避孕套使用自我效能介导化学性和避孕套使用:一个温和的调解分析
Edmond Pui Hang Choi1, Eric Pui Fung Chow2,3,4
1School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Psychology, health & medicine
|March 19, 2025
概括
与男性发生性关系的男性 (MSM) 之间的Chemsex参与显著降低了避孕套使用的自我有效性,增加了无避孕套的性行为. 干预措施的目标应该是提高自我有效性,以减少这一群体的艾滋病毒和性传播疾病风险.
科学领域:
- 公共卫生 公共卫生
- 性健康 性的健康
- 心理学 心理学 心理学
背景情况:
- 化学性与与男性发生性关系的男性 (MSM) 之间更高的艾滋病毒和性传播感染率有关.
- 避孕套对于预防艾滋病毒至关重要,尤其是在暴露前预防无法获得的地方.
- 关于化学性对避孕套使用自我有效性的影响的研究是有限的.
研究的目的:
- 为了评估使用避孕套在使用化学性行为的自我有效性.
- 探索化学性,避孕套使用自我效能和无避孕套的交之间的关系.
- 确定影响MSM无避孕套性行为的因素.
主要方法:
- 在2021年在香港招募的成年MSM.
- 采用后勤回归和调解分析.
- 包括316名MSM,其中51人从事化学性行为.
主要成果:
- 化学性使用者报告说,避孕套使用的自我效能明显降低.
- 化学性交与更高的无避孕套性行为的可能性相关 (OR=3.52).
- 化学性行为通过减少自我效能,间接增加了无避孕套性行为的风险,同性恋男性的效果更强.
结论:
- 化学性行为对MSM的避孕套使用自我有效性产生负面影响.
- 针对性干预以提高自我效能对于预防艾滋病毒/性传播疾病至关重要.
- 加强自我效能可以促进避孕套的使用,并降低参与化学性行为的MSM感染风险.
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