Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs
Sexual Health Education for Adolescent Males Who Are Interested in Sex With Males: An Investigation of Experiences, Preferences, and Needs
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DOI：
10.1016/j.jadohealth.2018.07.015
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发表时间：
2019-01-01
影响因子：
7.6
通讯作者：
Carey, Michael P.
中科院分区：
文献类型：
--
作者：
Nelson, Kimberly M.;Pantalone, David W.;Carey, Michael P.
目的：缺乏为性教育项目提供信息性教育方案的研究，以解决对与男性发生性行为感兴趣的青春期男性经历的性健康差距。本研究旨在确定AMSM在哪里获得性健康信息，明确他们的偏好，并探索与性行为的关系。方法：美国AMSM(N=207；14-17岁)完成了一项在线性健康调查。结果：89人(43%)报告没有与男性伴侣发生性关系，77人(37%)报告没有性接触，41人(20%)报告无安全套肛交。参与者从父母/监护人(n=122，59%)、正式来源(n=160，78%)和互联网(n=135，65%)获得性健康信息。父母/监护人和正式资料来源最常涉及的话题是如何对性说不，如何预防艾滋病毒和其他性传播感染，以及节育方法。最常见的在线研究主题是如何安全地进行肛交，你可以与男性伴侣发生的性行为类型，如何使用避孕套，以及如何使用润滑剂。参与者指出，他们更喜欢针对男性和男性的露骨的在线性健康项目。结论：需要明确针对男性和男性的在线性教育项目。量身定制的计划可以帮助AMSM养成健康的性行为，降低他们感染艾滋病毒/性传播疾病的风险。(C)2018年青少年健康与医学学会。版权所有。
Purpose: There is a dearth of research to inform sexual education programs to address sexual health disparities experienced by adolescent males who are interested in sex with males (AMSM). The current study sought to determine where AMSM receive sexual health information, clarify their preferences, and explore relations with sexual behavior.Methods: AMSM (N = 207; ages 14-17) in the United States completed an online sexual health survey. Bivariate associations between sexual education exposure/preferences by sexual behavior were assessed using Fisher's exact tests and one-way analyses of variance.Results: Eighty-nine (43%) participants reported no sexual contact with male partners, 77 (37%) reported sexual contact without condomless anal sex, and 41 (20%) reported condomless anal sex. Participants received sexual health information from their parents/guardians (n = 122, 59%), formal sources (n = 160, 78%), and the Internet (n = 135, 65%). The most commonly covered topics by parents/guardians and formal sources were how to say no to sex, how to prevent HIV and other sexually transmitted infections, and methods of birth control. The most common online-researched topics were how to safely have anal sex, the types of sex you can have with a male partner, how to use a condom, and how to use lubrication. Participants noted preferring a sexually-explicit online sexual health program that addresses male-male sex.Conclusions: Online sexual education programs that explicitly address male-male sex are needed. Tailored programs can help AMSM develop healthy sexual behaviors and decrease their HIV/STI risk. (c) 2018 Society for Adolescent Health and Medicine. All rights reserved.