Chiasson Mary Ann, Hirshfield Sabina, Humberstone Michael, Difilippi Joseph, Koblin Beryl A, Remien Robert H
Medical and Health Research Association of New York City, Inc., NY 10013, USA.
Arch Sex Behav. 2005 Oct;34(5):527-35. doi: 10.1007/s10508-005-6278-5.
Numerous studies on the mental health effects of terrorist attacks have been published, with some reporting increases in smoking and drug and alcohol use. None have reported on changes in sexual behavior. To investigate the impact of the September 11 attacks on sexual and drug- and alcohol-using behaviors of men who have sex with men (MSM), an anonymous Internet survey was conducted to obtain information retrospectively on behavior during three month periods before and after the attacks. A total of 2,915 MSM from all 50 U.S. states completed the survey. Men who were exposed to the attacks were not differentially targeted for the survey since the online banner ad used to recruit did not mention September 11. Exposure to the attacks varied: 11.4% lost a friend or relative; 5% witnessed the attacks in person; and nearly all saw the attacks on television within one hour of their occurrence. Nearly equal proportions of men reported increases and decreases in the number of sex partners following September 11. Small, statistically significant increases in unprotected anal intercourse and alcohol use, but not illicit drug use, were found when behavior after September 11 was compared to that before the attacks. Men who lost a friend or relative in the attacks were significantly more likely to report unprotected anal intercourse, an increased number of sex partners, and increased alcohol use after September 11 than those who did not. Counseling about substance abuse and risky sexual behavior should be incorporated into trauma-related programs for adolescents and adults.
关于恐怖袭击对心理健康影响的众多研究已经发表，一些研究报告称吸烟、吸毒和酗酒现象有所增加。但尚无研究报告性行为的变化情况。为了调查9·11袭击对男男性行为者（MSM）的性行为以及吸毒和酗酒行为的影响，开展了一项匿名网络调查，以回顾性获取袭击前后三个月期间的行为信息。来自美国所有50个州的2915名男男性行为者完成了该调查。由于用于招募的网络横幅广告未提及9·11事件，因此遭受袭击的男性并非该调查的特定目标对象。遭受袭击的情况各不相同：11.4%的人失去了朋友或亲属；5%的人亲眼目睹了袭击；几乎所有人在袭击发生后一小时内在电视上看到了袭击画面。9·11事件后，报告性伴侣数量增加和减少的男性比例几乎相等。将9·11事件后的行为与袭击前的行为进行比较时，发现无保护肛交和饮酒有小幅但具有统计学意义的增加，但非法药物使用情况未出现增加。在袭击中失去朋友或亲属的男性比未失去的男性在9·11事件后更有可能报告无保护肛交、性伴侣数量增加以及饮酒增加。关于药物滥用和危险性行为的咨询应纳入针对青少年和成年人的创伤相关项目中。
