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首页> 外文期刊>Journal of sex research >Studying the Motivations Behind Sexual Agreements: A First Look at the Motivations Behind Agreement (MBA) Scale for Male Couples
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Studying the Motivations Behind Sexual Agreements: A First Look at the Motivations Behind Agreement (MBA) Scale for Male Couples

机译：研究性协议背后的动机：首次看一个男性夫妻协议背后的动机（MBA）规模

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摘要

Sexual agreements are ubiquitous among male couples, yet little is known about motivations behind agreements and their association with sexual risk for human immunodeficiency virus (HIV). Qualitative interviews with 39 couples informed the development of the items in the Motivations Behind Agreement (MBA) scale. The scale was validated via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using quantitative data from two (790 and 882 men) independent samples of couples. The EFA yielded two factors: relationship quality enhancement motive (RQEM) and sex life enhancement motive (SLEM). The CFA indicated satisfactory global model data fit. Finally, in predicting sexual risk, RQEM and SLEM showed significant interactions with agreement type. For men with monogamous agreements, higher RQEM was associated with less condomless anal sex (CAS) with an outside partner of discordant or unknown serostatus (aOR = 0.15; 95% CI = 0.05, 0.46). For men with nonmonogamous agreements, higher RQEM was associated with less CAS (aOR = 0.76; 95% CI = 0.60, 0.97) while higher SLEM was associated with greater odds of CAS (aOR = 1.57; 95% CI = 1.18, 2.08). Men whose agreements were highly motivated by relationship enhancement were less likely to engage in sexual risk with outside partners regardless of agreement type. HIV-prevention interventions targeting male couples will benefit from incorporating an understanding of couples' agreement motivations.
机译：性协议在男性夫妻中普遍存在，但对达成协议背后的动机和与人类免疫缺陷病毒（艾滋病毒）的性风险的关联知之甚少。与39夫妇的定性访谈知晓该项目的发展（MBA）规模的动机。通过探索因子分析（EFA）和验证因子分析（CFA）验证了规模，并使用来自两（790和882个男性）独立样本的夫妻的定量数据。 EFA产生了两个因素：关系质量增强动机（RQEM）和性生活增强动机（SLEM）。 CFA表示令人满意的全局模型数据适合。最后，在预测性风险时，RQEM和SLEM显示出与协议类型的显着互动。对于具有单次协议的男性，较高的RQEM与不可能或未命名的Serostatus的外部合作伙伴（AOR = 0.15; 95％CI = 0.05,0.46）的外部伴侣，较高的肛门性别（CAS）有关。对于具有非常见协议的男性，RQEM更高的CAS（AOR = 0.76; 95％CI = 0.60,0.97），而较高的SLEM与CAS的更高次数相关（AOR = 1.57; 95％CI = 1.18,2.08）。与关系增强的协议高度动机的人不太可能与外部伙伴进行性风险，而不管协议类型如何。针对男性夫妇的艾滋病毒预防干预措施将受益于纳入对夫妻的协议动机的理解。

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  • 来源
    《Journal of sex research》 |2019年第6期|共10页
  • 作者

    Hoff Colleen C.; Chakravarty Deepalika; Darbes Lynae; Neilands Torsten B.;

  • 作者单位

    San Francisco State Univ Ctr Res &

    Educ Gender &

    Sexual 835 Market St Suite 523 San Francisco;

    San Francisco State Univ Ctr Res &

    Educ Gender &

    Sexual 835 Market St Suite 523 San Francisco;

    Univ Michigan Sch Nursing Ctr Sexual &

    Hlth Dispar Dept Hlth Behav &

    Biol Sci Ann Arbor MI;

    Univ Calif San Francisco Dept Med Ctr AIDS Prevent Studies San Francisco CA 94143 USA;

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  • 正文语种 eng
  • 中图分类 性卫生;
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