”，页=“e129”，关键词=“Internet;艾滋病毒;男同性恋;非洲南部;社会歧视;背景:越来越多的人使用互联网寻找性伴侣，尤其是男男性行为者(MSM)。特别是，在网上寻求性行为的男男性接触者是人类免疫缺陷病毒(HIV)/性传播感染(STI)干预的重要目标群体，因为他们往往具有较高的性风险行为水平，而且因为互联网本身可能作为一种有希望的干预传递机制。然而，很少有研究调查撒哈拉以南非洲男同性恋者在网上寻找性伴侣的相关性。目的:这些分析的目的是描述使用互联网寻找新的男性性伴侣在两个南部非洲国家的男男性行为者的流行。 In addition, these analyses examine the sociodemographic characteristics, experiences of discrimination and stigma, mental health and substance use characteristics, and HIV-related knowledge, attitudes, and behaviors among MSM associated with meeting sex partners online. Methods: MSM were enrolled into a cross-sectional study across two sites in Lesotho (N=530), and one in Swaziland (N=322) using respondent-driven sampling. Participants completed a survey and HIV testing. Data were analyzed using bivariate and multivariable logistic regression models to determine which factors were associated with using the Internet to meet sex partners among MSM. Results: The prevalence of online sex-seeking was high, with 39.4{\%} (209/530) of MSM in Lesotho and 43.8{\%} (141/322) of MSM in Swaziland reporting meeting a new male sexual partner online. In the multivariable analysis, younger age (adjusted odds ratio [aOR] 0.37, 95{\%} confidence interval [CI] 0.27-0.50 per 5 years in Lesotho; aOR 0.68, 95{\%} CI 0.49-0.93 in Swaziland), having more than a high school education (aOR 18.2, 95{\%} CI 7.09-46.62 in Lesotho; aOR 4.23, 95{\%} CI 2.07-8.63 in Swaziland), feeling scared to walk around in public places (aOR 1.89, 95{\%} CI 1.00-3.56 in Lesotho; aOR 2.06, 95{\%} CI 1.23-3.46 in Swaziland), and higher numbers of male anal sex partners within the past 12 months (aOR 1.27, 95{\%} CI 1.01-1.59 per 5 partners in Lesotho; aOR 2.98, 95{\%} CI 1.51-5.89 in Swaziland) were significantly associated with meeting sex partners online in both countries. Additional country-specific associations included increasing knowledge about HIV transmission, feeling afraid to seek health care services, thinking that family members gossiped, and having a prevalent HIV infection among MSM in Lesotho. Conclusions: Overall, a high proportion of MSM in Lesotho and Swaziland reported meeting male sex partners online, as in other parts of the world. The information in this study can be used to tailor interventions or to suggest modes of delivery of HIV prevention messaging to these MSM, who represent a young and highly stigmatized group. These data suggest that further research assessing the feasibility and acceptability of online interventions will be increasingly critical to addressing the HIV epidemic among MSM across sub-Saharan Africa. ", issn="1438-8871", doi="10.2196/jmir.4230", url="//www.mybigtv.com/2015/5/e129/", url="https://doi.org/10.2196/jmir.4230", url="http://www.ncbi.nlm.nih.gov/pubmed/26006788" }