一种整合的理论方法，用于研究男男性行为者中的物质使用和高危性行为。
An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men.
机构信息
The Center for HIV/AIDS Educational Studies and Training, New York, NY, USA.
出版信息
AIDS Behav. 2011 Apr;15(3):509-20. doi: 10.1007/s10461-010-9767-z.
Abstract
Research demonstrates a consistent association between substance use and sexual risk, particularly among men who have sex with men (MSM). The present study builds upon two existing theories (Cognitive Escape Theory and Expectancy Theory) to examine the synergistic role of sexual conflict (surrounding unsafe sex) and expectancies in sexual behavior among 135 MSM. Two conflicts were examined: (1) The conflict between motivation to practice safer sex and temptation for unprotected sex; and (2) The conflict between motivation to practice safer sex and perceived benefits of unprotected sex. Factorial ANOVAs (2 × 2; high versus low expectancies and conflict versus no conflict) revealed a significant interaction between conflict and expectancies-individuals who reported high levels of conflict were more sensitive to the effect of expectancies than were those experiencing low levels of sexual conflict. Results demonstrate the synergistic effects of conflict and expectancies and highlight the importance of integrating existing theories to more fully consider the intrapsychic operation and experience of sexual conflicts.
摘要
研究表明，物质使用与性风险之间存在一致的关联，尤其是在男男性行为者（MSM）中。本研究基于两种现有理论（认知逃避理论和期望理论），考察了性冲突（围绕不安全的性行为）和期望在 135 名 MSM 性行为中的协同作用。研究检验了两种冲突：（1）实践安全性行为的动机与不受保护的性行为的诱惑之间的冲突；以及（2）实践安全性行为的动机与不受保护的性行为的感知益处之间的冲突。因子分析（2×2；高期望与低期望，以及有冲突与无冲突）显示，冲突与期望之间存在显著的交互作用——报告高水平冲突的个体对期望的影响比经历低水平性冲突的个体更为敏感。结果表明，冲突和期望存在协同作用，强调了整合现有理论以更全面地考虑性冲突的内在运作和体验的重要性。
相似文献
1
An integrated theoretical approach to substance use and risky sexual behavior among men who have sex with men.一种整合的理论方法，用于研究男男性行为者中的物质使用和高危性行为。
AIDS Behav. 2011 Apr;15(3):509-20. doi: 10.1007/s10461-010-9767-z.
2
Conflict and expectancies interact to predict sexual behavior under the influence among gay and bisexual men.冲突和期望相互作用，以预测男同性恋者和双性恋者在受影响情况下的性行为。
J Health Psychol. 2014 Jul;19(7):821-35. doi: 10.1177/1359105313479812. Epub 2013 Apr 12.
3
Substance Use and Sexual Risk Behavior Among Black South African Men Who Have Sex With Men: The Moderating Effects of Reasons for Drinking and Safer Sex Intentions.南非黑人男同性恋者中的物质使用与性风险行为：饮酒原因及安全性行为意图的调节作用
AIDS Behav. 2017 Jul;21(7):2023-2032. doi: 10.1007/s10461-016-1652-y.
4
Depression is associated with sexual risk among men who have sex with men, but is mediated by cognitive escape and self-efficacy.抑郁与男男性行为者的性风险相关，但受认知逃避和自我效能的影响。
AIDS Behav. 2011 Aug;15(6):1171-9. doi: 10.1007/s10461-010-9678-z.
5
An intervention to reduce HIV risk behavior of substance-using men who have sex with men: a two-group randomized trial with a nonrandomized third group.一项旨在减少滥用物质的男男性行为者 HIV 风险行为的干预措施：一项两群组随机试验及一组非随机的第三群组。
PLoS Med. 2010 Aug 24;7(8):e1000329. doi: 10.1371/journal.pmed.1000329.
6
Substance use and sexual behaviours of Japanese men who have sex with men: a nationwide internet survey conducted in Japan.日本男男性行为者的物质使用与性行为：在日本开展的一项全国性网络调查
BMC Public Health. 2006 Sep 26;6:239. doi: 10.1186/1471-2458-6-239.
