Centers for Behavioral and Preventative Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA.
Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA.
Arch Sex Behav. 2019 Nov;48(8):2345-2355. doi: 10.1007/s10508-019-01501-3. Epub 2019 Sep 10.
Adolescent sexual minority males (ASMM; < 18 years old) do not typically receive sexual education that addresses male-male relationships from traditional sources (i.e., school, parents). Therefore, many rely on sexually explicit online media (SEOM; i.e., pornography) to find sexual health information. The current study describes SEOM use by ASMM in the U.S. and examined the association between exposure to condomless anal sex (CAS) in SEOM and engagement in CAS. In 2017, ASMM (N = 206; M age = 16, range: 14-17; 51% racial/ethnic minorities) from across the U.S. completed an online sexual health survey, including questions about SEOM use and sexual behaviors. Most (86%) reported that they had viewed SEOM. Engagement with SEOM was frequent (86% reported viewing ≥ one time per week) and lengthy (70% reported viewing for ≥ 15 min per session). Youth perceived that SEOM influenced how they, and other ASMM, think and behave sexually. Further, exposure to risky sexual behavior in SEOM appeared to be associated with youths' dyadic sexual behavior. To support the healthy sexual development of ASMM, it is important to acknowledge the near-universal use of SEOM by ASMM, to identify ways to maximize its potential value, and to minimize potential harms.
青春期性少数群体男性(ASMM;<18 岁)通常无法从传统来源(例如学校、父母)获得针对男男性关系的性教育。因此,许多人依赖于具有明显性内容的在线媒体(SEOM;即色情内容)来获取性健康信息。本研究描述了美国 ASMM 使用 SEOM 的情况,并探讨了他们在 SEOM 中接触无保护肛交(CAS)与进行 CAS 之间的关联。2017 年,来自美国各地的 ASMM(N=206;M 年龄=16 岁,范围:14-17;51%为少数族裔/少数民族)完成了一项在线性健康调查,包括有关 SEOM 使用和性行为的问题。大多数(86%)报告说他们曾看过 SEOM。他们经常接触 SEOM(86%报告每周至少看一次),而且时间也很长(70%报告每次观看至少 15 分钟)。年轻人认为 SEOM 影响了他们自己和其他 ASMM 的性思维和行为方式。此外,SEOM 中出现的危险性行为似乎与年轻人的二元性行为有关。为了支持 ASMM 的健康性发展,重要的是要认识到 ASMM 近乎普遍使用 SEOM,确定如何最大限度地发挥其潜在价值并最小化潜在危害的方法。