Bimbi David S, Nanin Jose E, Parsons Jeffrey T, Vicioso Kalil J, Missildine Whitney, Frost David M
Center for HIV/AIDS Educational Studies and Training (CHEST), New York, New York, USA.
Subst Use Misuse. 2006;41(5):643-52. doi: 10.1080/10826080500411080.
Alcohol and substance use plays a complex role in sexual behavior among gay and bisexual men. Data from 779 gay and bisexual men who reported sex with a casual partner in the past 3 months were collected in November 2002 at two large lesbian, gay, and bisexual community events in New York City. Participants reporting any unprotected anal receptive or insertive sex scored significantly higher in outcome expectancies for sexual risk taking while using drugs or alcohol, as did HIV-positive men and men with a higher rate of lifetime sexually transmitted infections. Sexual compulsivity, romantic obsessions, drug use, unprotected anal receptive sex, and HIV serostatus successfully predicted outcome expectancies for sexual risk while under the influence. Therapists and other health and social service providers working with gay and bisexual men should explore the connection between sexual risk and being under the influence to uncover psychosocial mechanisms related to this phenomenon.
酒精和药物使用在男同性恋者和双性恋男性的性行为中扮演着复杂的角色。2002年11月，在纽约市的两次大型女同性恋、男同性恋和双性恋社区活动中，收集了779名在过去3个月内与临时伴侣发生过性行为的男同性恋者和双性恋男性的数据。报告有任何无保护肛交接受或插入性行为的参与者，在使用毒品或酒精时对性冒险行为的结果预期得分显著更高，艾滋病毒呈阳性的男性以及一生中性传播感染率较高的男性也是如此。性强迫、浪漫痴迷、药物使用、无保护肛交接受性行为和艾滋病毒血清学状态成功预测了受影响时的性冒险行为结果预期。与男同性恋者和双性恋男性合作的治疗师以及其他健康和社会服务提供者应探索性风险与受影响之间的联系，以揭示与这一现象相关的心理社会机制。
