互联网使用与男男性行为者的性健康:一项混合方法研究。

Internet use and sexual health of young men who have sex with men: a mixed-methods study.

机构信息

Department of Psychiatry, Institute for Juvenile Research,University of Illinois at Chicago, 1747 W. Roosevelt Rd., Chicago, IL 60608, USA.

出版信息

Arch Sex Behav. 2011 Apr;40(2):289-300. doi: 10.1007/s10508-009-9596-1. Epub 2010 Feb 25.

Abstract

Young gay, bisexual, and other men who have sex with men (MSM) experience sexual health disparities due to a lack of support in settings that traditionally promote positive youth development. The Internet may help to fill this void, but little is known about how it is used for sexual health purposes among young MSM. This mixed-methods study reports quantitative results of a large survey of 18- to 24-year-old MSM in an HIV testing clinic (N = 329) as well as qualitative results from interviews. Level of Internet use was high in this sample and the majority of participants reported using the Internet to find HIV/AIDS information. Black and Latino youth used the Internet less frequently than White youth, and after controlling for age, education, and frequency of Internet use, Black youth were 70% less likely to use the Internet to find HIV/AIDS information. Qualitative analyses identified themes related to the role of the Internet in finding sexual health information, sexual minority identity development, and sexual risk taking behaviors. Participants reported that the Internet filled an important and unmet need for sexual health education. It allowed for connections to the gay community and support during the coming out process, but also exposure to homophobic messages. There was no evidence of increased risk behaviors with partners met online, but at the same time the potential for the use of the Internet to facilitate safer sex communication was largely untapped. Our findings generally present an optimistic picture about the role of the Internet in the development of sexual health among young MSM.

摘要

年轻的男同性恋、双性恋和其他与男性发生性关系的男性(MSM)由于在传统上促进青年积极发展的环境中缺乏支持,而面临着性健康方面的差距。互联网可能有助于填补这一空白,但对于年轻人 MSM 如何将其用于性健康目的,人们知之甚少。这项混合方法研究报告了一项对艾滋病毒检测诊所中 18 至 24 岁 MSM 进行的大型调查的定量结果(N=329),以及来自访谈的定性结果。该样本的互联网使用水平很高,大多数参与者报告说使用互联网查找艾滋病毒/艾滋病信息。黑人和拉丁裔青年比白人青年更不频繁地使用互联网,在控制年龄、教育程度和互联网使用频率后,黑人青年使用互联网查找艾滋病毒/艾滋病信息的可能性降低了 70%。定性分析确定了与互联网在寻找性健康信息、性少数群体认同发展以及性冒险行为方面的作用相关的主题。参与者报告说,互联网满足了性健康教育的重要且未满足的需求。它允许与同性恋社区建立联系并在出柜过程中获得支持,但也暴露了恐同信息。没有证据表明与在线结识的伴侣发生性行为风险增加,但与此同时,利用互联网促进安全性行为沟通的潜力在很大程度上尚未得到开发。我们的研究结果总体上呈现出互联网在年轻人 MSM 性健康发展中的积极作用。

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