Cook Mekeila C, Morisky Donald E, Williams John K, Ford Chandra L, Gee Gilbert C
Mekeila C. Cook is with the University of California, Los Angeles (UCLA) Integrated Substance Abuse Programs, Los Angeles, CA. Donald E. Morisky, Chandra L. Ford, and Gilbert C. Gee are with the UCLA Fielding School of Public Health, Department of Community Health Sciences. John K. Williams is with the UCLA Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior.
Am J Public Health. 2016 Jul;106(7):1263-9. doi: 10.2105/AJPH.2016.303136. Epub 2016 Apr 14.
To investigate whether forced sex of men by women was associated with sexual risk behaviors, and whether this association was mediated by substance use.
Data from US men aged 18 years or older at interview in the National Survey of Family Growth 2006-2010 (n = 8108) who reported sexual behavior history. Outcome variables were condom use at most recent sex and number of lifetime sexual partners. Sexual activity covariates included age at first consensual sex and treatment of sexually transmitted infections. Alcohol and drug use were the mediating factors.
Six percent of men reported forced sex by a woman at a mean age of 18 years. On average, victimized men had 3 more lifetime sexual partners than nonvictimized men (P < .01). Furthermore, victimized men who reported drug use had, on average, 4 more female sexual partners (P < .01) than nonvictimized men. Marijuana (P < .05) and crack cocaine use (P < .05) partially mediated the association between forced sex and number of female partners. Neither condom use nor number of male partners differed between victimized and nonvictimized men.
A nontrivial fraction of men experience forced sex by women; some of them have elevated sexual risk behaviors.
调查女性对男性的强迫性行为是否与性风险行为相关,以及这种关联是否由物质使用介导。
来自2006 - 2010年全国家庭成长调查中接受访谈的18岁及以上美国男性的数据(n = 8108),这些男性报告了性行为历史。结局变量为最近一次性行为时的避孕套使用情况和终身性伴侣数量。性活动协变量包括首次自愿性行为的年龄和性传播感染的治疗情况。酒精和药物使用是介导因素。
6%的男性报告曾在平均18岁时遭遇女性强迫性行为。平均而言,受侵害的男性比未受侵害的男性多3个终身性伴侣(P <.01)。此外,报告有药物使用的受侵害男性平均比未受侵害的男性多4个女性性伴侣(P <.01)。大麻(P <.05)和快克可卡因使用(P <.05)部分介导了强迫性行为与女性伴侣数量之间的关联。受侵害和未受侵害的男性在避孕套使用情况或男性伴侣数量上没有差异。
相当一部分男性经历过女性的强迫性行为;其中一些人性风险行为有所增加。