Dodge Brian, Hubach Randolph D, Schick Vanessa, Herbenick Debby, Reece Michael, Sanders Stephanie A, Fortenberry J Dennis
Indiana University - Bloomington, Center for Sexual Health Promotion, Bloomington, IN 47405, USA.
Oklahoma State University, School of Applied Health & Educational Psychology, Stillwater, OK 74078, USA.
Sex Health. 2015 Aug;12(4):300-7. doi: 10.1071/SH14186.
Background There is a lack of research that examines event-level lubricant use and outcomes among gay and bisexual men, with the majority of current research addressing lubricant use within the context of sexual risk. Most studies examining sexual health among gay and bisexual men have relied on convenience sampling strategies for participant recruitment.
Data were collected from the 2012 wave of the National Survey of Sexual Health and Behaviour (NSSHB), which involved the administration of an online questionnaire to a nationally representative probability sample of women and men in the United States aged 18 years and older, including an oversampling of self-identified gay and bisexual men and women. The findings from gay (n=307) and bisexual (n=25) participants who reported sexual behaviours with other male partners during their last sexual encounter are included in this paper. Post-stratification data weights were applied to the data to maximise the generalisability of the findings.
Men who reported lubricant use during their last sexual event with a male partner (n=163) were significantly more likely to be non-White, Hispanic and between 30 and 39 years old. Bisexual men had lower odds of using lubricant than gay-identified men. The majority of men reported using lubricant during anal intercourse, along with lower numbers with a range of other sexual behaviours.
Public health promotion specialists should consider recommending continued lubricant use as a part of comprehensive sexual health promotion efforts for gay and bisexual men, including that it reduces pain and maximises pleasure.
背景:缺乏对男同性恋者和双性恋男性在具体事件层面使用润滑剂及其结果的研究,目前大多数研究是在性风险背景下探讨润滑剂的使用情况。大多数针对男同性恋者和双性恋男性性健康的研究在招募参与者时采用的是便利抽样策略。
数据收集自2012年的全国性健康与行为调查(NSSHB),该调查向美国18岁及以上具有全国代表性的男女概率样本发放了在线问卷,其中包括对自我认定的男同性恋者和双性恋者以及女性的过度抽样。本文纳入了在最近一次性接触中与其他男性伴侣有性行为的男同性恋者(n = 307)和双性恋者(n = 25)的调查结果。对数据应用了事后分层数据权重,以最大限度地提高研究结果的普遍性。
在最近与男性伴侣的性活动中报告使用润滑剂的男性(n = 163)更有可能是非白人、西班牙裔,年龄在30至39岁之间。双性恋男性使用润滑剂的几率低于认定为男同性恋的男性。大多数男性报告在肛交时使用润滑剂,其他一系列性行为中使用润滑剂的人数较少。
公共卫生促进专家应考虑建议男同性恋者和双性恋男性持续使用润滑剂,作为全面性健康促进工作的一部分,包括使用润滑剂可减轻疼痛并最大化愉悦感。