"Becoming bold": alcohol use and sexual exploration among Black and Latino young men who have sex with men (YMSM).

"Becoming bold": alcohol use and sexual exploration among Black and Latino young men who have sex with men (YMSM).
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DOI:
10.1080/00224499.2013.772086
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发表时间:
2014
影响因子:
3.6
通讯作者:
Gordon KK
Gordon KK
中科院分区:
心理学2区
文献类型:
--
作者:
Mutchler MG;McDavitt B;Gordon KK

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饮酒与无保护的性行为有关,这可能会使性行为中饮酒的YMSM感染艾滋病毒的风险增加。然而,人们对这种联系是如何发展的知之甚少。本研究采用定性访谈,探讨酒精如何成为与性和性风险之间的YMSM。我们有目的地抽样20名黑人和20名拉丁裔YMSM(N=40),年龄21-24岁,他们在性生活中使用物质(酒精,大麻和冰毒)。访谈的重点是参与者的个人历史,以追踪这些协会是如何为每个人发展的。借鉴性脚本,情绪调节和酒精预期理论,分析遵循修改后的扎根理论方法。参与者表示,酒精使他们能够与他们想要尝试的男性进行性行为,让他们更加“大胆”,克服对同性恋的污名,并对他们的性欲和身份感到更加舒适。在性行为中使用酒精对一些参与者有帮助,但也可能导致性风险行为。旨在减少酒精滥用和性风险的干预计划应考虑YMSM如何概念化酒精和性之间的关联。如果这些项目为性身份探索提供支持,它们可能会更有效。
Alcohol use is correlated with unprotected sex, which may place YMSM who use alcohol with sex at increased risk for contracting HIV. However, little is known about how this link develops. This study used qualitative interviews to explore how alcohol became associated with sex and sexual risk among YMSM. We purposively sampled 20 Black and 20 Latino YMSM (N=40), ages 21–24, who used substances (alcohol, marijuana, and crystal methamphetamine) with sex. Interviews focused on participants’ personal histories to trace how these associations developed for each individual. Drawing on sexual script, emotion regulation, and alcohol expectancy theories, analyses followed a modified grounded theory approach. Participants stated that alcohol enabled them to engage in sexual behaviors with men that they wanted to try, allowing them to be more “bold,” overcome stigma about homosexuality, and feel increased comfort with their sexual desires and identities. The use of alcohol during sex was helpful to some of the participants, but could also lead to sexual risk behaviors. Intervention programs seeking to reduce alcohol misuse and sexual risk should take into account how YMSM conceptualize associations between alcohol and sex. These programs may be more effective if they provide support for sexual identity exploration.
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