Department of Social and Organizational Psychology, Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisbon, Portugal.
Department of Social and Organizational Psychology, Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL, Lisbon, Portugal.
J Sex Med. 2020 Jan;17(1):26-36. doi: 10.1016/j.jsxm.2019.10.005. Epub 2019 Nov 21.
Several theoretical models and intervention programs overlook the importance of individual motivations for the decision to have condomless sex. For instance, people focused on promotion (ie, eager to pursue pleasure) report less intentions to use condoms, because they perceive a lower risk of acquiring sexually transmitted infections.
We aimed at understanding to what extent individual motivations are predictive of condomless sex behavior among single individuals.
A sample of 415 Portuguese individuals (254 women) with ages ranging from 18-46 years (M = 23.30; SD = 5.28) were recruited to a cross-sectional study. All participants were neither dating nor in a romantic relationship at the time of the study. The link to an anonymous web survey was shared in social networking platforms.
The survey included self-reported demographic variables (eg, age and sex), recent condomless sex behavior, and previously validated measures assessing regulatory focus in sexuality, ability in sexual restraint, perceived control over condom use, perceived safety with sex partners, and salience of the condom use norm.
More than two-thirds of the sample had recently engaged in condomless sex. A logistic regression showed that condomless sex was more likely for participants predominantly focused on promotion in sexuality. It was also more likely among less educated participants, those with a lower ability to restrain their sexual behavior, those who perceive to have less control over condom use, those for whom the condom use norm was less salient, and those who perceived to be safer with their sex partners. No other results were significant.
Our results can be informative to sexual health care professionals when planning strategies to increase condom use awareness, by considering the role of specific individual motivations.
STRENGTHS & LIMITATIONS: This is the first study showing that individual motivations uniquely contribute to the decision to have condomless sex. This study has 2 main limitations that constraint the generalizability of the findings: (a) cross-sectional data prevents us from establishing causality, and (b) individual data does not account for dyadic processes in sexuality (eg, condom use negotiation).
Our findings showed that condomless sex results from an individual focus on seeking pleasure, a lack of control in sexual behavior, and a perception of sex partners as more trustworthy. Overall, these findings are likely to help researchers and health care professionals improving theoretical models predicting condom use and preventing the spread of sexually transmitted infections. Rodrigues DL, Lopes D, Pereira M, et al. Predictors of Condomless Sex and Sexual Health Behaviors in a Sample of Portuguese Single Adults. J Sex Med 2020;17:26-36.
一些理论模型和干预计划忽略了个人对无保护性行为决策的动机的重要性。例如，关注促进（即渴望追求快乐）的人报告的避孕套使用意图较低，因为他们认为感染性传播感染的风险较低。
我们旨在了解个人动机在多大程度上可以预测单身个体的无保护性行为。
我们招募了 415 名年龄在 18-46 岁之间的葡萄牙个体（254 名女性，M=23.30；SD=5.28）参加了一项横断面研究。在研究时，所有参与者既没有约会也没有恋爱关系。匿名网络调查的链接在社交网络平台上共享。
调查包括自我报告的人口统计学变量（例如，年龄和性别），最近的无保护性行为以及以前经过验证的评估性行为监管重点，性行为抑制能力，对避孕套使用的感知控制，与性伴侣的安全性感知以及避孕套使用规范的显着性的措施。
该样本中超过三分之二的人最近发生过无保护性行为。逻辑回归表明，性取向以促进为主的参与者更有可能发生无保护性行为。受教育程度较低的参与者，性行为抑制能力较低的参与者，对避孕套使用的控制感较低的参与者，对避孕套使用规范的认识程度较低的参与者以及对性伴侣的安全性感知较低的参与者，更有可能发生这种情况。没有其他结果具有统计学意义。
在规划提高避孕套使用意识的策略时，我们的研究结果可以为性健康护理专业人员提供信息，因为需要考虑特定的个人动机的作用。
这是第一项表明个人动机可独特地促进无保护性行为决定的研究。本研究有两个主要局限性，限制了研究结果的普遍性：（a）横断面数据使我们无法确定因果关系；（b）个体数据无法说明性行为中的对偶过程（例如，避孕套使用协商）。
我们的研究结果表明，无保护性行为是由于个人关注寻求快乐，性行为缺乏控制以及对性伴侣的信任度更高所致。总的来说，这些发现可能有助于研究人员和卫生保健专业人员改进预测避孕套使用和预防性传播感染的传播的理论模型。罗德里格斯 DL，洛佩斯 D，佩雷拉 M，等人。葡萄牙单身成年人样本中无保护性行为和性健康行为的预测因素。性医学杂志 2020；17：26-36。
