University of California, San Francisco, CA 94105, USA.
Am J Mens Health. 2012 Sep;6(5):395-9. doi: 10.1177/1557988312439407. Epub 2012 Mar 8.
African American youth bear a disproportionate burden of sexually transmitted infections. Environmental stressors may lead to increased hopelessness, which in turn can lead to increases in risk-taking behavior. This study explored the hypothesis that as hopelessness increases, sexual risk behavior will increase-specifically, inconsistent condom use and increased number of sex partners. In 2010, 108 African American men 15 to 24 years old responded to sexual behavior questions and Beck's Hopelessness Scale. The associations between hopelessness and sexual risk behaviors were evaluated with multivariate logistic regression. Increased hopelessness was associated with increased inconsistent condom use with non-main sexual partners (adjusted odds ratio = 2.3, 95% confidence interval = 1.3-4.0). There was no association between hopelessness and condom use with a main partner or sex with more than one partner in the past 3 months. These findings imply that hopelessness may encourage sexual risk-taking behavior in young males.
非裔美国青年承受着不成比例的性传播感染负担。环境压力因素可能导致绝望感增加，进而导致冒险行为增加。本研究旨在验证这样一种假设，即随着绝望感的增加，性风险行为也会增加，具体而言，包括 condom 使用的不一致性和性伴侣数量的增加。2010 年，108 名 15 至 24 岁的非裔美国男性对性行为问题和贝克绝望量表做出了回应。通过多变量逻辑回归评估了绝望感与性风险行为之间的关联。绝望感增加与与非主要性伴侣 condom 使用不一致性增加相关（调整后的优势比=2.3，95%置信区间=1.3-4.0）。与主要伴侣 condom 使用或过去 3 个月内与多个伴侣发生性关系均与绝望感无关。这些发现表明，绝望感可能会鼓励年轻男性进行性冒险行为。
