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Preferences for condomless sex in sexually explicit media among Black/African American men who have sex with men: Implications for HIV prevention

机译：黑人/非裔美国人与男性发生性关系时在露骨的性爱媒体中偏好无避孕套性爱：对预防艾滋病的影响

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Accumulating evidence suggests that viewing sexually explicit media (SEM; i.e., pornography) may be related to the sexual behaviors of men who have sex with men (MSM). Furthermore, stereotypical depictions of Black/African American MSM engaging in sexual risk behaviors in SEM may serve to normalize condomless sex, reinforce low peer norms around condom use, and facilitate HIV risk-taking among Black/African American MSM. Despite this evidence, very little is known about the correlates of SEM consumption among Black/African American MSM, including HIV risk behaviors and their relation to preferences for viewing condomless sex in SEM. Participants were 653 HIV-seronegative Black-identified MSM ages 18 to 62 (M = 33.58, SD = 11.01) who completed a cross-sectional survey as a part of a HIV-prevention trial in Atlanta, Georgia. Over three-quarters of the men (n = 514) reported a preference for condomless sex in SEM. In multivariate models, engaging in serodiscordant condomless sex was not significantly associated with preferences for condomless sex in SEM; however, men who self-identified as bisexual, engaged in transactional sex, and reported greater agreement with sexual risk cognitions (i.e., heat of the moment thoughts about condom use) has significantly greater odds of reporting a preference for condomless sex in SEM. Study findings highlight the need for future research exploring the role of SEM in the sexual health of Black/African American MSM, including the extent to which SEM exposure alters norms and expectations about sexual behaviors among Black/African American MSM and how this might be addressed in HIV prevention programs.
机译：越来越多的证据表明，观看露骨的性爱媒体（SEM；即色情）可能与与男人发生性关系的男人的性行为有关（MSM）。此外，对黑人/非裔美国MSM在SEM中从事性风险行为的定型描绘可能有助于规范无避孕套的性行为，强化围绕安全套使用的低等同伴规范，并促进黑人/非裔美国MSM中的HIV风险承担。尽管有这些证据，但对黑人/非裔美国MSM中SEM消费的相关性知之甚少，包括HIV风险行为及其与在SEM中观察无避孕套性行为的偏好之间的关系。参加者是653位在黑人中识别出HIV阴性的MSM，年龄在18至62岁（M = 33.58，SD = 11.01），他们在乔治亚州亚特兰大完成了一项横断面调查，作为一项HIV预防试验的一部分。在SEM中，超过四分之三的男性（n = 514）报告他们倾向于无避孕套性行为。在多变量模型中，在SEM中，使用Serodiscordant无避孕套性行为与偏爱无避孕套性行为没有显着相关性。但是，自认是双性恋者，从事性交易，并报告对性风险认知（即，关于使用安全套的当下热度）的认同程度更高的男性，在SEM中报告倾向于使用无性行为的可能性要高得多。研究结果强调，有必要开展进一步研究以探讨SEM在黑人/非裔美国MSM性健康中的作用，包括SEM暴露在多大程度上改变了黑人/非裔MSM中性行为的规范和期望，以及如何解决这一问题。在艾滋病毒预防计划中。

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