Community, Health Outcomes, and Intervention Research Program, The Saban Institute, Childrens Hospital Los Angeles, California 90028, USA.
Health Educ Behav. 2010 Apr;37(2):243-63. doi: 10.1177/1090198109339993. Epub 2009 Jul 2.
A growing body of research has investigated the effectiveness of abstinence-only sexual education. There remains a dearth of research on the relevant sexual health information available to young men who have sex with men (YMSM). Drawing on a mixed-methods study with 526 YMSM, this study explores how and where YMSM receive relevant information on sexual health/behavior. Findings indicate that information related to gay men's sexuality is not readily available from family, friends, or schools. At initiation of anal intercourse, respondents generally had limited information about HIV and sexually transmitted infections (STIs). In some cases, this resulted in the perception that activities such as unprotected sex were "low risk." Many mentioned they first learned about anal sex during their sexual debut, describing painful and/or unpleasant experiences. Some relied on older/more experienced partners, the Internet, and pornography for information. Findings are discussed in relation to how providers can help YMSM build solid foundations of sexual education to protect them from STI and HIV infection.
越来越多的研究调查了禁欲性教育的有效性。对于与男性发生性关系的男同性恋青年（YMSM），他们可获得的相关性健康信息仍然匮乏。本研究通过对 526 名 YMSM 的混合方法研究，探讨了 YMSM 如何以及在哪里获得有关性健康/行为的相关信息。研究结果表明，家庭、朋友或学校无法提供与男同性恋者性行为相关的信息。在开始肛交时，受访者通常对艾滋病毒和性传播感染（STI）的信息了解有限。在某些情况下，这导致人们认为无保护性行为等活动“低风险”。许多人提到，他们是在性初体验时第一次了解到肛交，描述了痛苦和/或不愉快的经历。一些人依赖于年长/更有经验的伴侣、互联网和色情作品来获取信息。研究结果讨论了提供者如何帮助 YMSM 建立坚实的性教育基础，以保护他们免受性传播感染和艾滋病毒感染。
