Sexual behavior among HIV-positive men who have sex with men:: What's in a label?
Sexual behavior among HIV-positive men who have sex with men:: What's in a label?
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DOI：
10.1080/00224490309552179
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发表时间：
2003-05-01
影响因子：
3.6
通讯作者：
Halkitis, P
中科院分区：
文献类型：
--
作者：
Hart, TA;Wolitski, RJ;Halkitis, P
相对而言，很少有人注意到男男性行为者在描述性交过程中插入性或接受性行为时所使用的标签的使用和重要性。本研究调查了205名男男性行为的HIV血清阳性男性的性自我标签、性行为、HIV传播风险和心理功能。大多数参与者（88%）认为自己是“顶级”、“底层”或“全能”。顶部的人比底部的人更有可能进行插入性肛交，底部的人比顶部的人更有可能进行接受性肛交，多面者报告这两种行为的比例居中。虽然研究结果为自我标签的预测效用提供了初步证据，但自我标签组的性行为存在很大的重叠。自我标签组在同性恋自我认同、内化同性恋恐惧症、性感觉寻求和焦虑方面存在差异。结果表明，除了询问性行为外，评估自我标签还有一个附加价值。
Relatively little attention has been paid to the use and importance of labels used by men who have sex with men to describe insertive or receptive sexual behavior during intercourse. This study examines sexual self-labels, sexual behavior, HIV transmission risk, and psychological functioning among 205 HIV-seropositive men who have sex with men. The majority of participants (88%) identified as a "top," a "bottom," or "versatile." Tops were more likely to engage in insertive anal intercourse than bottoms, and bottoms were more likely to engage in receptive anal intercourse than tops, with versatiles reporting intermediate rates of both behaviors. Although the results suggest preliminary evidence regarding the predictive utility of self-labels, sexual behaviors of self-label groups were greatly overlapping. Differences were found among self-label groups in gay self-identification, internalized homophobia, sexual sensation seeking, and anxiety. Results suggest an added value in assessing self-labels in addition to asking about sexual behavior.