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The semantics of sexual behavior and their implications for HIV/AIDS research and sexual health: US and UK gay men's definitions of having 'had sex'.

机译:性行为的语义及其对HIV / AIDS研究和性健康的影响:美国和英国的同性恋者对“发生性行为”的定义。

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Understanding the definition and meaning of the word "sex" has implications for sexual medicine, HIV/AIDS research, and clinical practices. Previous studies have reported variations in the definition of having "had sex" and the necessity of using behaviorally specific terminology when taking sexual histories and assessing sexual risk. The purpose of the current study is to assess gay men's definitions of what constitutes having "had sex." Two international convenience samples are compared: a UK sample of 180 self-identified gay men ranging from 18 to 56 years of age (M=36 years; SD=8.29) and a US sample of 190 self-identified gay men ranging 18-74 years of age (M=33.9 years; SD=12.49). Both groups were asked to indicate whether each of a list of sexual behaviors was considered having "had sex." Almost all participants (~95%) believed that penile-anal intercourse constituted having "had sex." US and UK gay men differed in defining the following as having "had sex": giving oral-genital stimulation (US 71.6%, UK 84.9%, P=0.002); giving (G) and receiving (R) manual-anal stimulation (G: US 53.4%, UK 70.9%, P=0.001; R: US 53.7%, UK 71.2%, P=0.001); giving and receiving oral-anal stimulation (G: US 61.2%, UK 78.4%, P<0.001; R: US 59.3%, UK 78.1, P<0.001); and giving and receiving sex-toy stimulation (G: US 55%, UK 77.1%, P<0.001; R: US 56.1%, UK 77.7%, P<0.001). It is important to note that regardless of country there was not overall consensus on which behaviors constituted having had sex. documenting sexual histories and assessing sexual risk. Further, researchers and clinicians should exercise caution by not assuming that their own definitions of the term "sex" is shared by their gay male participants or patients.
机译:理解“性”一词的定义和含义对性医学,艾滋病毒/艾滋病研究和临床实践具有影响。先前的研究报道了“发生性行为”的定义存在差异,在进行性史和评估性风险时使用行为特定术语的必要性。本研究的目的是评估男同性恋者对具有“性行为”的定义。比较了两个国际便利性样本:英国样本中180名年龄在18至56岁之间(M = 36岁; SD = 8.29)的同性恋者,美国样本中190名年龄在18-74之间的同性恋者岁(M = 33.9岁; SD = 12.49)。两组都被要求指出是否每个性行为清单都被认为具有“性行为”。几乎所有参与者(约95%)都认为阴茎与肛门的性交构成了“有性行为”。美国和英国的男同性恋者在将以下定义定义为“有性行为”方面有所不同:给予口腔生殖器刺激(美国71.6%,英国84.9%,P = 0.002);给予(G)和接受(R)人工肛门刺激(G:US 53.4%,UK 70.9%,P = 0.001; R:US 53.7%,UK 71.2%,P = 0.001);给予和接受经口肛门刺激(G:US 61.2%,UK 78.4%,P <0.001; R:US 59.3%,UK 78.1,P <0.001);以及给予和接受性玩具刺激(G:美国55%,英国77.1%,P <0.001; R:美国56.1%,英国77.7%,P <0.001)。重要的是要指出,无论哪个国家,对于构成性行为的行为都没有达成共识。记录性历史并评估性风险。此外,研究人员和临床医生应谨慎行事,不要假设自己的“性”一词的定义被其男同性恋参与者或患者所共有。

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