"Stealthing": Factors Associated With Young Men's Nonconsensual Condom Removal
"Stealthing": Factors Associated With Young Men's Nonconsensual Condom Removal
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DOI：
10.1037/hea0000779
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发表时间：
2019-11-01
影响因子：
4.2
通讯作者：
Davis, Kelly Cue
中科院分区：
文献类型：
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作者：
Davis, Kelly Cue
目的：本研究的目的是调查年轻男性非自愿摘除避孕套(也称为偷盗)的发生率、预测因素和相关的性风险指数。方法：受试者为626名男性避孕套使用者，年龄21-30岁，来自太平洋西北部的一个城市。参与者完成了评估性攻击史、与性攻击相关的态度、性传播感染史、意外怀孕和非双方同意的避孕套移除经历的调查措施。结果：近10%的被调查者(n=61)报告从14岁开始非自愿取避孕套，平均3.62次(SD=3.87)，最大可能范围为1-21次。在控制了使用避孕套的自我效能感后，男性对女性的敌意越大(优势比=1.47)，性攻击史越严重(优势比=1.06)，从事非自愿摘除避孕套行为的几率显著更高。CHI(2)分析表明，有非自愿取出避孕套历史的男性明显更有可能患上性传播感染(29.5%比15.1%)或有过意外怀孕的伴侣(46.7%比25.8%)。结论：非双方同意的避孕套移除同时涉及性风险和性侵犯因素，给接受者带来了多种性风险，因此值得临床和研究人员更多地关注。
Objective: The purpose of this study was to investigate the rates, predictors, and associated sexual risk indices of young men's nonconsensual condom removal (also known as stealthing). Methods: Participants were 626 male inconsistent condom users aged 21-30 years recruited from an urban area in the Pacific Northwest. Participants completed survey measures assessing sexual aggression history, sexual aggression-related attitudes, sexually transmitted infection history, unplanned pregnancies, and nonconsensual condom removal experiences. Results: Almost 10% of the participants (n = 61) reported engaging in nonconsensual condom removal since the age of 14 years, with an average of 3.62 times (SD = 3.87) and range of 1-21 times (maximum possible). After controlling for condom use self-efficacy, men with greater hostility toward women (odds ratio = 1.47) and more severe sexual aggression history (odds ratio = 1.06) had significantly higher odds of engaging in nonconsensual condom removal behavior. chi(2) analyses demonstrated that men who had a history of nonconsensual condom removal were significantly more likely to have had a sexually transmitted infection diagnosis (29.5% vs. 15.1%) or have had a partner who experienced an unplanned pregnancy (46.7% vs. 25.8%). Conclusions: Nonconsensual condom removal, which involves elements of both sexual risk and sexual aggression, confers multiple sexual risks to its recipients, thus meriting increased clinical and research attention.