Arrington-Sanders Renata, Harper Gary W, Morgan Anthony, Ogunbajo Adedotun, Trent Maria, Fortenberry J Dennis
Division of General Pediatrics & Adolescent Medicine, Johns Hopkins School of Medicine, 200 North Wolfe Street, 2063, Baltimore, MD, 21287, USA,
Arch Sex Behav. 2015 Apr;44(3):597-608. doi: 10.1007/s10508-014-0416-x. Epub 2015 Feb 13.
Sexually explicit material (SEM) (including Internet, video, and print) may play a key role in the lives of Black same-sex sexually active youth by providing the only information to learn about sexual development. There is limited school- and/or family-based sex education to serve as models for sexual behaviors for Black youth. We describe the role SEM plays in the sexual development of a sample of Black same-sex attracted (SSA) young adolescent males ages 15-19. Adolescents recruited from clinics, social networking sites, and through snowball sampling were invited to participate in a 90-min, semi-structured qualitative interview. Most participants described using SEM prior to their first same-sex sexual experience. Participants described using SEM primarily for sexual development, including learning about sexual organs and function, the mechanics of same-gender sex, and to negotiate one's sexual identity. Secondary functions were to determine readiness for sex; to learn about sexual performance, including understanding sexual roles and responsibilities (e.g., "top" or "bottom"); to introduce sexual performance scripts; and to develop models for how sex should feel (e.g., pleasure and pain). Youth also described engaging in sexual behaviors (including condom non-use and/or swallowing ejaculate) that were modeled on SEM. Comprehensive sexuality education programs should be designed to address the unmet needs of young, Black SSA men, with explicit focus on sexual roles and behaviors that may be inaccurately portrayed and/or involve sexual risk-taking (such as unprotected anal intercourse and swallowing ejaculate) in SEM. This work also calls for development of Internet-based HIV/STI prevention strategies targeting young Black SSA men who may be accessing SEM.
露骨的性材料（包括网络、视频和印刷品）可能在黑人同性性活跃青年的生活中发挥关键作用，因为它提供了了解性发育的唯一信息。针对黑人青年的以学校和/或家庭为基础的性教育有限，无法作为性行为的示范。我们描述了露骨性材料在15至19岁的黑人同性吸引（SSA）青少年男性样本的性发育中所起的作用。从诊所、社交网站招募的青少年以及通过滚雪球抽样法招募到青少年被邀请参加一次90分钟的半结构化定性访谈。大多数参与者表示在首次同性性经历之前使用过露骨性材料。参与者表示使用露骨性材料主要是为了性发育，包括了解性器官和功能、同性性行为的技巧以及协商自己的性身份。次要功能是确定是否准备好进行性行为；了解性表现，包括理解性角色和责任（例如，“上位者”或“下位者”）；引入性表现脚本；以及形成关于性行为应该是什么感觉的模式（例如，愉悦和疼痛）。青少年还描述了模仿露骨性材料中的行为进行性行为（包括不使用避孕套和/或吞咽精液）。应该设计全面的性教育项目，以满足年轻黑人SSA男性未得到满足的需求，明确关注露骨性材料中可能被错误描绘和/或涉及性冒险行为（如无保护的肛交和吞咽精液）的性角色和行为。这项工作还呼吁制定针对可能正在获取露骨性材料的年轻黑人SSA男性的基于互联网的艾滋病毒/性传播感染预防策略。