7
Depression, substance use and HIV risk in a probability sample of men who have sex with men.抑郁、物质使用与男男性行为人群中 HIV 风险的概率抽样研究。
Addict Behav. 2013 Mar;38(3):1715-8. doi: 10.1016/j.addbeh.2012.09.005. Epub 2012 Sep 24.
8
Sexual partnerships and considerations for HIV antiretroviral pre-exposure prophylaxis utilization among high-risk substance using men who have sex with men.高危性行为且有滥用药物史的男男性行为者的性伴侣关系与 HIV 抗逆转录病毒药物预防应用的考虑因素。
Arch Sex Behav. 2014 Jan;43(1):99-106. doi: 10.1007/s10508-013-0208-8.
9
Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men.性取向为男同性恋、双性恋和其他与男性发生性关系的男性中的逃避预期和性化物质使用。
AIDS Care. 2020 Dec;32(12):1489-1497. doi: 10.1080/09540121.2019.1705961. Epub 2019 Dec 18.
10
The effects of sexual sensation seeking and alcohol use on risky sexual behavior among men who have sex with men.性感觉寻求和饮酒对男男性行为者危险性行为的影响。
AIDS Behav. 2015 Mar;19(3):431-9. doi: 10.1007/s10461-014-0871-3.
引用本文的文献
1
Substance Use While Sexting Moderates the Effect of Sexual Identity Development on Offline and Online Sexting Consequences Among Adolescent Sexual Minority Males.在发送色情短信时使用物质会调节性少数男性青少年中性身份发展对线下和线上发送色情短信后果的影响。
Arch Sex Behav. 2025 Jul 11. doi: 10.1007/s10508-025-03185-4.
2
Predictors of consistent condom use among young psychoactive substance users in Kampala's informal settlements, Uganda.乌干达坎帕拉非正规住区年轻精神活性物质使用者中持续使用避孕套的预测因素。
Dialogues Health. 2022 Nov 24;1:100080. doi: 10.1016/j.dialog.2022.100080. eCollection 2022 Dec.
3
Prevalence and predictors of sex under the influence of psychoactive substances among young people in informal settlements in Kampala, Uganda.乌干达坎帕拉非正规住区青少年受精神活性物质影响下的性行为发生率及预测因素。
BMC Public Health. 2023 May 2;23(1):801. doi: 10.1186/s12889-023-15679-8.
4
Do sexual expectancies and inhibitions predict high-risk sexual behaviours? Evidence from a cross-sectional survey among young psychoactive substance users in informal settlements in Kampala, Uganda.性期望和抑制是否能预测高危性行为？来自乌干达坎帕拉非正规住区年轻精神活性物质使用者横断面调查的证据。
BMC Public Health. 2021 Aug 4;21(1):1506. doi: 10.1186/s12889-021-11536-8.
5
Determinants of early sexual initiation among female youth in Ethiopia: a multilevel analysis of 2016 Ethiopian Demographic and Health Survey.埃塞俄比亚女性青年早期性行为发生的决定因素：对 2016 年埃塞俄比亚人口与健康调查的多层次分析。
BMC Womens Health. 2020 Sep 14;20(1):205. doi: 10.1186/s12905-020-01069-4.
6
Escape expectancies and sexualized substance use among gay, bisexual, and other men who have sex with men.性取向为男同性恋、双性恋和其他与男性发生性关系的男性中的逃避预期和性化物质使用。
AIDS Care. 2020 Dec;32(12):1489-1497. doi: 10.1080/09540121.2019.1705961. Epub 2019 Dec 18.
7
Investigating Conceptual Models for the Relationship Between Depression and Condomless Sex Among Gay, Bisexual, and Other Men Who have Sex with Men: Using Structural Equation Modelling to Assess Mediation.调查男同性恋者、双性恋者和其他与男性发生性关系的男性中抑郁与无保护性行为之间关系的概念模型：使用结构方程模型评估中介作用。
AIDS Behav. 2020 Jun;24(6):1793-1806. doi: 10.1007/s10461-019-02724-0.
