Branched sexuality and sexual health among Black cisgender sexual minority men in Baltimore, Maryland: an exploratory study.
Branched sexuality and sexual health among Black cisgender sexual minority men in Baltimore, Maryland: an exploratory study.
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马里兰州巴尔的摩黑人顺性别性少数男性的性行为和性健康分支：一项探索性研究。
DOI：
10.1080/13691058.2022.2096260
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Latkin,Carl
中科院分区：
文献类型：
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作者：
Wiginton,JohnMark;Tobin,Karin;Maksut,Jessica;Davey-Rothwell,Melissa;Latkin,Carl
在黑人性少数群体男子中观察到分支性行为——其形式是性身份、行为和吸引力（如异性恋身份、与男性发生性行为、对女性的吸引力）的组合，不同于偶然性组合（如同性恋/同性恋/同性恋身份、与男性发生性行为、对男性的吸引力）——可能与性健康有关。利用一项性健康干预试验中黑人性少数男性（N= 323）的基线调查数据，我们检查了性别认同、行为和吸引力，以确定分支性行为的流行程度，并使用修正泊松回归和稳健方差估计来检验与性健康的关联。报告分支性行为的黑人少数性取向男性（n= 50, 15.5%）比报告偶合性行为的男性（n= 273, 84.5%；调整患病率[aPR] = 1.48, 95%可信区间[CI] = 0.94, 2.32）支持消极避孕套使用态度的可能性略高于报告同性恋/同性/同性相爱的偶合性行为的男性（aPR = 1.85, 95% CI = 01.07, 3.22）。仅在双变量分析中，报告分支性行为的人报告过去一年性传播感染检测的可能性明显低于报告同源性行为的人（PR = 0.52, 95% CI = 0.28, 0.94）或报告同性恋/同性恋/同性恋同源性行为的人（PR = 0.46, 95% CI = 0.25, 0.84）。需要增加对黑人性少数男性性行为的了解，并改进性行为数据收集工作。
Branched sexuality – in form of combinations of sexual identity, behaviour and attraction (e.g. heterosexual identity, sex with men, attraction to women) that differ from coincident combinations (e.g. gay/homosexual/same-gender-loving identity, sex with men, attraction to men) – has been observed among Black sexual minority men and may correlate with sexual health. Using baseline survey data from Black sexual minority men (N= 323) enrolled in a sexual health intervention trial, we examined sexual identity, behaviour and attraction to determine the prevalence of branched sexuality and used modified Poisson regression with robust variance estimation to test associations with sexual health. Black sexual minority men reporting branched sexuality (n= 50, 15.5%) were marginally more likely to endorse negative condom-use attitudes compared to those reporting coincident sexuality (n= 273, 84.5%; adjusted prevalence ratio [aPR] = 1.48, 95% confidence interval [CI] = 0.94, 2.32) and significantly more likely to endorse negative condom-use attitudes compared to those reporting gay/homosexual/same-gender-loving-coincident sexuality (aPR = 1.85, 95% CI = 01.07, 3.22). Those reporting branched sexuality were significantly less likely to report past-year testing for sexually transmitted infections compared to those reporting coincident (PR = 0.52, 95% CI = 0.28, 0.94) or gay/homosexual/same-gender-loving-coincident sexuality (PR = 0.46, 95% CI = 0.25, 0.84) in bivariate analyses only. Increased understanding of Black sexual minority men’s sexuality and improved sexuality data collection efforts are needed.