中国男男性行为者中的同性恋应用使用、性特征和高风险性行为：中介分析。
Gay App Use, Sexuality Traits, and High-Risk Sexual Behaviors Among Men Who Have Sex With Men in China: Mediation Analysis.
机构信息
Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangzhou, China.
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China.
出版信息
J Med Internet Res. 2023 Nov 1;25:e49137. doi: 10.2196/49137.
BACKGROUND
Gay geosocial networking apps, also known as "gay apps," have gained increasing popularity in the men who have sex with men (MSM) community. Certain sexuality traits and gay app use are both associated with high-risk sexual behaviors among MSM. However, little is known about the underlying mechanism of such relationships.
OBJECTIVE
Based on the uses and gratifications theory, this study aimed to test the mediation effect of gay app use on the relationship between sexuality traits (sexual compulsivity and sexual sensation seeking) and high-risk sexual behaviors (multiple sexual partners and unprotected anal intercourse) among MSM.
METHODS
A cross-sectional, multicenter study was conducted in Wuhan and Changsha, China, from August to October 2020. A representative sample of 402 MSM was recruited through respondent-driven sampling. A self-administered web-based structured questionnaire was used to collect data on sociodemographic information, high-risk sexual behaviors, gay app use, sexual compulsivity, and sexual sensation seeking. Path analysis was conducted to assess the mediation effect.
RESULTS
Our study revealed that 67.42% (n=271) of MSM used gay apps for seeking potential sexual partners, with 37.06% (n=149) of them engaging in unprotected anal intercourse, and 45.42% (n=218) of them having multiple sexual partners. Of the participants, 17.16% (n=69) reported significant sexual compulsivity, while 29.10% (n=117) reported significant sexual sensation seeking. Notably, gay app usage partially mediated the relationship between sexual compulsivity and multiple sexual partners but fully mediated the relationship between sexual compulsivity and unprotected anal intercourse. Furthermore, gay app usage partially mediated the relationship between sexual sensation seeking and multiple sexual partners but fully mediated the relationship between sexual sensation seeking and unprotected anal intercourse.
CONCLUSIONS
High-risk sexual behaviors are common among MSM. Most MSM rely on gay apps to find sexual partners, which, when combined with higher levels of sexual compulsivity and sexual sensation seeking, can increase the likelihood of engaging in high-risk sexual behaviors. Therefore, interventions aimed at reducing these behaviors among MSM should focus on addressing the use of gay apps, while also considering the influence of their sexuality traits on gay app use.
背景
同性社交网络应用程序，也被称为“同志应用”，在男男性行为者（MSM）群体中越来越受欢迎。某些性行为特征和同志应用程序的使用与 MSM 中的高风险性行为有关。然而，对于这种关系的潜在机制知之甚少。
目的
基于使用与满足理论，本研究旨在检验同志应用程序使用在 MSM 中性行为特征（性强迫和性感觉寻求）与高风险性行为（多个性伴侣和无保护肛交）之间关系中的中介效应。
方法
2020 年 8 月至 10 月，在中国武汉和长沙进行了一项横断面、多中心研究。通过应答者驱动抽样招募了 402 名代表性 MSM 样本。使用自填式网络结构化问卷收集社会人口统计学信息、高风险性行为、同志应用程序使用、性强迫和性感觉寻求的数据。进行路径分析以评估中介效应。
结果
我们的研究表明，67.42%（n=271）的 MSM 使用同志应用程序寻找潜在的性伴侣，其中 37.06%（n=149）进行了无保护肛交，45.42%（n=218）有多个性伴侣。在参与者中，17.16%（n=69）报告有显著的性强迫，29.10%（n=117）报告有显著的性感觉寻求。值得注意的是，同志应用程序的使用部分中介了性强迫与多个性伴侣之间的关系，但完全中介了性强迫与无保护肛交之间的关系。此外，同志应用程序的使用部分中介了性感觉寻求与多个性伴侣之间的关系，但完全中介了性感觉寻求与无保护肛交之间的关系。
结论
高风险性行为在 MSM 中很常见。大多数 MSM 依靠同志应用程序寻找性伴侣，这与更高水平的性强迫和性感觉寻求相结合，增加了从事高风险性行为的可能性。因此，针对 MSM 减少这些行为的干预措施应侧重于解决同志应用程序的使用问题，同时考虑到他们的性行为特征对同志应用程序使用的影响。
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