The relationship between use of sexually explicit media and sexual risk behavior in men who have sex with men: exploring the mediating effects of sexual self-esteem and condom use self-efficacy.
The relationship between use of sexually explicit media and sexual risk behavior in men who have sex with men: exploring the mediating effects of sexual self-esteem and condom use self-efficacy.
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DOI：
10.1080/19317611.2013.823900
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发表时间：
2014-02-25
期刊：
影响因子：
--
通讯作者：
Rosser BR
中科院分区：
文献类型：
--
作者：
Træen B;Hald GM;Noor SW;Iantaffi A;Grey J;Rosser BR
本研究测试了以下三个假设：1）描述不使用安全套的性暴露媒体（SEM）消费与男男性行为者（MSM）的性传播感染相关性风险行为之间存在直接关联; 2）SEM消费与性传播感染相关性风险行为之间的关联是通过男性的性自尊介导的;安全套使用自我效能感在安全套使用与危险性行为之间起中介作用。2011年，对美国1，391名MSM进行了一项基于互联网的横断面调查，了解其接触SEM和性行为的情况。结果证实了假设1和3，而假设2被拒绝。结果表明，在MSM人群中，安全套使用情景模式的使用与STI相关性风险行为之间存在显著相关，安全套使用情景模式与性风险行为之间的关系通过安全套使用自我效能感间接介导，而安全套使用情景模式并不通过性自尊影响性风险行为。为了促进性传播感染的预防，可将SEM中的行为者作为在性环境中管理安全套使用的榜样。
This study tests the following three hypotheses: 1) there is a direct association between consumption of sexually explicit media (SEM) depicting non-condom use and STI-related sexual risk behavior among men who have sex with men (MSM), 2) The association between SEM consumption and STI-related sexual risk behavior is mediated by men’s sexual self-esteem, and 3) the relationship between SEM consumption and sexual risk behavior is mediated by condom use self-efficacy. A cross-sectional, Internet-based survey on exposure to SEM and sexual behavior of 1,391 MSM in the USA was conducted in 2011. The results confirmed hypothesis 1 and 3 while hypothesis 2 was rejected. Accordingly, a significant association between the use of SEM picturing condom use and STI related sexual risk behavior among MSM was found. Likewise, we found that the association between the use of SEM and sexual risk behavior was mediated by condom use self-efficacy in an indirect path. However, SEM did not influence sexual risk behavior via sexual self-esteem. To promote STI prevention, the actors in SEM may be used as role models in managing condom use in sexual contexts.
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影响因子：
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