Unprotected anal intercourse among immigrant Latino MSM: the role of characteristics of the person and the sexual encounter.

Unprotected anal intercourse among immigrant Latino MSM: the role of characteristics of the person and the sexual encounter.
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DOI:
10.1007/s10461-008-9488-8
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发表时间:
2009-08
期刊:
影响因子:
4.4
通讯作者:
Bianchi, Fernanda T.
Bianchi, Fernanda T.
中科院分区:
医学2区
文献类型:
--
作者:
Zea, Maria Cecilia;Reisen, Carol A.;Poppen, Paul J.;Bianchi, Fernanda T.

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传统上,性冒险的理论模型集中在个人特征上,但是还提出了强调社会和情境背景的概念方法。这项研究检查了482个移民拉丁裔MSM对人和性接触对未受保护的肛门性交(UAI)的影响。分析包括逻辑回归和分层线性建模。在最近的三个月中,在最近的三个月中,对UAI的自我效能感的个人特征与UAI呈负相关,并且在每个参与者报告的多次相遇中。此外,在遭遇级别的人级和性欲之间的自我效能感与性欲的跨层次相互作用表明,增加性欲与自我效能低下的UAI的可能性更大有关自我效能。 UAI的可能性也与与伴侣的亲密关系,血清条件以及对遭遇中的性传播感染的关注有关。
Theoretical models of sexual risk-taking have traditionally focused on personal characteristics, but conceptual approaches emphasizing the social and situational context have also been proposed. This study examined the impact of characteristics of the person and of the sexual encounter on unprotected anal intercourse (UAI) among 482 immigrant Latino MSM. Analyses included logistic regression and hierarchical linear modeling. The personal characteristic of self-efficacy for safer sex was negatively associated with UAI over the previous three months, at the most recent encounter, and over multiple encounters reported by each participant. In addition, a cross-level interaction of self-efficacy at the person-level and sexual desire at the encounter-level showed that increased sexual desire was associated with greater likelihood of UAI for those with low self-efficacy, but not those with high self-efficacy. Likelihood of UAI was also linked to the situational characteristics of closeness to the partner, seroconcordance, and concern about STIs in the encounter.
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