Crosby Richard A, Graham Cynthia A, Yarber William L, Sanders Stephanie A, Milhausen Robin R, Mena Leandro
From the *College of Public Health, University of Kentucky, Lexington, KY; †The Kinsey Institute for Research in Sex, Gender, and Reproduction, Indiana University, Bloomington, IN, ‡Rural Center for AIDS/STD Prevention, Indiana University, Bloomington, IN; §Department of Psychology, University of Southampton, UK; ¶Department of Gender Studies, Indiana University, Bloomington, IN, **Department of Applied Health Science, Indiana University, Bloomington, IN; ††Department of Family Relations and Applied Nutrition, University of Guelph, Ontario, Canada; and ***University of Mississippi Medical Center, Jackson, MS.
Sex Transm Dis. 2016 Feb;43(2):94-8. doi: 10.1097/OLQ.0000000000000392.
The aim of this study was to construct and test measures of psychosocial mediators that could be used in intervention studies seeking to promote safer sex behavior among young black men who have sex with men (YBMSM).
A total of 400 YBMSM, ages 18 to 29 years, were recruited from a clinic for sexually transmitted infection in the southern United States. All men had engaged in penile-anal sex with a man as a "top" in the past 6 months. The men completed an audio-computer-assisted self-interview and provided specimens used for nucleic acid amplification testing to detect Chlamydia and gonorrhea. Four measures were constructed and tested for criterion validity (Safer Sex Communication, Condom Turn-Offs, Condom Pleasure Scale, and a single item assessing frequency of condom use discussions before sexual arousal).
With the exception of Safer Sex Communication, all of the measures showed criterion validity for both unprotected anal insertive and unprotected anal receptive sex. With the exception of the Condom Turn-Offs, the 3 other measures were supported by criterion validity for oral sex. Both the Condom Turn-Offs and Condom Pleasure Scale were significantly related to whether or not the men reported multiple partners as a top, but only the Condom Pleasure Scale was associated with reports of multiple partners as a "bottom." Only the Condom Turn-Offs Scale was positively associated with having been diagnosed with either Chlamydia or gonorrhea.
Findings provide 3 brief scales and a single item that can be used in intervention studies targeting YBMSM. Perceptions about condoms being a turnoff and about condoms enhancing pleasure showed strong association with sexual risk behaviors.
本研究旨在构建并测试心理社会调节因素的测量方法，这些方法可用于干预研究，以促进与男性发生性行为的年轻黑人男性（YBMSM）的更安全性行为。
从美国南部一家性传播感染诊所招募了总共400名年龄在18至29岁之间的YBMSM。所有男性在过去6个月内都曾作为“主动方”与男性进行过阴茎-肛门性交。这些男性完成了一次音频计算机辅助的自我访谈，并提供了用于核酸扩增检测以检测衣原体和淋病的样本。构建了四项测量方法并对其进行了效标效度测试（更安全性行为沟通、避孕套反感度、避孕套愉悦量表以及一项评估性唤起前避孕套使用讨论频率的单项指标）。
除了更安全性行为沟通外，所有测量方法在无保护的肛门插入式性行为和无保护的肛门接受式性行为方面均显示出效标效度。除了避孕套反感度外，其他三项测量方法在口交方面也得到了效标效度的支持。避孕套反感度和避孕套愉悦量表都与男性报告作为主动方的多个性伴侣显著相关，但只有避孕套愉悦量表与作为“被动方”的多个性伴侣报告相关。只有避孕套反感度量表与被诊断出患有衣原体或淋病呈正相关。
研究结果提供了三项简短量表和一项单项指标，可用于针对YBMSM的干预研究。对避孕套产生反感以及避孕套能增强愉悦感的认知与性风险行为密切相关。
