Bixby Center for Global Reproductive Health, University of California-San Francisco, 4601 25th St., #7, San Francisco, CA, 94114, USA.
Arch Sex Behav. 2013 Feb;42(2):213-23. doi: 10.1007/s10508-012-0004-x. Epub 2012 Sep 13.
The public health problem of unwanted sexual experiences (USE) in male youths has received little attention. In this study, we examined prevalence of USE, risk factors, contexts, and barriers to disclosure with data from a quantitative survey of students enrolled in General Education courses at a public university in Chile. This study focused on the male sample (N = 466). Approximately 20.4 % of participants reported some form of USE since age 14. Forced sex through physical coercion, forced sex through verbal coercion or while intoxicated, attempted forced sex, and less severe forms of USE were reported by 0.2, 10.1, 1.4, and 8.7 % of participants, respectively. USE before age 14 was reported by 9.4 % of participants and was a significant predictor of USE since age 14 (AOR 6.38, 95 % CI 3.22-12.65, p < .01). The perpetrator of USE since age 14 was most commonly identified as a date/partner or friend/acquaintance; other findings on contexts and barriers to disclosure were also generally consistent with previous results in the literature. In addition, we found substantial co-occurrence of USE since age 14 with two other forms of coercion: physical dating violence victimization and coerced condom non-use. The study findings indicate a need for further attention to these public health problems and have implications for the development of violence and HIV/STI prevention programs for adolescent boys and young adult men in Chile and elsewhere.
男性青年中不想要的性经历（USE）这一公共卫生问题一直未得到太多关注。在这项研究中，我们利用智利一所公立大学普通教育课程学生的定量调查数据，研究了 USE 的流行率、风险因素、情境以及披露障碍。本研究重点关注男性样本（N=466）。大约 20.4%的参与者报告称，自 14 岁以来，他们曾经历过某种形式的 USE。0.2%的参与者报告了通过身体胁迫的强迫性行为、通过言语胁迫或在醉酒时的强迫性行为、试图强迫性行为，以及 8.7%的参与者报告了较轻微形式的 USE。9.4%的参与者报告称，他们在 14 岁之前曾经历过 USE，这是他们自 14 岁以来经历过 USE 的一个显著预测因素（AOR 6.38，95%CI 3.22-12.65，p<0.01）。自 14 岁以来的 USE 的施害者最常见的是约会/伴侣或朋友/熟人；其他关于情境和披露障碍的发现也与文献中的先前结果大致一致。此外，我们发现，自 14 岁以来的 USE 与另外两种形式的胁迫有很大的同时发生：身体上的约会暴力受害和被迫不使用安全套。研究结果表明，需要进一步关注这些公共卫生问题，并对智利和其他地方青少年男孩和年轻成年男性的暴力和 HIV/性传播感染预防计划的制定产生影响。
