正常体重、超重和肥胖性少数群体男性的性健康决定因素。

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM
Journal of Obesity Pub Date : 2021-03-18 eCollection Date: 2021-01-01 DOI:10.1155/2021/1272316
Henrique Pereira
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引用次数: 0

摘要

背景:随着人们日益认识到超重和肥胖是重大的国际公共健康问题,调查性少数群体男性的体重指数(BMI)、性健康和性功能之间关系的研究仍然很少:本研究旨在评估同性恋和双性恋男性中与正常体重、超重和肥胖有关的性健康决定因素(性行为和性功能):调查包括四类问题/测量,涵盖社会人口学信息、受保护/无保护的性行为、性功能和体重指数。调查在网上进行,招募方式包括在线通知(电子邮件和电子信息)以及向 LGBT 社区组织、邮件列表和社交网络发送广告:研究样本由 741 名男同性恋者和双性恋者组成,年龄在 21 岁至 75 岁之间(平均年龄 = 43.30 岁,平均年龄 = 11.37 岁);62.5% 的男性自我认同为男同性恋者,37.5% 的男性自我认同为双性恋者。体重正常者占 50.3%,超重者占 33.3%,肥胖者占 16.4%。与体重正常的参与者相比,超重和肥胖的参与者在不使用安全套的情况下进行肛交的频率较低。为评估体重指数对性健康的影响而进行的层次多元回归分析表明,年龄较小、自我认同为同性恋、处于恋爱关系中、阴茎较长、在性爱中采取插入姿势以及体重正常是预测不戴安全套肛交的重要因素,占总变异的 24.2%。然而,体重指数并不能预测性功能:这些发现强调了将体重指数纳入性少数群体男性性行为模型的重要性,以更好地了解体重指数在影响性风险方面的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sexual Health Determinants of Normal Weight, Overweight, and Obese Sexual Minority Men.

Background: With the growing recognition of overweight and obesity as significant, international public health concerns, the body of research investigating the relationship between body mass index (BMI), sexual health, and sexual functioning in sexual minority men is still scarce.

Objective: The purpose of this study is to assess sexual health determinants (sexual behavior and sexual functioning) in relation to normal weight, overweight, and obesity among gay and bisexual men.

Methods and materials: The survey included four categories of questions/measurements, encompassing sociodemographic information, protected/unprotected sexual behaviors, sexual functioning, and BMI. The survey was conducted online, and recruitment consisted of online notifications (emails and electronic messages) and advertisements sent to LGBT community organizations, mailing lists, and social networks.

Results: The study sample was composed of 741 gay and bisexual men, ranging in age from 21 to 75 years (M age = 43.30, SDage = 11.37); 62.5% of men self-identified as gay and 37.5% as bisexual. Prevalence of normal weight was 50.3%, of overweight, 33.3%, and of obesity, 16.4%. Participants with overweight and obesity showed a lower frequency of anal receptive sex without condoms when scompared to participants with normal weight. Hierarchical multiple regression analysis to assess the effects of BMI on sexual health showed that being younger in age, self-identifying as gay, being in a relationship, having longer penises, adopting insertive position in sex, and being normal weight were significant predictors of anal receptive sex without condoms, explaining 24.2% of the total variance. Yet, BMI was not predictive of sexual functioning.

Conclusion: These findings highlight the importance of including BMI in sexual behavior models of sexual minority men to better understand BMI's role in influencing sexual risk.

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来源期刊
Journal of Obesity
Journal of Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
7.50
自引率
3.00%
发文量
19
审稿时长
21 weeks
期刊介绍: Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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