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年轻男同性恋和双性恋者的浪漫观念、伴侣寻求行为和 HIV 风险。

Romantic ideation, partner-seeking, and HIV risk among young gay and bisexual men.

机构信息

Department of Health Behavior & Health Education, School of Public Health, University of Michigan, 1415 Washington Heights, SPH I Room 3822, Ann Arbor, MI 48109-2029, USA.

出版信息

Arch Sex Behav. 2012 Apr;41(2):431-40. doi: 10.1007/s10508-011-9747-z. Epub 2011 Mar 11.

Abstract

Structural changes in the acceptability of same-sex relationships may provide young gay and bisexual men (YGBM) with opportunities to develop expectations about their ideal future relationships. Expectations about the future may act as a promotive factor in youths' lives and reduce HIV risk-taking behaviors; however, few studies have examined the relationship between ideation of a future relationship and sexual behaviors of YGBM. In this study, we examined the relationship between romantic ideation (i.e., intimacy, passion, and commitment) and number of sexual partners in a sample of young men (N = 431; M age = 21.49 years; 88% self-identified as gay) who reported using the Internet to meet other men. Using multivariate Poisson regressions, we found a negative association between commitment and number of partners for unprotected sex, both receptive and insertive, in the past two months. We found similar results when we examined the association between relationship exclusivity and number of partners. These associations persisted after accounting for age, race/ethnicity, sexual identity, and hours spent seeking casual and romantic partners online. We found no significant association between number of partners and ideation of an intimate or passionate relationship, respectively. We discuss the implications of our findings and conclude that there is a need to consider and include YGBM's expectations about the future in on-going HIV prevention programs.

摘要

同性伴侣关系可接受性的结构变化可能为年轻的男同性恋和双性恋者(YGBM)提供机会,让他们对未来理想的关系发展期望。对未来的期望可能是年轻人生活中的促进因素,并减少 HIV 冒险行为;然而,很少有研究调查过未来关系观念与 YGBM 性行为之间的关系。在这项研究中,我们调查了浪漫观念(即亲密、激情和承诺)与年轻人样本中性伴侣数量之间的关系(N=431;M 年龄=21.49 岁;88%自认为是同性恋),他们报告说使用互联网与其他男性见面。使用多元泊松回归,我们发现,在过去两个月中,对于无保护的接受和插入性性行为,承诺与性伴侣数量之间存在负相关。当我们检查关系排他性与性伴侣数量之间的关联时,我们发现了类似的结果。在考虑了年龄、种族/民族、性认同和在线寻找偶然和浪漫伴侣的时间后,这些关联仍然存在。我们没有发现性伴侣数量与亲密关系或激情关系观念之间存在显著关联。我们讨论了我们研究结果的意义,并得出结论,需要考虑并将 YGBM 对未来的期望纳入正在进行的 HIV 预防计划中。

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