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在 cisgender 男同性恋者中,浪漫伴侣和性伴侣史与肌肉变形症症状、饮食失调、以及使用美容和运动增强药物和补充剂之间的关联。

Associations among romantic and sexual partner history and muscle dysmorphia symptoms, disordered eating, and appearance- and performance-enhancing drugs and supplement use among cisgender gay men.

机构信息

Department of Pediatrics, University of California, San Francisco, CA, USA.

Department of Pediatrics, University of California, San Diego, CA, USA.

出版信息

Body Image. 2022 Jun;41:67-73. doi: 10.1016/j.bodyim.2022.02.004. Epub 2022 Feb 26.

Abstract

This study examined relationship status (e.g., single versus not single) and number of sexual partners in relation to muscularity- and disordered eating-related attitudes and behaviors among 1090 cisgender gay men enrolled in The PRIDE Study in 2018. Participants completed measures assessing muscle dysmorphia (MD) symptoms, disordered eating attitudes and behaviors, and appearance- and performance-enhancing drug or supplement (APEDS) use. In linear regression models adjusting for theoretically relevant covariates, neither relationship status nor number of past-month sexual partners was associated with disordered eating attitudes. In terms of MD symptoms, single (versus not single) relationship status was associated with greater appearance intolerance, and a greater number of sexual partners was associated with greater drive for size and functional impairment. In adjusted logistic regression models, a greater number of past-month sexual partners was associated with use of anabolic-androgenic steroids, synthetic performance-enhancing substances, protein supplements, and creatine supplements, as well as greater likelihood of engaging in compelled/driven exercise. Across all associations, effect sizes were generally small. Overall, results support that inquiring about sexual partners may have utility in evaluating risk for muscularity-oriented attitudes and behaviors among cisgender gay men. Future work will need to replicate these findings, particularly in more diverse samples.

摘要

本研究考察了 1090 名参加 2018 年“骄傲研究”的跨性别男同性恋者的恋爱状态(例如,单身与非单身)和性伴侣数量与肌肉发达和饮食失调相关态度和行为的关系。参与者完成了评估肌肉变形症(MD)症状、饮食失调态度和行为以及使用外貌和表现增强药物或补充剂(APEDS)的措施。在调整了理论上相关协变量的线性回归模型中,恋爱状态和过去一个月的性伴侣数量均与饮食失调态度无关。就 MD 症状而言,单身(而非非单身)恋爱状态与更大的外貌不容忍有关,而更多的性伴侣与更大的体型和功能障碍有关。在调整后的逻辑回归模型中,过去一个月性伴侣数量与使用合成代谢雄激素类固醇、合成性能增强物质、蛋白质补充剂和肌酸补充剂以及更有可能进行强迫/驱动性运动有关。在所有关联中,效应大小通常较小。总体而言,研究结果支持询问性伴侣可能有助于评估跨性别男同性恋者的肌肉发达相关态度和行为的风险。未来的研究需要在更多样化的样本中复制这些发现。

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