Center for HIV/AIDS Educational Studies & Training, Hunter College of the City University of New York (CUNY), 695 Park Ave., New York, NY, 10065, USA.
Health Psychology and Clinical Science Doctoral Program, The Graduate Center CUNY, New York, NY, USA.
AIDS Behav. 2018 Feb;22(2):681-689. doi: 10.1007/s10461-017-1952-x.
Gay and bisexual men (GBM) have reported viewing significantly more sexually explicit media (SEM) than heterosexual men. There is some evidence that SEM depicting bareback anal sex may be linked to engagement in condomless anal sex (CAS) and thus HIV/STI transmission among GBM. A nationwide sample of HIV-negative GBM in the U.S. completed an online survey that included measures on SEM consumption (both overall frequency and percentage viewed depicting bareback sex) and reported on CAS in the past 3 months. Data showed that there was no main effect for the frequency of SEM watched in association on either the number of CAS acts with casual partners or the probability of engaging in CAS during a casual sex event. However, there was an interaction between amount of SEM consumed and percentage of bareback SEM consumed on both outcomes, such that men who reported both a high frequency of SEM consumption and a high percentage of their SEM being bareback reported the highest levels of risk behavior. These findings highlight the role that barebacking depicted in SEM may play in the normalization of sexual risk behaviors for GBM. Interventions looking to target the role SEM may play in the lives of GBM should examine what variables may help to mediate associations between viewing SEM and engaging in risk behavior.
男同性恋和双性恋者(GBM)报告称,他们观看的性内容明显多于异性恋男性。有一些证据表明,描绘无保护肛交的 SEM 可能与 GBM 中无保护肛交(CAS)的发生有关,从而导致 HIV/性传播感染(STI)的传播。美国对全国范围内的 HIV 阴性 GBM 进行了一项在线调查,该调查包括对 SEM 消费(包括总体频率和观看描绘无保护性行为的百分比)的衡量,以及过去 3 个月内 CAS 的报告。数据显示,SEM 观看频率与与随意性伴侣发生的 CAS 行为次数或在随意性事件中发生 CAS 的概率之间没有主要关联。然而,在这两个结果上,SEM 的消费数量和无保护 SEM 消费的百分比之间存在相互作用,即报告 SEM 消费频率高且 SEM 中无保护性行为比例高的男性报告的风险行为水平最高。这些发现强调了 SEM 中描绘的无保护性行为可能在 GBM 的性行为风险正常化中所起的作用。针对 SEM 可能在 GBM 生活中所起作用的干预措施应研究哪些变量可能有助于调节观看 SEM 和从事风险行为之间的关联。