杭州市某男同性恋浴池男男性行为者HIV感染状况及影响因素

目的:了解男同性恋浴池男男性行为者（MSM）的HIV感染情况及其影响因素,为在MSM人群中开展有效预防干预提供信息和依据。方法:2015年10月至2016年1月在杭州市某男同性恋浴池开展横断面调查,招募最近6个月与同性发生性行为的MSM,通过一对一调查收集人口学和性行为等信息,并开展HIV抗体检测,分析HIV抗体确证结...     

Use of Geosocial Networking Applications Is Associated With Compulsive Sexual Behavior Disorder in an Online Sample

BackgroundGeosocial networking applications (GNAs) are relatively new outlets through which individuals may find partners for sexual encounters. There has been a paucity of research on the associations between use of these platforms and measures of mental health and compulsive sexual behavior disorder (CSBD).AimTo examine associations between use of GNA, anxiety, and CSBD.MethodsUsing data from a large nontargeted Web-based sample (N = 4,203), we examined demographics associated with the use of GNAs. Using multivariable logistic regression adjusting for demographic differences between users and non-users, we examined associations between GNA use, anxiety, and CSBD.OutcomesThe outcomes are Generalized Anxiety Disorder-7 and a modified Hypersexual Behavior Inventory-19.ResultsThe percentage of participants that reported they used GNAs was 12.3%. Those who reported using the applications compared with those who did not were more likely to be young, male, and nonheterosexual. After adjusting for demographic variables, GNAs use was associated with CSBD (adjusted odds ratio = 1.62, 95% confidence interval: 1.09–2.37, P = .015) but not anxiety.Clinical ImplicationsThis study is an initial foray into the relationships between GNA and mental health, establishing a relationship between GNA use and CSBD. Future research is needed to better understand the relationships between GNA use, psychopathology, and CSBD.Strengths & LimitationsStrengths of the study include its large sample size and nontargeted recruitment design, which minimizes confirmation bias. Limitations include the cross-sectional nature of this study, which precludes determination of the direction of causation.ConclusionUse of GNAs was prevalent among our sample and associated with CSBD. GNA use may represent an important platform through which CSBD manifests. Conversely, GNA use may drive CSBD.Turban JL, Passell E, Scheuer L, et al. Use of Geosocial Networking Applications Is Associated With Compulsive Sexual Behavior Disorder in an Online Sample. J Sex Med 2020;17:1574–1578.     

Syndemics of stigma,minority-stress,maladaptive coping,risk environments and littoral spaces among men who have sex with men using chemsex

There has been a steep rise in the use of drugs during sex (chemsex) by some men who have sex with men in economically developed countries, with associated increases in sexual risk for HIV and other STIs. This paper presents data from telephone interviews with 15 men attending sexual health clinics for post-exposure prophylaxis following a chemsex-related risk for HIV and discusses some of the theoretical approaches that have been employed to understand chemsex and inform interventions. Interviews were conducted as part of a larger intervention study, which used an adapted version of motivational Interviewing to explore risk behaviour and support change. Participants conceptualised their chemsex and HIV-related risks in a psycho-social context, highlighting the influences of psycho-socio-cultural challenges of homophobic marginalisation and the ‘gay scene’ on behaviour. Multiple influences of stigma, marginalisation, minority stress and maladaptive coping (including drug-use) contribute to syndemic ‘risk-environments’ and ‘littoral spaces’ in which chemsex and risk behaviours are played out.     

“Macho” Beliefs Moderate the Association Between Negative Sexual Episodes and Activation of Incompetence Schemas in Sexual Context,in Gay and Heterosexual Men

