Johns Hopkins School of Medicine.
University of New Mexico School of Medicine.
J Res Adolesc. 2016 Dec;26(4):1009-1021. doi: 10.1111/jora.12255. Epub 2016 Feb 1.
Despite high human immunodeficiency virus (HIV) rates among young Black men who have sex with men (YBMSM), there are limited data about condom use during first same-sex (FSS). This study sought to understand socio-contextual factors of 50 YBMSM aged 15-19 years that influenced condom use during FSS. Condom use was influenced by individual, partner, and community factors. Individual factors-recent illness or sexually transmitted infections (STI)-prompted condom use, while frequent HIV testing prompted nonuse. Partner factors-proactive encouragement from partners-prompted condom use, while trust and condom discomfort prompted nonuse. Larger community factors-such as presence of females-were key for use, while limited sexual health information combined with peers who discouraged condoms prompted nonuse. A multilevel approach may be useful in developing sexual health programming for these young men.
尽管与男性发生性关系的年轻黑人男性（YBMSM）中的人类免疫缺陷病毒（HIV）感染率很高，但关于首次同性性行为（FSS）期间使用安全套的数据有限。本研究旨在了解影响 50 名 15-19 岁 YBMSM 在 FSS 期间使用安全套的社会背景因素。安全套的使用受到个人、伴侣和社区因素的影响。个人因素-最近的疾病或性传播感染（STI）-促使使用安全套，而频繁的 HIV 检测促使不使用安全套。伴侣因素-来自伴侣的积极鼓励-促使使用安全套，而信任和安全套不适则促使不使用。更大的社区因素-如女性的存在-是使用的关键，而有限的性健康信息加上不鼓励使用安全套的同龄人则促使不使用。多层面的方法可能对为这些年轻男性制定性健康计划有用。
