Ảnh hưởng của Đặc điểm Quan hệ Tình dục và Quan hệ trên Ba Biến Rủi ro Tình dục ở Nam thanh niên quan hệ tình dục với Nam

Archives of Sexual Behavior - Tập 43 - Trang 61-72 - 2013
Michael E. Newcomb1, Daniel T. Ryan1, Robert Garofalo2, Brian Mustanski1
1Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, USA
2Department of Pediatrics, Ann & Robert H. Lurie Children’s Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, USA

Tóm tắt

Nam thanh niên quan hệ tình dục với nam (YMSM) tại Hoa Kỳ đang phải đối mặt với sự gia tăng đáng lo ngại về tỷ lệ mắc HIV. Bằng chứng gần đây cho thấy phần lớn các ca nhiễm HIV mới ở YMSM xảy ra trong bối cảnh các mối quan hệ nghiêm túc, điều này nhấn mạnh tầm quan trọng của việc xem xét các yếu tố tiên đoán hành vi rủi ro tình dục trong bối cảnh các mối quan hệ tình dục, bao gồm loại quan hệ, đặc điểm của bạn tình và động lực quan hệ. Nghiên cứu hiện tại nhằm đánh giá ảnh hưởng của quan hệ và mối quan hệ tình dục đến hành vi rủi ro tình dục ở YMSM, bao gồm phân biệt giữa các biến rủi ro tình dục khác nhau (tức là, bất kỳ quan hệ tình dục hậu môn hoặc âm đạo không được bảo vệ nào, quan hệ tình dục hậu môn hoặc âm đạo thâm nhập không được bảo vệ, và quan hệ tình dục thụ động hậu môn không được bảo vệ). Các mối quan hệ nghiêm túc/thân thuộc hơn có liên quan đến nhiều rủi ro tình dục hơn trên cả ba biến rủi ro, trong khi mong muốn một mối quan hệ kéo dài có tác dụng bảo vệ chống lại rủi ro trên cả ba biến rủi ro. Một số biến có liên quan một cách khác nhau đến quan hệ tình dục thâm nhập không được bảo vệ (giới tính bạn tình) hoặc quan hệ tình dục thụ động không được bảo vệ (tuổi bạn tình, chủng tộc bạn tình, tin rằng bạn tình có quan hệ tình dục với người khác, và bạn tình lặp lại qua các đợt). Hành vi rủi ro tình dục ở YMSM không đồng nhất giữa các mối quan hệ tình dục và dường như phần lớn được xác định bởi các đặc điểm của bạn tình, động lực quan hệ và vai trò tình dục (tức là, bạn tình thâm nhập hoặc thụ động). Những ảnh hưởng này rất quan trọng trong việc hiểu rủi ro tình dục ở YMSM và cung cấp những mục tiêu quan trọng cho can thiệp.

Từ khóa

#YMSM #hành vi rủi ro tình dục #HIV #quan hệ tình cảm #đặc điểm của bạn tình

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