Young urban adults' heterosexual risk encounters and perceived risk and safety: a structured diary study.
Young urban adults' heterosexual risk encounters and perceived risk and safety: a structured diary study.
复制标题
城市年轻人的异性恋风险遭遇以及感知的风险和安全：一项结构化日记研究。
DOI：
10.1080/00224490609552333
复制
发表时间：
2006
影响因子：
3.6
通讯作者：
Patel,VimlaL
中科院分区：
文献类型：
--
作者：
O'Sullivan,LuciaF;Udell,Wadiya;Patel,VimlaL
使用日记的方法，我们探索了两周内年轻人的性风险交互作用的特征，以及框架效应表明这些性风险行为的感知风险和安全性之间的关联。我们对所有参与者进行了筛查，以确保在艾滋病毒知识测量中获得中等到高分。在市中心一所大学注册的男性(n=44)和女性(n=48)收集了日记数据，在两周内(1278人/日)产生了440次性行为报告。尽管参与者参与性风险活动，包括在性交过程中高度不一致地使用避孕套，但参与者一致报告说安全性很高，风险很小或没有风险。只有女性的安全感(而不是风险)与避孕套的使用有关，男性的安全感和风险都没有关系。安全和风险评级似乎在很大程度上是独立运行的。与新伴侣的性行为和新的性行为都与高风险和低安全性的判断有关，只有男性才会这样做。这些结果增加了越来越多的证据，表明年轻人未能将他们关于艾滋病毒风险的一般知识融入他们的个人互动中。这项研究对开发有艾滋病毒风险的年轻人的性决策认知模型具有意义，并可能提供与年轻人的风险和安全感相关的性互动的背景特征的洞察。
Using diary methods, we explored characteristics of young adults’ sexual risk interactions over a 2‐week period and the framing effects indicate in associations between the perceived risk and safety of these sexual risk behaviors. We screened all participants to ensure moderate to high scores on an HIV knowledge measure. Men (n= 44) and women (n= 48) enrolled at an inner‐city college collected diary data, generating reports of 440 sex occasions over a 2‐week period (1,278 person‐days). Despite participation in sexual risk activities, including highly inconsistent condom use during intercourse, participants uniformly reported high safety and little to no risk. Only women's perceptions of safety (not risk) were associated with condom use, men's perceptions of both safety and risk were unrelated. Ratings of safety and risk appeared to operate independently for the most part. Sex with new partners and new sexual activity were associated with both judgments of greater risk and lower safety were associated for men only. These results add to the growing evidence that young people fail to integrate their general knowledge regarding HIV risk into their personal interactions. This study has implications for the development of cognitive models around sexual decision‐making for young adults at risk for HIV and may provide insight into the contextual features of sexual interactions associated with young people's perceptions of risk and safety.