PDF(Pubmed)
Abstract：
Past findings on the association between negative body image and sexual health behaviors have been mixed and mostly derived from Western samples. The aim of the current study was to examine associations between indices of negative body image and sexual health practices that reduce the risk of disease transmission in emerging adults, and whether these associations are moderated by gender. Using an online survey, a convenience sample of 584 Malaysian adults aged 18-30 years (230 men, 354 women) completed measures of satisfaction with overall appearance, body size dissatisfaction, weight satisfaction, height satisfaction, and genital image evaluation. They also reported if they ever had partnered sex, condomless sex, and been screened for human immunodeficiency virus (HIV), as well as their lifetime number of penetrative sex partners. Hierarchical logistic and ordinal regression analyses indicated that more positive genital image evaluation, but not the other body image indices, was significantly associated with having had partnered sex and fewer lifetime penetrative sex partners. None of the body image indices were significantly associated with condomless sex. All associations were consistent across men and women. For HIV testing, a significant interaction between genital image evaluation and gender emerged. However, this was reduced to non-significance after controlling for the number of penetrative sex partners. Overall, our findings underline the importance of promoting improved genital image in interventions aimed at increasing positive sexual health behaviors.
摘要：
过去关于负面身体形象与性健康行为之间关联的发现好坏参半，主要来自西方样本。本研究的目的是研究负面身体形象指数与性健康行为之间的关联，以降低新兴成年人的疾病传播风险。以及这些协会是否按性别调节。使用在线调查，584名18-30岁的马来西亚成年人(230名男性，354名妇女)完成了对整体外观的满意度测量，身体尺寸不满意，体重满意度，身高满意度,和生殖器形象评估。他们还报告说他们是否有过性伴侣，无公寓性爱,并进行了人类免疫缺陷病毒（HIV）的筛查，以及他们一生中渗透性伴侣的数量。分层逻辑和序数回归分析表明，更积极的生殖器图像评估，但不是其他身体形象指数，与曾有伴侣性行为和较少的终生穿透性性伴侣显著相关。没有一个身体形象指数与无避孕套性行为显着相关。所有关联在男性和女性之间是一致的。对于艾滋病毒检测，生殖器形象评价和性别之间出现了显著的相互作用。然而,在控制了穿透性性伴侣的数量后,这降低为无意义.总的来说,我们的研究结果强调了在旨在增加积极性健康行为的干预措施中促进生殖器形象改善的重要性.
