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男同性恋者和双性恋男性使用与艾滋病相关的避孕套:个人变量和人际情境的作用。

AIDS-relevant condom use by gay and bisexual men: the role of person variables and the interpersonal situation.

作者信息

Sacco W P, Rickman R L

机构信息

Department of Psychology, University of South Florida, Tampa 33620, USA.

出版信息

AIDS Educ Prev. 1996 Oct;8(5):430-43.

PMID:8911570
Abstract

This study examined the relative ability of selected person variables (interpersonal self-efficacy, self-control, attitudes about the effect of condoms on sex, normative beliefs) and interpersonal-situational variables (partner preference, partner serostatus) to explain gay and bisexual males' (N = 267) condom use during insertive and receptive intercourse. Partner preference accounted for a large amount of variance in condom use by itself and when controlling for the effects of the remaining variables. Exploratory hierarchical regression analyses suggested that the receptive partner's preference influenced condom use decisions to a greater extent than did the insertive partner's. Partner serostatus alone explained little variance in condom use. However, partners serostatus interacted with subject serostatus such that dyads with concordance serostatus (i.e., both partners HIV positive or both HIV negative) used condoms the least, and dyads with discordant serostatus used condoms the most. Results suggest that the interpersonal situation plays an important role in condom use decisions.

摘要

本研究考察了所选个体变量(人际自我效能感、自我控制、对避孕套对性行为影响的态度、规范信念)和人际情境变量(性伴侣偏好、性伴侣血清学状态)对男同性恋者和双性恋男性(N = 267)在插入式性交和接受式性交中使用避孕套情况的相对解释力。性伴侣偏好自身以及在控制其余变量的影响时,都解释了避孕套使用情况中的大量变异。探索性分层回归分析表明,接受式性伴侣的偏好比插入式性伴侣的偏好对避孕套使用决策的影响更大。性伴侣血清学状态单独对避孕套使用情况的变异解释很少。然而,性伴侣血清学状态与研究对象的血清学状态存在交互作用,即血清学状态一致的性伴侣组合(即双方均为HIV阳性或均为HIV阴性)使用避孕套最少,而血清学状态不一致的性伴侣组合使用避孕套最多。结果表明,人际情境在避孕套使用决策中起着重要作用。

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