The effects of alcohol and sexual arousal on determinants of sexual risk in men who have sex with men.
The effects of alcohol and sexual arousal on determinants of sexual risk in men who have sex with men.
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DOI：
10.1007/s10508-011-9846-x
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发表时间：
2012-08
影响因子：
3.8
通讯作者：
Woolf-King, Sarah E.
中科院分区：
文献类型：
--
作者：
Maisto, Stephen A.;Palfai, Tibor;Vanable, Peter A.;Heath, Jessie;Woolf-King, Sarah E.
对于性危险行为的初级预防工作至关重要。本实验旨在调查酒精中毒和性唤起，以及酒精性行为预期和对避孕套使用的态度的个人变量对男男性行为(MSM)性行为危险行为的假设决定因素的影响。参与者是117名年龄在21-50岁的MSM，他们被随机分配到六种不同的实验条件中，其中一种是由饮料摄入(水控制、安慰剂或酒精，旨在将血液酒精水平提高到0.07%)和性唤起(低或高，通过参与者观看非色情或轻度色情电影剪辑来操纵)创造的。参与者参加了两个实验阶段。第一阶段包括完成关于酒精对性的影响的信念以及对避孕套对性快感影响的态度的调查问卷。第二阶段涉及饮料条件和唤醒操作。随后，参与者观看了描述高性风险场景的两个互动视频并做出了回应。参与者也完成了护理，这是一种风险感知的衡量标准。因变量是行为技能，不安全性行为的意图，以及根据对视频的反应得出的“风险暴露”。计划性分析和探索性分析的结果都表明，酒精通过性唤醒和期待来增强性风险的假设得到了普遍支持。同样，正如预测的那样，避孕套态度与风险暴露和意图有直接关系。讨论了这些发现对酒精对性风险影响的模型和艾滋病毒预防干预措施发展的影响。
Primary prevention efforts aimed at sexual risk behaviors are critical. This experiment was designed to investigate the effects of alcohol intoxication and sexual arousal, as well as person variables of alcohol sex expectancies and attitudes toward condom use, on hypothesized determinants of sexual risk behaviors among men who have sex with men (MSM). The participants were 117 MSM aged 21–50 years who were randomly assigned to one of six separate experimental conditions created by the combination of beverage administration (water control, placebo or alcohol designed to raise blood alcohol level to .07%) and sexual arousal (low or high, manipulated by participants’ viewing non-erotic or mildly erotic film clips). Participants attended two experimental sessions. The first session included completing questionnaires about beliefs about alcohol’s effects on sex and attitudes toward condoms’ effect on sexual pleasure. The second session involved the beverage condition and arousal manipulations. Following these, participants viewed and responded to two interactive videos depicting high sexual risk scenarios. Participants also completed the CARE, a measure of risk perceptions. The dependent variables were behavioral skills, intentions to have unsafe sex, and “risk exposure,” derived from responses to the videos. The results of both planned and exploratory analyses showed general support for the hypothesized enhancement of alcohol’s effects on sexual risk by both sexual arousal and expectancies. Also as predicted, condom attitudes showed direct relationships to risk exposure and intentions. Implications of the findings for models of alcohol’s effects on sexual risk and for the development of HIV prevention interventions were discussed.
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影响因子：
2
作者：
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通讯作者：
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