A model of sexual risk behaviors among young gay and bisexual men: Longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process
A model of sexual risk behaviors among young gay and bisexual men: Longitudinal associations of mental health, substance abuse, sexual abuse, and the coming-out process
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DOI：
10.1521/aeap.2006.18.5.444
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发表时间：
2006-10-01
影响因子：
1.8
通讯作者：
Hunter, Joyce
中科院分区：
文献类型：
--
作者：
Rosario, Margaret;Schrimshaw, Eric W.;Hunter, Joyce
年轻男同性恋和双性恋男性的性风险行为必须在其他健康问题的背景下理解（例如，焦虑、物质滥用），人群特异性因素（即，出柜过程和与同性恋有关的压力），儿童期性虐待，以及其他理论因素（例如，安全性行为的意图）。目前的报告提出并纵向研究了纽约市年轻男同性恋和双性恋者随后性风险行为的风险因素模型。正如假设的那样，对同性恋的消极态度，更多的药物滥用症状，以及对安全性行为的不良意图与次年无保护肛交的可能性直接相关。此外，较低的自尊，更多的焦虑症状，和儿童期性虐待与更多的无保护的肛交间接通过更多的性伴侣，性接触，和药物滥用症状。这些研究结果表明，针对年轻男同性恋和双性恋男性的性风险行为的干预措施可能会更有效，如果他们也解决心理健康问题和出柜过程的各个方面。
Sexual risk behaviors of young gay and bisexual men must be understood within the context of other health concerns (e.g., anxiety, substance abuse), population-specific factors (i.e., the coming-out process and gay-related stress), childhood sexual abuse, and other theoretical factors (e.g., safer-sex intentions). The current report proposes and longitudinally examines a model of risk factors for subsequent sexual risk behaviors among young gay and bisexual men in New York City. As hypothesized, more negative attitudes toward homosexuality, more substance abuse symptoms, and poorer intentions for safer sex were directly associated with a greater likelihood of unprotected anal sex over the following year. Furthermore, lower self-esteem, more anxious symptoms, and childhood sexual abuse were related to more unprotected anal sex indirectly through more sexual partners, sexual encounters, and substance abuse symptoms. These findings suggest that interventions targeting sexual risk behaviors of young gay and bisexual men may be more effective if they also address mental health concerns and aspects of the coming-out process.