Vincke J, Bolton R, Mak R, Blank S
AIDS Reference Center, Ghent State University, Laboratory of Bacteriology and Virology, University Hospital, Belgium.
Arch Sex Behav. 1993 Dec;22(6):559-86. doi: 10.1007/BF01543301.
How the withdrawal of social support associated with the coming out of gay men influences AIDS-related sexual risk-taking among Flemish (Belgian) gay men is analyzed. Recruited via key persons, the 379 gay men in this nonclinical cohort completed a lengthy, computerized questionnaire dealing with diverse aspects of gay life and culture. Independent variables include demographic characteristics, AIDS knowledge, coming-out histories, six social support dimensions, and personal resources. The dependent variables were insertive and receptive anal intercourse with and without a condom. Stepwise regression explained, respectively, 41.2, 38.4, 18.4, and 14.2% of the variance. Absence of appraisal (the view that others approve of the way one does things or feels about things) led to higher frequencies of insertive anal sex (both with and without a condom). The experience of emotional conflict lowered the use of condoms by the insertive partner in anal intercourse. Disapproval by significant others of being gay also led to higher levels of receptive anal intercourse without a condom. Subjects with a high belief in mastery had higher frequencies of risk-taking, suggesting that the combination of the experience of negative reactions and high mastery lead to greater involvement in risky sexual behavior. Findings are interpreted within the theoretical framework of the coming-out process and gay identity formation.
本文分析了同性恋男性出柜后社会支持的撤回如何影响佛兰芒（比利时）同性恋男性中与艾滋病相关的性冒险行为。通过关键人物招募，这个非临床队列中的379名同性恋男性完成了一份冗长的计算机化问卷，内容涉及同性恋生活和文化的各个方面。自变量包括人口统计学特征、艾滋病知识、出柜经历、六个社会支持维度和个人资源。因变量是有无使用避孕套的插入式和接受式肛交。逐步回归分别解释了41.2%、38.4%、18.4%和14.2%的方差。缺乏认可（即认为他人认可自己做事或感受的方式）导致插入式肛交的频率更高（无论是否使用避孕套）。情感冲突的经历降低了插入式伴侣在肛交中使用避孕套的频率。重要他人对同性恋身份的不认可也导致无避孕套接受式肛交的水平更高。对掌控力有高度信念的受试者有更高的冒险频率，这表明负面反应经历和高掌控力的结合会导致更多地参与危险的性行为。研究结果在出柜过程和同性恋身份形成的理论框架内进行了解释。
