男男性行为者中进行无保护性行为者的抑郁症状：情绪重要吗？
Depressive symptoms among MSM who engage in bareback sex: does mood matter?
机构信息
HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA.
出版信息
AIDS Behav. 2012 Nov;16(8):2209-15. doi: 10.1007/s10461-012-0156-7.
Abstract
Much research has examined the relationship between depressive symptoms and unprotected sex among men who have sex with men (MSM), but little is known about how depression is related to the sexual behavior of men who intentionally engage in unprotected anal intercourse, or bareback sex. In this study, we explored the extent to which depressive symptoms were associated with rates of unprotected sex among barebackers, and whether this relationship was dependent upon HIV serostatus. Using a sample of 120 MSM who engage in intentional condomless sex, we found that for HIV-negative participants, depressive symptoms were associated with the overall frequency of unprotected anal intercourse as well as unprotected anal intercourse with a serodiscordant partner. For HIV-positive participants, depressive symptoms were not associated unprotected intercourse. Additional research is needed to better understand depression among men who bareback and how interventions could be designed to address depression and reduce sexual risk behaviors.
摘要
许多研究都考察了抑郁症状与男男性行为者（MSM）中的无保护性行为之间的关系，但对于故意进行无保护肛交或无保护性行为的男性的抑郁症状与性行为之间的关系，知之甚少。在这项研究中，我们探讨了抑郁症状与无套肛交者的无保护性行为发生率之间的关联程度，以及这种关系是否取决于 HIV 血清状况。我们使用了 120 名故意进行无套性行为的男男性行为者的样本，发现对于 HIV 阴性参与者，抑郁症状与无保护肛交的总体频率以及与血清不一致的伴侣的无保护肛交有关。对于 HIV 阳性参与者，抑郁症状与无保护性行为无关。需要进一步的研究来更好地了解无套肛交者中的抑郁情况，以及如何设计干预措施来解决抑郁问题和减少性风险行为。
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本文引用的文献
1
Sexual pleasure and intimacy among men who engage in "bareback sex".“无保护性行为”男性的性快感和亲密关系。
AIDS Behav. 2011 Apr;15 Suppl 1(Suppl 1):S57-65. doi: 10.1007/s10461-011-9900-7.
2
Coping, drug use, and religiosity/spirituality in relation to HIV serostatus among gay and bisexual men.男同性恋者和双性恋男性中与艾滋病毒血清状况相关的应对方式、药物使用及宗教信仰/精神信仰
AIDS Educ Prev. 2010 Oct;22(5):417-29. doi: 10.1521/aeap.2010.22.5.417.
3
The Treatment Advocacy Program: a randomized controlled trial of a peer-led safer sex intervention for HIV-infected men who have sex with men.治疗倡导计划：一项针对感染 HIV 的男男性行为者的同伴主导安全性行为干预的随机对照试验。
J Consult Clin Psychol. 2010 Dec;78(6):952-63. doi: 10.1037/a0020759.
4
Internalized homophobia and internalizing mental health problems: a meta-analytic review.内化的恐同症和内化的心理健康问题：一项荟萃分析综述。
Clin Psychol Rev. 2010 Dec;30(8):1019-29. doi: 10.1016/j.cpr.2010.07.003. Epub 2010 Jul 24.
5
A comparison of the clinical features of depression in HIV-positive and HIV-negative patients in Uganda.乌干达HIV阳性和HIV阴性患者抑郁症临床特征的比较。
Afr J Psychiatry (Johannesbg). 2010 Mar;13(1):43-51. doi: 10.4314/ajpsy.v13i1.53429.
6
Effects of disengagement coping with HIV risk on unprotected sex among HIV-negative gay men in New York City.脱钩应对艾滋病毒风险对纽约市艾滋病毒阴性男同性恋者无保护性行为的影响。
Health Psychol. 2010 Mar;29(2):205-14. doi: 10.1037/a0017786.
7
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AIDS Behav. 2011 Aug;15(6):1171-9. doi: 10.1007/s10461-010-9678-z.
8
Is 'bareback' a useful construct in primary HIV-prevention? Definitions, identity and research.“无保护肛交”在原发性艾滋病预防中是一个有用的概念吗？定义、身份认同与研究。
Cult Health Sex. 2009 Jan;11(1):51-65. doi: 10.1080/13691050802419467.
9
Depression symptoms and sexual HIV risk behavior among serodiscordant couples.血清学不一致伴侣中的抑郁症状与艾滋病毒性风险行为
Psychosom Med. 2008 Feb;70(2):186-91. doi: 10.1097/PSY.0b013e3181642a1c. Epub 2008 Feb 6.
10
Medication taking and diabetes: a systematic review of the literature.药物服用与糖尿病：文献系统综述
Diabetes Educ. 2007 Nov-Dec;33(6):1014-29; discussion 1030-1. doi: 10.1177/0145721707308407.
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