Problematic online dating app use and its association with mental and sexual health outcomes in a sample of Men-having-Sex-with-Men.

IF 6.6 1区医学 Q1 PSYCHIATRY

Journal of Behavioral Addictions Pub Date : 2025-01-30 Print Date: 2025-03-28 DOI:10.1556/2006.2024.00079

Babette L Winter, Benjamin Hampel, Clarissa Janousch, Frédérique Hovaguimian, Jan S Fehr, Boris B Quednow

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引用次数: 0

Abstract

Background and aims: Online dating applications (ODAs) are gaining popularity, raising concerns about their potential addictive effects on users' health. The main objective of this study was to investigate the association between problematic ODA use and mental health, substance use, and sexual behavior outcomes in men-who-have-sex-with-men (MSM). To achieve this, we first validated a German version of the Problematic ODA Use Scale (PODAUS), which assesses problematic ODA usage patterns.

Methods: Problematic ODA use was assessed in 226 HIV-negative MSM counseling for HIV pre-exposure prophylaxis at baseline and 6-month follow-up (n = 164, Mage = 42, SD = 11). The German PODAUS was validated using confirmatory factor analyses (CFA) and correlational analysis. Multiple linear regression analyses were performed to investigate associations of PODAUS with mental, sexual health, and substance use outcomes.

Results: CFA supported PODAUS' 6-item unidimensional structure, demonstrating excellent fit indices. Reliability analyses indicated good internal consistency (α = 0.79) and high test-retest reliability (rs = 0.68). Regarding mental health, significant positive associations were found between PODAUS and symptoms of depression, loneliness, anxiety, Attention Deficit Hyperactivity Disorder (ADHD), and impulsivity, with medium to large effect sizes. Regarding sexual health, significant negative associations of small to medium effect sizes were found between PODAUS and lifetime prevalence of sexually transmitted infections, body acceptance, and sexual fulfillment, while a significant positive association with trait sex motivation occurred.

Discussion and conclusion: The German version of PODAUS emerges as a valid, reliable tool to assess problematic ODA use. In an MSM sample, problematic ODA use was associated with lower mental and sexual health.

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在男男性行为的男性样本中，有问题的在线约会应用程序使用及其与心理和性健康结果的关系。

背景和目的：在线约会应用程序（oda）越来越受欢迎，引起了人们对其对用户健康的潜在成瘾影响的担忧。本研究的主要目的是调查有问题的ODA使用与男男性行为者（MSM）的精神健康、物质使用和性行为结果之间的关系。为了实现这一目标，我们首先验证了德国版本的问题ODA使用量表（PODAUS），该量表评估了问题ODA使用模式。方法：对226例HIV阴性的男男性接触者进行基线和6个月随访时HIV暴露前预防咨询，评估其ODA使用问题（n = 164, Mage = 42, SD = 11）。采用验证性因子分析（CFA）和相关分析对德国PODAUS进行验证。采用多元线性回归分析来调查PODAUS与精神、性健康和药物使用结果的关系。结果：CFA支持PODAUS的6项单维结构，具有良好的拟合指标。信度分析表明，内部一致性好（α = 0.79），重测信度高（rs = 0.68）。在心理健康方面，发现PODAUS与抑郁、孤独、焦虑、注意缺陷多动障碍（ADHD）和冲动症状之间存在显著的正相关，具有中等到较大的效应量。在性健康方面，PODAUS与性传播感染的终生患病率、身体接受度和性满足之间存在中小型显著负相关，而与特质性动机之间存在显著正相关。讨论和结论：德文版本的PODAUS成为评估官方发展援助使用问题的有效、可靠的工具。在男男性行为者样本中，有问题的官方发展援助使用与较低的精神和性健康有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Behavioral Addictions PSYCHIATRY-

CiteScore

12.30

自引率

7.70%

发文量

审稿时长

20 weeks

期刊介绍： The aim of Journal of Behavioral Addictions is to create a forum for the scientific information exchange with regard to behavioral addictions. The journal is a broad focused interdisciplinary one that publishes manuscripts on different approaches of non-substance addictions, research reports focusing on the addictive patterns of various behaviors, especially disorders of the impulsive-compulsive spectrum, and also publishes reviews in these topics. Coverage ranges from genetic and neurobiological research through psychological and clinical psychiatric approaches to epidemiological, sociological and anthropological aspects.