Division of General Medicine, Emory University, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, USA.
AIDS Behav. 2012 Oct;16(7):2051-61. doi: 10.1007/s10461-011-0055-3.
Gender role conflict may influence condom use among black MSM. We examined relationships between the Gender Role Conflict Scale (GRCS), social/demographic variables and condom use among 456 black MSM. Higher total GRCS scores did not predict unprotected insertive anal intercourse (UIAI) or unprotected receptive anal intercourse (URAI) with men, but were associated with unprotected vaginal or anal intercourse (UVI/UAI) with women among bisexually active participants (n = 69). Higher perceived HIV risk reduced the likelihood of both UIAI and URAI with men. Internet recruitment venues, sexual discrimination experiences, higher numbers of sex partners and UVI/UAI with women all increased the likelihood of UIAI with men, while education (college/technical school or college degree) was associated with URAI with men. Future sexual health interventions for black MSM should emphasize broader social/demographic and alternative gender role variables with male sexual partners, while traditional GRCS variables may prove useful among those with female sexual partners.
性别角色冲突可能会影响黑人男男性行为者使用安全套。我们研究了性别角色冲突量表（GRCS）与社会人口变量之间的关系，以及它们与 456 名黑人男男性行为者使用安全套之间的关系。较高的 GRCS 总分并不能预测与男性发生无保护插入性肛交（UIAI）或无保护接受性肛交（URAI），但与双性活跃参与者（n=69）中与女性发生无保护阴道或肛门性交（UVI/UAI）有关。较高的 HIV 风险感知降低了与男性发生 UIAI 和 URAI 的可能性。网络招募场所、性歧视经历、更多的性伴侣以及与女性发生 UVI/UAI 都会增加与男性发生 UIAI 的可能性，而教育（学院/技术学校或大学学位）与与男性发生 URAI 有关。未来针对黑人男男性行为者的性健康干预措施应强调更广泛的社会人口和替代性别角色变量与男性性伴侣有关，而传统的 GRCS 变量在与女性性伴侣有关时可能证明是有用的。
