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远端和近端因素对男性拒绝使用避孕套意图的影响:酒精、性侵犯史、冲动性及社会认知因素

Distal and Proximal Influences on Men's Intentions to Resist Condoms: Alcohol, Sexual Aggression History, Impulsivity, and Social-Cognitive Factors.

作者信息

Davis Kelly Cue, Danube Cinnamon L, Neilson Elizabeth C, Stappenbeck Cynthia A, Norris Jeanette, George William H, Kajumulo Kelly F

机构信息

School of Social Work, University of Washington, Box 354900, Seattle, WA, 98195, USA.

Institutional Research and Decision Support, University of California Merced, Merced, CA, USA.

出版信息

AIDS Behav. 2016 Jan;20 Suppl 1(0 1):S147-57. doi: 10.1007/s10461-015-1132-9.

Abstract

Recent scientific evidence demonstrates that many young men commonly resist condom use with their female sex partners and that both alcohol intoxication and a history of sexual aggression may increase the risk of condom use resistance (CUR). Using a community sample of heterosexual male non-problem drinkers with elevated sexual risk (N = 311), this alcohol administration study examined the direct and indirect effects of intoxication and sexual aggression history on men's CUR intentions through a sexual risk analogue. State impulsivity, CUR-related attitudes, and CUR-related self-efficacy were assessed as mediators. Results demonstrated that alcohol intoxication directly increased CUR intentions, and sexual aggression history both directly and indirectly increased CUR intentions. These findings highlight the importance of addressing both alcohol use and sexual aggression in risky sex prevention programs, as well as indicate the continued worth of research regarding the intersection of men's alcohol use, sexual aggression, and sexual risk behaviors, especially CUR.

摘要

近期科学证据表明,许多年轻男性通常会拒绝与女性性伴侣使用避孕套,而且酒精中毒和性侵犯史都可能增加拒绝使用避孕套(CUR)的风险。本酒精给药研究以有较高性风险的异性恋男性非问题饮酒者的社区样本(N = 311)为对象,通过性风险模拟研究了中毒和性侵犯史对男性CUR意图的直接和间接影响。将状态冲动性、与CUR相关的态度和与CUR相关的自我效能感作为中介变量进行评估。结果表明,酒精中毒直接增加了CUR意图,性侵犯史则直接和间接增加了CUR意图。这些发现凸显了在危险性行为预防项目中解决饮酒问题和性侵犯问题的重要性,同时也表明了关于男性饮酒、性侵犯和性风险行为(尤其是CUR)交叉点的研究仍具有价值。

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