Kirwan Mitchell, Stewart Robin, Chen Weiqi, Hammett Julia F, Davis Kelly Cue
Department of Psychology, University of Texas at El Paso, 500 W University Ave., El Paso, TX, 79968, USA.
Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA.
Arch Sex Behav. 2023 Nov;52(8):3457-3469. doi: 10.1007/s10508-023-02681-9. Epub 2023 Sep 11.
Despite the continued prevalence of HIV and condoms' proven effectiveness in HIV prevention, many young men continue to engage in condom use resistance (CUR). Research shows that sexual compulsivity and childhood sexual abuse (CSA) victimization are risk factors for CUR. Given that sexual activity between men is the most common method through which HIV is transmitted, and that men who have sex with men and women (MSMW) are up to five times as likely to contract or transmit HIV as men who have sex with women only (MSWO), understanding the CUR behaviors of MSMW is uniquely important. Young, single men who had had sex with a woman in the past year (N = 623) completed questionnaires assessing their previous sexual experiences with men and women, history of CSA, sexual compulsivity, and CUR to determine how MSMW classification may moderate the associations between these variables. Results revealed full, moderated mediation, such that CSA was significantly associated with sexual compulsivity among MSMW, but not MSWO. Furthermore, sexual compulsivity was subsequently associated with CUR, in a model accounting for 5.35% of CUR variance. Such findings suggest that exposure to CSA may render MSMW especially susceptible to maladaptive, sexually compulsive desires and behaviors. As a result, MSMW may be more likely to disregard the inherent risks associated with condomless sexual activity and engage in CUR. Thus, intervention programs seeking to reduce the transmission of HIV and other STIs should prioritize targeting MSMW who experienced CSA to reduce sexual compulsivity and increase condom use.
尽管艾滋病毒持续流行，且避孕套在预防艾滋病毒方面已被证明有效，但许多年轻男性仍存在避孕套使用抵触行为（CUR）。研究表明，性强迫和童年期性虐待（CSA）受害经历是CUR的风险因素。鉴于男性之间的性行为是艾滋病毒传播的最常见途径，且双性恋男性感染或传播艾滋病毒的可能性是仅与女性发生性行为的男性（MSWO）的五倍，了解双性恋男性的CUR行为尤为重要。过去一年与女性发生过性行为的年轻单身男性（N = 623）完成了问卷调查，评估他们之前与男性和女性的性经历、CSA病史、性强迫和CUR，以确定双性恋男性的分类如何调节这些变量之间的关联。结果显示出完全的、有调节的中介作用，即CSA与双性恋男性的性强迫显著相关，但与仅与女性发生性行为的男性无关。此外，在一个解释CUR变异5.35%的模型中，性强迫随后与CUR相关。这些发现表明，接触CSA可能使双性恋男性特别容易产生适应不良的、性强迫的欲望和行为。因此，双性恋男性可能更有可能忽视与无保护性行为相关的固有风险并表现出CUR行为。因此，旨在减少艾滋病毒和其他性传播感染传播的干预项目应优先针对有CSA经历的双性恋男性，以减少性强迫并增加避孕套的使用。
