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对伴侣性史的认知:对安全性行为意图的影响。

Perception of partner sexual history: Effects on safe-sex intentions.

作者信息

Cornelius Talea, Kershaw Trace

机构信息

Department of Psychological Sciences, University of Connecticut.

Yale School of Public Health, Yale University.

出版信息

Health Psychol. 2017 Jul;36(7):704-712. doi: 10.1037/hea0000474. Epub 2017 Mar 20.

Abstract

OBJECTIVE

Sexual intercourse is a dyadic activity, and intentions to engage in safe sex vary across partners. Because pregnant and newly parenting adolescents and young adults are at high risk for sexually transmitted infections (STIs), it is important to understand sexual decision-making in this population.

METHOD

This cross-sectional study examined how participants' own risk behavior and their partners' risk behavior influence perceptions of partner risk, and the impact of risk perceptions on condom use intentions and monogamy intentions in 296 pregnant adolescent and young adult couples (MAgeFemale = 18.71 years; MAgeMale = 21.33 years).

RESULTS

Participants' behavior and their partners' behavior both related to increased perceptions of partner risk. Male participants' perceptions were more strongly influenced by female partners' behavior than participants' own behavior. Perceiving a partner as having a history of more risk behaviors trended toward a negative relationship with condom use intentions and monogamy intentions. For females, more previous sex partners related negatively to condom use intentions and positively to monogamy intentions. Having a male partner with more previous sex partners related positively to condom use intentions and monogamy intentions.

CONCLUSIONS

Perceptions of partner risk did not significantly relate to condom use intentions and monogamy intentions, however, trends suggest that risk perception could reflect similarity bias and ongoing risk engagement. Differences in partner perception by gender suggest that females may communicate more openly about risks. Interventions to reduce STI transmission in couples should work to interrupt trajectories of risky behavior and enhance risk communication. (PsycINFO Database Record

摘要

目的

性交是一种双方参与的活动,而进行安全性行为的意图在伴侣之间存在差异。由于怀孕及初为人父母的青少年和青年成年人面临性传播感染(STIs)的高风险,了解这一人群的性决策过程非常重要。

方法

这项横断面研究调查了296对怀孕的青少年和青年成年伴侣(女性平均年龄 = 18.71岁;男性平均年龄 = 21.33岁)中,参与者自身的风险行为及其伴侣的风险行为如何影响对伴侣风险的认知,以及风险认知对使用避孕套意图和实行一夫一妻制意图的影响。

结果

参与者自身行为及其伴侣行为均与对伴侣风险的认知增加有关。男性参与者的认知受女性伴侣行为的影响比自身行为更强。认为伴侣有更多风险行为史与使用避孕套意图和实行一夫一妻制意图呈负相关趋势。对于女性而言,以往性伴侣较多与使用避孕套意图呈负相关,与实行一夫一妻制意图呈正相关。伴侣有更多以往性伴侣的男性与使用避孕套意图和实行一夫一妻制意图呈正相关。

结论

对伴侣风险的认知与使用避孕套意图和实行一夫一妻制意图没有显著关联,然而,趋势表明风险认知可能反映了相似性偏差和持续的风险行为。性别在伴侣认知上的差异表明,女性可能会更公开地交流风险问题。减少伴侣间性传播感染传播的干预措施应致力于中断危险行为轨迹并加强风险沟通。(PsycINFO数据库记录

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