年轻拉丁裔性少数男性的身体意象和无保护肛交。
Body image and condomless anal sex among Young Latino sexual minority men.
机构信息
San Diego State University/UC San Diego Joint Doctoral Program in Clinical Psychology, Department of Psychology, 6363 Alvarado Ct., San Diego, CA, 92120, United States.
San Diego State University, Department of Psychology, 5500 Campanile Dr., San Diego, CA, 92182, United States.
出版信息
Behav Res Ther. 2019 Apr;115:129-134. doi: 10.1016/j.brat.2018.10.017. Epub 2018 Nov 2.
OBJECTIVE
To investigate body image and condomless anal sex (CAS) among young Latino sexual minority men (SMM)-a population with health disparities in HIV and body image concerns.
METHODS
Participants were 151 young Latino SMM from the San Diego area who were HIV-negative or unknown. Participants completed a questionnaire online in either English or Spanish, which included body image and sexual behavior items. A binary CAS variable was created based on the number of CAS partners reported (0 vs 1 + over past 3 months). A logistic regression was conducted with body dissatisfaction, appearance investment, and their interaction term entered as predictor variables and CAS as the outcome.
RESULTS
Of 151 participants, 54 (35.8%) reported no CAS in the past 3 months. Appearance investment, but not body dissatisfaction, was associated with higher odds of CAS. However, a significant interaction indicated that body dissatisfaction was associated with higher odds of CAS when appearance investment was high.
CONCLUSIONS
Young Latino SMM who are highly invested in, and dissatisfied with, their appearance may be at significantly increased risk for acquiring HIV through elevated odds of CAS. Reducing appearance concerns in this population may lead to reductions in HIV risk behaviors.
目的
研究年轻拉丁裔性少数男性（SMM）的身体意象和无保护肛交（CAS）行为——这一人群在 HIV 和身体意象方面存在健康差距。
方法
参与者为来自圣地亚哥地区的 151 名 HIV 阴性或未知的年轻拉丁裔 SMM。参与者以英文或西班牙文在线完成一份问卷，其中包括身体意象和性行为项目。根据报告的 CAS 伴侣数量（0 对 1+过去 3 个月）创建了一个二进制 CAS 变量。使用逻辑回归，将身体不满、外表投资及其交互项作为预测变量，将 CAS 作为结果进行分析。
结果
在 151 名参与者中，54 名（35.8%）在过去 3 个月内没有 CAS。外表投资，而不是身体不满，与更高的 CAS 几率相关。然而，一个显著的交互作用表明，当外表投资较高时，身体不满与更高的 CAS 几率相关。
结论
高度关注外表并对其不满的年轻拉丁裔 SMM 可能通过增加 CAS 的几率而显著增加感染 HIV 的风险。减少这一人群的外表担忧可能会导致 HIV 风险行为的减少。
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