Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA, 94305-5718, USA.
Arch Sex Behav. 2013 Feb;42(2):257-65. doi: 10.1007/s10508-011-9870-x. Epub 2011 Nov 30.
The association of trauma exposure and coping style to sexual risk behavior has yet to be fully examined in the context of primary and casual sexual partnerships. The current study assessed a high risk sexual behavior-unprotected anal intercourse (UAI)-in a high risk population of HIV-positive men who have sex with men (MSM) with a history of trauma. Using audio computer-assisted self-interview technology, 132 HIV-positive MSM completed measures of trauma exposure, trauma symptoms, coping strategies, and sexual risk behavior. Hierarchical logistic regression analyses indicated that completing more years of education and having experienced sexual abuse were positively associated with UAI with casual partners. Additionally, use of active coping was negatively associated with UAI with casual partners and the final model significantly predicted variance in UAI with casual partners. However, no variables were significantly associated with UAI with primary partners, suggesting that sexual risk behavior with primary partners may be associated with factors not commonly assessed in risk prediction or prevention research. We discuss the results in the context of developing new or modifying existing interventions to address rates of sexual risk in the relationships of HIV-positive MSM.
创伤暴露和应对方式与性风险行为的关联在原发性和偶然性关系中尚未得到充分研究。本研究在有创伤史的艾滋病毒阳性男男性行为者（MSM）这一高危人群中评估了高危性行为——无保护肛交（UAI）。使用音频计算机辅助自我访谈技术，132 名艾滋病毒阳性 MSM 完成了创伤暴露、创伤症状、应对策略和性风险行为的测量。分层逻辑回归分析表明，完成更多年的教育和经历过性虐待与与偶然伴侣发生 UAI 呈正相关。此外，积极应对与偶然伴侣发生 UAI 呈负相关，最终模型显著预测了偶然伴侣发生 UAI 的差异。然而，没有变量与与主要伴侣发生 UAI 显著相关，这表明与主要伴侣发生性行为风险可能与风险预测或预防研究中通常不评估的因素有关。我们将在为解决艾滋病毒阳性 MSM 关系中的性风险率而开发新的或修改现有的干预措施的背景下讨论这些结果。
