Condoms and Contexts: Profiles of Sexual Risk and Safety Among Young Heterosexually Active Men.
Condoms and Contexts: Profiles of Sexual Risk and Safety Among Young Heterosexually Active Men.
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DOI：
10.1080/00224499.2014.953023
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发表时间：
2015
影响因子：
3.6
通讯作者：
Wells EA
中科院分区：
文献类型：
--
作者：
Masters NT;Casey E;Beadnell B;Morrison DM;Hoppe MJ;Wells EA
异性恋男性的性安全行为对于控制包括艾滋病毒在内的美国性传播感染(STI)的流行非常重要。虽然性安全通常被视为一种单一的行为，如使用避孕套，但它也可以被概念化为多种因素造成的。这样做可以帮助我们对与伴侣相关的环境中的性风险和安全性有更细微的理解。我们使用潜在类别分析，从网上收集了18-25岁的异性恋活跃的美国男性(n=432)的数据，实证地得出了他们使用的性安全策略模式的类型。指标是在过去一年中与最近的女性性伴侣使用的减少性风险的策略：使用避孕套，讨论性史，性传播感染检测，同意一夫一妻制，以及讨论节育。我们确定了四个亚群：冒险者(12%)、安全套依赖者(25%)、多战略家(28%)和关系依赖者(35%)。与伴侣相关的背景因素--过去一年的性伴侣数量、关系承诺和性同步--预测了小组成员。研究结果支持为男性性风险-安全亚群量身定做性病预防。干预措施当然应该继续鼓励使用避孕套，但也应该包括与伴侣相关的背景因素和替代性安全策略如何帮助男性降低自己和伴侣的风险。
Heterosexual men’s sexual safety behavior is important to controlling the U.S. epidemic of sexually transmitted infections (STIs), including HIV. While sexual safety is often treated as a single behavior, such as condom use, it can also be conceptualized as resulting from multiple factors. Doing so can help us achieve more nuanced understandings of sexual risk and safety within partner-related contexts. We used Latent Class Analysis with data collected online from 18-25 year old heterosexually active U.S. men (n = 432) to empirically derive a typology of the patterns of sexual safety strategies they employ. Indicators were sexual risk reduction strategies used in the past year with the most recent female sex partner: Condom use, discussing sexual histories, STI testing, agreeing to be monogamous, and discussing birth control. We identified four subgroups: Risk Takers (12%), Condom Reliers (25%), Multistrategists (28%), and Relationship Reliers (35%). Partner-related context factors – number of past-year sex partners, relationship commitment, and sexual concurrency – predicted subgroup membership. Findings support tailoring STI prevention to men’s sexual risk-safety subgroups. Interventions should certainly continue to encourage condom use, but should also include information on how partner-related context factors and alternate sexual safety strategies can help men reduce risk for themselves and their partners.
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影响因子：
2.7
作者：
Kennedy, David P.;Brown, Ryan A.;Golinelli, Daniela;Wenzel, Suzanne L.;Tucker, Joan S.;Wertheimer, Samuel R.
通讯作者：
Wertheimer, Samuel R.
影响因子：
12.7
作者：
Blum, RW;Beuhring, T;Resnick, MD
通讯作者：
Resnick, MD
影响因子：
3.1
作者：
Humblet, O;Paul, C;Dickson, N
通讯作者：
Dickson, N
影响因子：
5.4
作者：
CAMPBELL, CA
通讯作者：
CAMPBELL, CA
影响因子：
3.5
作者：
Hoefnagels, Cees;Hospers, Harm J.;Schaalma, Herman
通讯作者：
Schaalma, Herman