Association between cannabis use and sexual risk behavior among young heterosexual adults
Association between cannabis use and sexual risk behavior among young heterosexual adults
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DOI：
10.1007/s10461-006-9103-9
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发表时间：
2006-09-01
影响因子：
4.4
通讯作者：
Moggi, Franz
中科院分区：
文献类型：
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作者：
Brodbeck, Jeannette;Matter, Monika;Moggi, Franz
为了研究大麻使用和频繁的性风险行为之间的关联，我们使用全球关联研究和事件水平分析相结合的方法来测试大麻使用在性接触中的情境影响的假设，并使用中介模型来检查可能的中介变量，包括享乐主义/风险偏好的人格特质，心理社会压力和艾滋病毒相关的信念。对2790名16-24岁的异性恋男女进行随机抽样的计算机辅助电话采访的结果表明，使用大麻的男女比不使用大麻的人更频繁地发生危险的性行为。结果并不支持大麻中毒对性风险行为的情境效应。大麻使用者中更频繁的性风险行为是通过降低使用艾滋病毒保护的意图，降低艾滋病毒自我效能感和更高的风险偏好/享乐主义来介导的。只有在女性中，心理社会压力才是部分中介因素。研究结果表明，使用大麻的年轻人的艾滋病毒预防计划应该强调个人变量而不是情况变量的作用。
To study the association between cannabis use and frequent sexual risk behavior, we tested the hypothesis of a situational influence of cannabis use in sexual encounters using a combination of global association study and event-level analysis and examined possible mediator variables, including the personality trait of hedonism/risk preference, psychosocial stress, and HIV-related beliefs, using mediation models. The results of a computer-assisted telephone interview of a random sample of 2790 heterosexual men and women aged 16-24 years showed that risky sexual behavior was more frequent in cannabis-using men and women than in non-using persons. The results did not support a situational effect of cannabis intoxication on sexual risk behavior. The more frequent sexual risk behavior among cannabis users was mediated by decreased intentions to use HIV protection, by lower HIV-self-efficacy, and higher risk preference/hedonism. Only among women psychosocial stress was a partial mediator. The findings show that HIV prevention programs for cannabis-using young adults should emphasize the role of person variables instead of situation variables.