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全国健康和社会生活调查:首次青春期后男性同性性经历:与经历时的年龄和伴侣年龄相关的当前功能。

First Postpubertal Male Same-Sex Sexual Experience in the National Health and Social Life Survey: Current Functioning in Relation to Age at Time of Experience and Partner Age.

机构信息

, Leipzig, Germany.

出版信息

Arch Sex Behav. 2018 Aug;47(6):1755-1768. doi: 10.1007/s10508-017-1025-2. Epub 2017 Jul 17.

DOI:10.1007/s10508-017-1025-2
PMID:28717883
Abstract

This study used an important data set to examine long-term adjustment and functioning in men, who as adolescents had sexual experiences with men. The data came from the National Health and Social Life Survey, which used a national probability sample (Laumann, Gagnon, Michael, & Michaels, 1994). Three perspectives were considered, which offered different predictions. From the "child sexual abuse" (CSA) paradigm, which dominates clinical, legal, and lay views, expected was robust evidence for poorer adjustment, given that intense harm is assumed to be intrinsic. From the "mainstream psychological" perspective, derived from the CSA paradigm but more scientifically based, poorer adjustment was also expected, but with less magnitude, given that minor-adult sex is seen as posing a serious risk of harm, which may not universally apply. From the "relevant-empirical" perspective, which infers response to male adolescent-adult same-sex sex from relevant prior empirical research (as opposed to clinical cases or the female experience), expected was little or no evidence for poorer adjustment. Results supported the relevant-empirical perspective. Compared to several control groups (i.e., men whose first postpubertal same-sex sex was as men with other men; men with no postpubertal same-sex sexual experience or child-adult sex), men whose first postpubertal same-sex sex was as adolescents with men were just as well adjusted in terms of health, happiness, sexual functioning, and educational and career achievement. Results are discussed in relation to cultural influences, other cultures, and comparative data from primates.

摘要

这项研究利用一个重要的数据集,考察了曾有过与男性发生性行为经历的男性青少年在成年后的长期适应和功能情况。这些数据来自于全国健康与社会生活调查(National Health and Social Life Survey),该调查采用了全国性的概率抽样方法(Laumann、Gagnon、Michael 和 Michaels,1994)。从“儿童性虐待”(CSA)范式、“主流心理”视角以及“相关实证”视角三个方面进行了考虑,这三个视角提供了不同的预测。从占主导地位的临床、法律和大众观点的“儿童性虐待”(CSA)范式来看,鉴于人们认为强烈的伤害是内在的,因此预期会有强有力的证据表明适应能力较差。从源自 CSA 范式但更基于科学的“主流心理”视角来看,预计适应能力也会较差,但幅度较小,因为人们认为未成年人与成年人之间的性行为会带来严重的伤害风险,而这种风险并非普遍适用。从“相关实证”视角来看,该视角从相关的实证研究中推断出对男性青少年与成年男性的同性性行为的反应(而不是临床案例或女性的经验),因此预期几乎没有或没有证据表明适应能力较差。研究结果支持了“相关实证”视角。与几个对照组(即第一次青春期后与男性发生同性性行为的男性是与其他男性发生同性性行为的男性;没有青春期后同性性经验或儿童与成人性行为的男性)相比,第一次青春期后与男性发生同性性行为的男性在健康、幸福感、性功能以及教育和职业成就方面的适应能力与对照组相当。研究结果还讨论了文化影响、其他文化以及灵长类动物的比较数据。

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