Træen Bente, Hald Gert Martin, Noor Syed W, Iantaffi Alex, Grey Jeremy, Rosser B R Simon
Department of Psychology, University of Oslo, Oslo, Norway.
Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Int J Sex Health. 2014 Feb 25;26(1):13-24. doi: 10.1080/19317611.2013.823900.
This study tests the following three hypotheses: 1) there is a direct association between consumption of sexually explicit media (SEM) depicting non-condom use and STI-related sexual risk behavior among men who have sex with men (MSM), 2) The association between SEM consumption and STI-related sexual risk behavior is mediated by men's sexual self-esteem, and 3) the relationship between SEM consumption and sexual risk behavior is mediated by condom use self-efficacy. A cross-sectional, Internet-based survey on exposure to SEM and sexual behavior of 1,391 MSM in the USA was conducted in 2011. The results confirmed hypothesis 1 and 3 while hypothesis 2 was rejected. Accordingly, a significant association between the use of SEM picturing condom use and STI related sexual risk behavior among MSM was found. Likewise, we found that the association between the use of SEM and sexual risk behavior was mediated by condom use self-efficacy in an indirect path. However, SEM did not influence sexual risk behavior via sexual self-esteem. To promote STI prevention, the actors in SEM may be used as role models in managing condom use in sexual contexts.
1）在男男性行为者（MSM）中，描绘未使用避孕套的露骨色情媒体（SEM）消费与性传播感染（STI）相关的性风险行为之间存在直接关联；2）SEM消费与STI相关的性风险行为之间的关联由男性的性自尊介导；3）SEM消费与性风险行为之间的关系由避孕套使用自我效能感介导。2011年，在美国对1391名男男性行为者进行了一项基于互联网的关于接触SEM和性行为的横断面调查。结果证实了假设1和3，而假设2被拒绝。因此，发现了描绘使用避孕套的SEM使用与男男性行为者中与STI相关的性风险行为之间存在显著关联。同样，我们发现SEM使用与性风险行为之间的关联通过避孕套使用自我效能感以间接路径介导。然而，SEM并未通过性自尊影响性风险行为。为促进性传播感染的预防，SEM中的行为者可被用作在性情境中管理避孕套使用的榜样。
