Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia.
Curr Opin Endocrinol Diabetes Obes. 2021 Dec 1;28(6):589-594. doi: 10.1097/MED.0000000000000684.
Androgen abuse is more prevalent among gay and bisexual (i.e. sexual minority) men than heterosexual men. We review recent research about androgen abuse in sexual minority men and provide relevant social, cultural, and historical contexts.
Androgen abuse among sexual minority men is shaped by the intersections of sexuality, desirability, masculinity, and race. Muscular male bodies are desired and - in erotic settings especially - prized as literal embodiments of masculinity. Racist stereotypes unjustly diminish the desirability and masculinity of sexual minority men who belong to racial minorities, especially those who are Asian or Black, and the higher rates of androgen abuse among these racial minorities may reflect a compensatory motivation for these diminishments. The historical context for sexual minority men - decades of subjugation alongside stereotypes of masculinity-compromising effeminacy - further complicate the intersections of sexuality with androgen abuse. Harm minimization efforts led by empathetic endocrinologists stand the best chance of achieving positive outcomes for sexual minority men who use androgens.
More dedicated research on androgen abuse among sexual minority men is needed as this population requires thoughtfully designed research that is incorporative - at a minimum - of the complexities of sexuality, desirability, masculinity, and race.
目的综述：同性恋和双性恋（即性少数群体）男性比异性恋男性更普遍滥用雄激素。我们回顾了性少数群体男性滥用雄激素的最新研究，并提供了相关的社会、文化和历史背景。
最近的发现：性少数群体男性滥用雄激素的情况受到性取向、吸引力、男子气概和种族的交叉影响。肌肉发达的男性身体是受欢迎的，尤其是在色情环境中，被视为男子气概的具体体现。种族主义刻板印象不公正地降低了属于少数族裔的性少数群体男性的吸引力和男子气概，尤其是那些亚裔或非裔的男性，而这些少数族裔中雄激素滥用率较高可能反映了对这些贬低的补偿性动机。性少数群体男性的历史背景——数十年来与男子气概相关的从属地位以及对男子气概有损的女性化的刻板印象——进一步使性与雄激素滥用之间的交叉复杂化。富有同理心的内分泌学家主导的伤害最小化努力最有可能为使用雄激素的性少数群体男性带来积极的结果。
总结：需要对性少数群体男性滥用雄激素进行更多的专门研究，因为这一人群需要经过深思熟虑设计的研究，至少要考虑到性取向、吸引力、男子气概和种族的复杂性。
