Crosby Richard A, Mena Leandro
College of Public Health, University of Kentucky, 111 Washington Ave., Lexington, KY, 40506-0003, USA.
University of Mississippi Medical Center, Jackson, USA.
AIDS Behav. 2017 May;21(5):1491-1496. doi: 10.1007/s10461-016-1564-x.
This study of young Black MSM (YBMSM) explored the correlates and outcomes of enhanced sexual pleasure from condom-protected sex. Six-hundred YBMSM were enrolled from an sexually transmitted infection clinic in the southern United States. Men completed a computer-assisted self-interview. A 3-item scale assessed perceptions related to condoms enhancing sexual pleasure. Nine of 14 correlates met the screening level of significance and were tested in a regression model. Three obtained multivariable significance: (1) Men discussing condom use with sex partners had greater odds (AOR = 1.67, 95 % CI 1.20-2.34) of experiencing enhanced pleasure; (2) Insertive-partners had lower odds (AOR = 0.63, 95 % CI 0.44-0.91) of experiencing enhanced pleasure; and (3) men scoring higher in internalized homophobia had lower odds (AOR = 0.66, 95 % CI 0.47-0.93) of experiencing enhanced pleasure. Also, men experiencing enhanced pleasure were less likely to report any condomless anal sex. The experience of enhanced sexual pleasure during condom-protected sex may be an important "target" of behavioral intervention efforts.
这项针对年轻黑人男男性行为者（YBMSM）的研究探讨了在有避孕套保护的性行为中增强性快感的相关因素及结果。从美国南部一家性传播感染诊所招募了600名年轻黑人男男性行为者。这些男性完成了一次计算机辅助的自我访谈。一个包含3个条目的量表评估了与避孕套增强性快感相关的认知。14个相关因素中有9个达到了显著性筛查水平，并在一个回归模型中进行了检验。其中3个因素在多变量分析中具有显著性：（1）与性伴侣讨论避孕套使用情况的男性体验到增强性快感的几率更高（调整后比值比[AOR]=1.67，95%置信区间[CI]为1.20 - 2.34）；（2）插入方体验到增强性快感的几率较低（AOR = 0.63，95% CI为0.44 - 0.91）；（3）内化性恐同得分较高的男性体验到增强性快感的几率较低（AOR = 0.66，95% CI为0.47 - 0.93）。此外，体验到增强性快感的男性报告无保护肛交的可能性较小。在有避孕套保护的性行为中增强性快感的体验可能是行为干预努力的一个重要“目标”。