BackgroundDespite the existence of conceptual models of sexual dysfunction based on cognitive theory, few studies have tested the role of vulnerability factors such as sexual beliefs as moderators of the activation of cognitive schemas in response to negative sexual events.AimTo test the moderator role of dysfunctional sexual beliefs in the association between the frequency of negative sexual episodes and the activation of incompetence schemas in gay and heterosexual men.MethodsFive-hundred seventy-five men (287 gay, 288 heterosexual) who completed an online survey on cognitive-affective dimensions and sexual functioning were selected from a larger database. Hierarchical regression analyses were conducted to test the hypothesis that dysfunctional sexual beliefs moderate the association between the frequency of unsuccessful sexual episodes and the activation of incompetence schemas.OutcomeParticipants completed the Sexual Dysfunctional Beliefs Questionnaire and the Questionnaire of Cognitive Schemas Activated in Sexual Context.ResultsFindings indicated that men's ability for always being ready for sex, to satisfy the partner, and to maintain an erection until ending sexual activity constitute “macho” beliefs that moderate the activation of incompetence schemas when unsuccessful sexual events occur in gay and heterosexual men. In addition, activation of incompetence schemas in response to negative sexual events in gay men was moderated by the endorsement of conservative attitudes toward moderate sexuality.Clinical ImplicationsThe main findings suggested that psychological interventions targeting dysfunctional sexual beliefs could help de-catastrophize the consequences of negative sexual events and facilitate sexual functioning.Strengths and LimitationsDespite being a web-based study, it represents the first attempt to test the moderator role of dysfunctional sexual beliefs in the association between the frequency of unsuccessful sexual episodes and the activation of incompetence schemas in gay and heterosexual men.ConclusionOverall, findings support the role of sexual beliefs as facilitators of the activation of incompetence schemas in the face of negative sexual events in gay and heterosexual men, emphasizing the need to develop treatment and prevention strategies aimed at challenging common male beliefs about sexuality.Peixoto MM, Nobre P. “Macho” Beliefs Moderate the Association Between Negative Sexual Episodes and Activation of Incompetence Schemas in Sexual Context, in Gay and Heterosexual Men. J Sex Med 2017;14:518–525.     

男同性恋者自我认同发展的质性研究

同性恋者自我认同是指认识和接纳自己的同性性倾向,并以同性恋者的身份组织个人生活,与社会发生积极的互动。自我认同对于维护同性恋者的身心和谐发展具有重要意义。该文使用质性研究的方法,通过对23名男同性恋者的半结构式访谈,利用扎根理论对访谈材料的进行编码分析,探索男同性恋者的自我认同发展历程。结果发现:男同性恋者的自我认同发展经历了同性吸引、自我标签化(即确认自己的同性性取向)、同性性接触和自我表露(即告知他人自己的同性恋者身份)等阶段;男同性恋者的身份公开主要发生在自我和私人层面,他们倾向于向周围人隐藏自己的性取向,更不愿意向父母表露自己的同性恋者身份;性行为对促进男同性恋者认同而言并不是必须的;家庭环境是影响同性恋形成的重要因素。     

Behavioral couple therapy for gay and lesbian couples with alcohol use disorders

Gay (n = 52) and lesbian (n = 48) patients with alcohol use disorder (AUD) and their non-substance-abusing same-sex relationship partners were randomly assigned to equally intensive interventions consisting of (a) behavioral couples therapy (BCT) plus individual-based treatment (IBT) or (b) IBT only. This study reports two separate trials, one with gay male participants and one with lesbian female participants. For both gay and lesbian patients with AUD, those who received BCT had a significantly lower percentage of days of heavy drinking during the year after treatment than patients who received IBT only. In addition, both gay and lesbian couples who received BCT reported higher levels of relationship adjustment at the end of treatment and in the year after treatment than those who received IBT only. Thus, the response of gay and lesbian couples with an alcoholic member to BCT was consistent with what has been observed with heterosexual couples.     

Binge drinking among gay,and lesbian youths: The role of internalized sexual stigma,self-disclosure,and individuals’ sense of connectedness to the gay community

We examined the prevalence of binge drinking among lesbian and gay (LG) youths, and evaluated whether experiences such as internalized sexual stigma, the experience of “coming out” to family and friends, and the individuals' sense of “connectedness” to the gay community could be associated with alcohol abuse. The research involved 119 gay (58.9%) and 83 lesbian (41.1%) Italian youths (18 to 24 years old). According to previous research, youths were categorized in non-drinkers, social, binge and heavy drinkers. Results showed that the estimated percentage of binge drinking among gay and lesbian youths is 43.6%. The survey revealed that social, binge, and heavy drinkers differ in terms of some drinking variables, internalized sexual stigma, family and peer self-disclosure, and connectedness gay community. Implications for the prevention of binge drinking in LG youths are currently under discussion even if further investigation is urgently needed.