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在与男性发生性行为的黑人/非裔美国男性中,色情媒体中无保护性行为的偏好:对艾滋病病毒预防的启示。

Preferences for Condomless Sex in Sexually Explicit Media Among Black/African American Men Who Have Sex with Men: Implications for HIV Prevention.

作者信息

Nelson Kimberly M, Eaton Lisa A, Gamarel Kristi E

机构信息

Centers for Behavioral and Preventative Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA.

Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.

出版信息

Arch Sex Behav. 2017 May;46(4):977-985. doi: 10.1007/s10508-016-0878-0. Epub 2016 Dec 16.

Abstract

Accumulating evidence suggests that viewing sexually explicit media (SEM; i.e., pornography) may be related to the sexual behaviors of men who have sex with men (MSM). Furthermore, stereotypical depictions of Black/African American MSM engaging in sexual risk behaviors in SEM may serve to normalize condomless sex, reinforce low peer norms around condom use, and facilitate HIV risk taking among Black/African American MSM. Despite this evidence, very little is known about the correlates of SEM consumption among Black/African American MSM, including HIV risk behaviors and their relation to preferences for viewing condomless sex in SEM. Participants were 653 HIV-seronegative Black-identified MSM ages 18-62 (M 33.58, SD 11.01) who completed a cross-sectional survey as a part of a HIV prevention trial in Atlanta, Georgia. Over three-quarters of the men (n = 514) reported a preference for condomless sex in SEM. In multivariate models, engaging in serodiscordant condomless sex was not significantly associated with preferences for condomless sex in SEM; however, men who self-identified as bisexual, engaged in transactional sex, and reported greater agreement with sexual risk cognitions (i.e., heat-of-the-moment thoughts about condom use) had significantly greater odds of reporting a preference for condomless sex in SEM. Study findings highlight the need for future research exploring the role of SEM in the sexual health of Black/African American MSM, including the extent to which SEM exposure alters norms and expectations about sexual behaviors among Black/African American MSM and how this might be addressed in HIV prevention programs.

摘要

越来越多的证据表明,观看含有露骨性行为内容的媒体(SEM;即色情作品)可能与男男性行为者(MSM)的性行为有关。此外,SEM中对从事性风险行为的黑人/非裔美国男男性行为者的刻板描绘可能会使无保护性行为正常化,强化围绕使用避孕套的低同伴规范,并助长黑人/非裔美国男男性行为者中的艾滋病毒感染风险。尽管有这些证据,但对于黑人/非裔美国男男性行为者中SEM消费的相关因素知之甚少,包括艾滋病毒感染风险行为及其与在SEM中观看无保护性行为偏好的关系。研究参与者为653名年龄在18至62岁(平均33.58岁,标准差11.01)的自我认定为黑人的艾滋病毒血清阴性男男性行为者,他们作为佐治亚州亚特兰大一项艾滋病毒预防试验的一部分完成了一项横断面调查。超过四分之三的男性(n = 514)报告在SEM中偏好无保护性行为。在多变量模型中,进行血清学不一致的无保护性行为与在SEM中对无保护性行为的偏好没有显著关联;然而,自我认定为双性恋、从事交易性行为以及报告对性风险认知(即关于使用避孕套的一时冲动想法)有更高认同度的男性,报告在SEM中偏好无保护性行为的几率显著更高。研究结果凸显了未来研究的必要性,即探索SEM在黑人/非裔美国男男性行为者性健康中的作用,包括SEM暴露在多大程度上改变了黑人/非裔美国男男性行为者对性行为的规范和期望,以及在艾滋病毒预防项目中如何解决这一问题。

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