Center for Alcohol and Addictions Studies, Department of Behavioral and Social Sciences, Brown University School of Public Health.
Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University.
J Sex Res. 2024 May-Jun;61(5):727-741. doi: 10.1080/00224499.2023.2239216. Epub 2023 Jul 28.
Sexual arousal plays an important role in condom use decisions. However, combined effects of reduced sexual arousal and delay to achieving arousal on condom use decisions remain understudied. This study used a novel sexual arousal-delay discounting (SADD) task to measure individuals' willingness to use a condom in situations where condom use would (1) delay time to arousal and (2) reduce the level of arousal one could achieve even after the delay (e.g., 5 minutes to reach 50% arousal). In Study 1, U.S. college students (N = 115; M = 18.6) reported their willingness to have sex with a condom in hypothetical scenarios where the condom delayed and reduced their partner's sexual arousal. In Study 2, U.S. college students (N = 208; M = 19.6; 99% ≤ 24 years old) completed the same task for two partners-partner perceived as most desirable and partner perceived as least likely to have an STI. In this study, a condom would affect either participants' own or partner's arousal. Study 3 replicated Study 2 using a non-college sample in the U.S. (N = 227; M = 30.5; 84% ≥ 25 years old). Across studies, willingness to use a condom decreased as the delay to reduced arousal increased. This effect of SADD was stronger when condoms reduced participants' own (vs. partner's) arousal, whereas comparisons between most desirable and least likely-to-have-STI partners provided mixed findings. Men had higher discounting rates than women across conditions. Greater SADD was associated with lower condom use self-efficacy, providing initial evidence for the task's validity. The role of delayed arousal in condom use and implications are discussed.
性唤起在避孕套使用决策中起着重要作用。然而,性唤起降低和达到性唤起的延迟对避孕套使用决策的综合影响仍有待研究。本研究使用一种新颖的性唤起-延迟折扣(SADD)任务来衡量个体在以下情况下使用避孕套的意愿:(1)延迟性唤起时间,(2)即使在延迟后也会降低性唤起水平(例如,延迟 5 分钟才能达到 50%的性唤起)。在研究 1 中,美国大学生(N=115;M=18.6)报告了他们在使用避孕套的假设情景中使用避孕套的意愿,在这种情况下,避孕套会延迟和降低伴侣的性唤起。在研究 2 中,美国大学生(N=208;M=19.6;99%≤24 岁)为两个伴侣完成了相同的任务——一个被认为是最理想的伴侣和一个被认为是最不可能患有性传播感染的伴侣。在这项研究中,避孕套会影响参与者自己或伴侣的性唤起。研究 3 使用美国的非大学生样本复制了研究 2(N=227;M=30.5;84%≥25 岁)。在所有研究中,随着延迟和降低性唤起的增加,使用避孕套的意愿降低。当避孕套降低参与者自己(而非伴侣)的性唤起时,SADD 的这种影响更强,而最理想和最不可能患有性传播感染的伴侣之间的比较则提供了混合的结果。在所有条件下,男性的折扣率都高于女性。更大的 SADD 与较低的避孕套使用自我效能感相关,这为任务的有效性提供了初步证据。讨论了延迟性唤起在避孕套使用中的作用和影响。
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