Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes.
Body Dissatisfaction Among Sexual Minority Men: Psychological and Sexual Health Outcomes.
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DOI：
10.1007/s10508-015-0683-1
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发表时间：
2016-07
影响因子：
3.8
通讯作者：
Mayer KH
中科院分区：
文献类型：
--
作者：
Blashill AJ;Tomassilli J;Biello K;O'Cleirigh C;Safren SA;Mayer KH
对身体的不满在性少数群体中很常见（即，男同性恋和双性恋）男子;然而，很少有研究调查身体不满和性心理健康变量之间的关系在这一人群中。确实存在的数据完全是横截面的，在时间关联方面存在不确定性。因此，本研究的目的是评估身体不满与心理和性健康结果之间的前瞻性关系。参与者是131名男同性恋和双性恋男性，他们在两个时间点（基线和3个月随访）完成了一系列自我报告措施，包括评估身体不满，抑郁症状和性健康变量（性自我效能和性焦虑）。广义线性模型被用来评估身体不满意度和结果变量之间的前瞻性关系，考虑到非正态分布。身体不满意显著预测抑郁症状升高（B = 0.21，p = 0.01），性自我效能降低（B =-0.22，p = 0.04），性焦虑升高（B = 0.05，p = 0.03）。对身体的不满意度升高与消极的心理和性健康结果相关。考虑到性少数男性对身体形象的担忧普遍存在，抑郁症和/或艾滋病毒/性传播感染预防计划可能会受益于对这一人群身体不满的常规评估，并解决那些报告担忧的人。
Body dissatisfaction is common among sexual minority (i.e., gay and bisexual) men; however, few studies have investigated the relationship between body dissatisfaction and psychosexual health variables among this population. The data that do exist are exclusively cross-sectional, casting uncertainty regarding temporal associations. Thus, the aims of the current study were to assess the prospective relationship between body dissatisfaction and psychological and sexual health outcomes. Participants were 131 gay and bisexual men who completed a battery of self-report measures across two time points (baseline and 3-month follow-up), including assessment of body dissatisfaction, depressive symptoms, and sexual health variables (sexual self-efficacy and sexual anxiety). Generalized linear modeling was employed to assess the prospective relationship between body dissatisfaction and outcomes variables, accounting for non-normal distributions. Body dissatisfaction significantly predicted elevated depressive symptoms (B = .21, p = .01), lower sexual self-efficacy (B = −.22, p = .04), and elevated sexual anxiety (B = .05, p = .03). Elevated body dissatisfaction is prospectively associated with negative psychological and sexual health outcomes. Given the high prevalence of body image concerns in sexual minority men, depression and/or HIV/STI prevention programs may benefit from routinely assessing for body dissatisfaction among this population, and addressing those who report concerns.