The role of sexual arousal and sexual partner characteristics in HIV plus MSM's intentions to engage in unprotected sexual intercourse
The role of sexual arousal and sexual partner characteristics in HIV plus MSM's intentions to engage in unprotected sexual intercourse
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DOI：
10.1037/0278-6133.27.4.445
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发表时间：
2008-07-01
影响因子：
4.2
通讯作者：
Fisher, William A.
中科院分区：
文献类型：
--
作者：
Shuper, Paul A.;Fisher, William A.
目的：本研究调查的影响，性唤起和性伴侣的特点，艾滋病毒阳性的男性与男性发生性关系（MSM）的意图，从事无保护的性行为的决定因素。设计图：在一项基于计算机的对照实验中，67名HIV+ MSM经历了性唤起操作，并表示他们打算与假设的艾滋病毒血清状态，身体吸引力，关系类型和偏好使用避孕套方面不同的合作伙伴进行无保护的性行为。主要结果测量：计算机提供的问题评估艾滋病毒+男男性接触者的意图，从事各种性行为与每个假设的合作伙伴。结果如下：正如所预测的那样，性唤起的HIV+ MSM比未唤起的HIV+ MSM更倾向于进行无保护的性行为;有一个有吸引力的、HIV+的、长期的或不喜欢使用避孕套的伴侣也会导致更危险的意图。这些因素之间的几个显着的相互作用被发现，这与预测和理论和认知加工和决策的研究是一致的。结论：这些发现对于理解HIV+个体中的危险性行为以及制定降低这种风险的干预措施具有重要意义。
Objective: This study investigated the effects of sexual arousal and sexual partner characteristics as determinants of HIV+ men who have sex with men's (MSM) intentions to engage in unprotected sex. Design: In a computer-based controlled experiment, 67 HIV+ MSM underwent a sexual arousal manipulation and indicated their intentions to engage in unprotected sex with hypothetical partners who differed in terms of HIV serostatus, physical attractiveness, relationship type, and preference for condom use. Main Outcome Measures: Computer-delivered questions assessed HIV+ MSM's intentions to engage in various sexual acts with each hypothetical partner. Results: As predicted, sexually aroused HIV+ MSM indicated stronger intentions to engage in unprotected sex than nonaroused HIV+ MSM; and having a partner who was attractive, HIV+, long term, or who preferred not to use condoms, also led to riskier intentions. Several significant interactions among these factors were found, which were generally consistent with predictions and with theory and research on cognitive processing and decision making. Conclusions: These findings have implications for understanding risky sexual behavior among HIV+ individuals and for the development of interventions to reduce this risk.