8
Substance Use as a Mechanism for Social Inclusion among Gay, Bisexual, and Other Men Who Have Sex with Men in Vancouver, Canada.物质使用作为加拿大温哥华男同性恋、双性恋和其他与男性发生性关系者社会包容的一种机制。
Subst Use Misuse. 2019;54(12):1945-1955. doi: 10.1080/10826084.2019.1621901. Epub 2019 May 29.
9
The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe.欧洲性少数群体男性中的同性恋相关污名与 HIV 风险行为的关系。
AIDS Behav. 2019 Mar;23(3):684-694. doi: 10.1007/s10461-018-2306-z.
10
The Somatic Marker Hypothesis and Sexual Decision Making: Understanding the Role of Iowa Gambling Task Performance and Daily Sexual Arousal on the Sexual Behavior of Gay and Bisexual Men.躯体标记假说与性决策：理解爱荷华赌博任务表现和日常性唤起对男同性恋和双性恋男性性行为的作用。
Ann Behav Med. 2018 Apr 19;52(5):380-392. doi: 10.1093/abm/kax006.
本文引用的文献
1
Alcohol and Female Sexuality: A Look at Expectancies and Risks.酒精与女性性行为：审视预期与风险
Alcohol Health Res World. 1994;18(3):197-201.
2
HIV Prevention Research: Are We Meeting the Needs of African American Men Who Have Sex With Men?艾滋病预防研究：我们是否满足了与男性发生性关系的非裔美国男性的需求？
J Black Psychol. 2004;30(1):78-105. doi: 10.1177/0095798403260265.
3
Reducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: a randomized clinical trial.减少 HIV 阳性男男性行为者的性风险行为和饮酒：一项随机临床试验。
J Consult Clin Psychol. 2009 Aug;77(4):657-67. doi: 10.1037/a0015519.
4
Randomized trial to reduce club drug use and HIV risk behaviors among men who have sex with men.随机试验以减少男男性行为者中俱乐部药物使用和 HIV 风险行为。
J Consult Clin Psychol. 2009 Aug;77(4):645-56. doi: 10.1037/a0015588.
5
Drug use, high-risk sex behaviors, and increased risk for recent HIV infection among men who have sex with men in Chicago and Los Angeles.在芝加哥和洛杉矶，男男性行为者中的药物使用、高危性行为与近期 HIV 感染风险增加有关。
AIDS Behav. 2009 Dec;13(6):1084-96. doi: 10.1007/s10461-008-9403-3. Epub 2008 May 23.
6
In the shadows of a prevention campaign: sexual risk behavior in the absence of crystal methamphetamine.在预防运动的阴影下：在无冰毒情况下的性风险行为
AIDS Educ Prev. 2008 Feb;20(1):42-55. doi: 10.1521/aeap.2008.20.1.42.
7
The Cognitive Escape Scale: measuring HIV-related thought avoidance.认知逃避量表：测量与艾滋病病毒相关的思维回避情况。
AIDS Behav. 2008 Mar;12(2):305-20. doi: 10.1007/s10461-007-9345-1. Epub 2008 Jan 11.
8
Associations between substance use, erectile dysfunction medication and recent HIV infection among men who have sex with men.男男性行为者中物质使用、勃起功能障碍药物与近期HIV感染之间的关联。
AIDS Behav. 2009 Apr;13(2):328-36. doi: 10.1007/s10461-007-9330-8. Epub 2007 Dec 7.
9
Brief report: maintenance of effects of motivational enhancement therapy to improve risk behaviors and HIV-related Health in a randomized controlled trial of youth living with HIV.简要报告：在一项针对感染艾滋病毒青少年的随机对照试验中，动机增强疗法对改善风险行为和与艾滋病毒相关健康状况的效果维持情况
J Pediatr Psychol. 2008 May;33(4):441-5. doi: 10.1093/jpepsy/jsm087. Epub 2007 Sep 28.
10
Postdrinking sexual perceptions and behaviors toward another person: alcohol expectancy set and gender differences.饮酒后对他人的性认知和行为：酒精预期设定与性别差异。
J Sex Res. 2006 Aug;43(3):282-91. doi: 10.1080/00224490609552326.
Zotero 插件