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津巴布韦的“干性行为”及其对避孕套使用的影响。

Dry sex in Zimbabwe and implications for condom use.

作者信息

Civic D, Wilson D

机构信息

Psychology Department, University of Zimbabwe.

出版信息

Soc Sci Med. 1996 Jan;42(1):91-8. doi: 10.1016/0277-9536(95)00081-x.

DOI:10.1016/0277-9536(95)00081-x
PMID:8745110
Abstract

'Dry sex' refers to the preference for a dry, tight vagina during sexual intercourse. Women in Zimbabwe and elsewhere have been found to use a variety of drying agents to achieve these effects. Previous studies of 'dry sex' have concentrated on documentation of the practice and investigation of any associated increased risk of HIV. In contrast, this study examines the impact of 'dry sex' on condom use and effectiveness. Focus group interviews were held with female HIV/AIDS peer educators in Zimbabwe who had a history of commercial sex work. Participants reported that drying agents had physical and psychological consequences. That is, agents were said to dry and tighten a woman's vagina, and also to serve as 'love potions' to attract sexual partners and ensure their faithfulness. Although vaginal dryness was not found to deter the use of condoms, some women were reluctant to use condoms for fear of blocking the 'magic' of drying agents. There was agreement among participants that condoms frequently broke when used in conjunction with drying agents. Participants primarily attributed condom breakage to excessive vaginal tightness. Lubricants were not routinely used during sex or with condoms. However, participants preferred the use of lubricated condoms when they used condoms. Implications of the 'dry sex' practice for AIDS prevention programs and development of new HIV prevention technologies are discussed.

摘要

“干性性行为”指性交时偏好阴道干燥、紧致。在津巴布韦及其他地区,已发现女性会使用多种干燥剂来达到这些效果。此前关于“干性性行为”的研究主要集中在记录这种行为以及调查其与感染艾滋病毒风险增加之间的关联。相比之下,本研究考察了“干性性行为”对避孕套使用及效果的影响。对津巴布韦有商业性工作史的女性艾滋病毒/艾滋病同伴教育者进行了焦点小组访谈。参与者报告称,干燥剂会产生生理和心理影响。也就是说,据说这些干燥剂会使女性阴道干燥、紧致,还能充当“爱情魔药”来吸引性伴侣并确保他们忠诚。尽管未发现阴道干燥会阻碍避孕套的使用,但一些女性因担心破坏干燥剂的“魔力”而不愿使用避孕套。参与者一致认为,避孕套与干燥剂一起使用时经常破裂。参与者主要将避孕套破裂归因于阴道过度紧致。性行为或使用避孕套时通常不使用润滑剂。然而,参与者在使用避孕套时更喜欢使用润滑避孕套。本文讨论了“干性性行为”对艾滋病预防项目及新型艾滋病毒预防技术开发的影响。

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