Les effets de la dépression sur l’activité sexuelle et la prise de risques parmi les gays français utilisateurs de sites de rencontre sur Internet |
| |
| Institution: | 1. Institute for prevention and social research (I-PSR), Minrebroederstraat 7a, 3512 GS Utrecht, Pays-Bas;2. Université d’Utrecht, Utrecht, Pays-Bas;3. Unité de prévention, SNEG Association, Paris, France;4. Direction générale de la santé, Paris, France;1. Hôpital de Bohars, centre hospitalier régional universitaire de Brest, secteur hospitalo-universitaire de psychiatrie d’adultes, route de Ploudalmézeau, 29820 Bohars, France;2. Laboratoire des neurosciences de Brest (EA 4685), université de Bretagne Occidentale, 29200 Brest, France;3. Hôpital de Bohars, centre hospitalier régional universitaire de Brest, intersecteur de psychiatrie de la personne âgée, 29820 Bohars, France;4. EA « éthique, professionnalisme et santé » (EA 4686), université de Bretagne Occidentale, 29200 Brest, France;1. 10, rue Pergolèse, 75016 Paris, France;2. 7 bis, rue Michel-Chasles, 75012 Paris, France;1. Centre d’Accueil SPEcialisé dans le Repérage et le Traitement des Traumatismes psychiques (Caspertt), centre hospitalier de Cadillac, 31, rue des Cavaillès, 33310 Lormont, France;2. Centre de Formation à la Thérapie Intégrative (Cefti), 7, rue Delphin Loche, 33130 Bègles, France;3. ARCA-Observatoire des violences, 53, boulevard Jean Royer, 37000 Tours, France;4. Institut Psycho-Judiciaire et de Psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 10, avenue Joseph Caussil, 33410 Cadillac, France;5. Unité pour malades difficiles (UMD), pôle de psychiatrie médico-légale (PPML), centre hospitalier de Cadillac, 10, avenue Joseph Caussil, 33410 Cadillac, France;6. Population Health Research Center Inserm U1219-“Injury Epidemiology Transport Occupation” team, 146, rue Léo-Saignat, 33076 Bordeaux cedex, France |
| |
| Abstract: | ObjectivesThe objective of this study was to analyse how depression influences sexual desires and activities of gay men to understand the co-occurrence of depressed mood, high sex drive and unprotected anal intercourse with casual partners (UAIC) among some individuals.MethodsIn 2004, French gay men visiting a major gay Internet site participated in an online survey assessing serological status, numbers of casual partners, sex drive and control over sex drive, UAIC, depression and its impact on sexual desire.ResultsOne thousand nine hundred (and) thirty-two men who had casual partners in the previous year were included in the analysis. HIV-negative men on average had 22 casual partners per annum, and 28% reported UAIC. Insertive UAIC was practised with 4.5 partners, and receptive UAIC with 4 partners. Sexual activity and risk-taking were substantially higher for HIV-positive men (M = 46 partners, 58% UAIC), and HIV+ men had UAIC with more partners (insertive M = 20, receptive M = 22). Whereas depression lowered sexual desire among most gay men, a minority of men (22%) experienced the reverse effect. HIV+ men more often reported that depression strongly increased their sexual desires. These depressive sexual urges were found to increase sexual activity and reduce men's control over their sex drive. The combined effects of depressed sexual urges, high level of sex-drive, and low control over sex drive, explained 34% of the variance in risk behaviour in HIV-negative men and 56% of the variance in risk behaviour in HIV-positive men.DiscussionIn some gay men, especially those who are HIV-positive, sexual activity seems to be seems to be used to cope with depressive moods. Sexual coping however significantly increases exposures to risk because it may result in sexual compulsivity and reduces the amount of control individuals have over their sex drive. Tackling the issue of mental health amongst gay men is therefore an important challenge for the prevention of HIV. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
