Correlates of Enhanced Sexual Pleasure from Condom Use: A Study of Young Black Men Who Have Sex with Men in the United States.
This study of young Black MSM (YBMSM) explored the correlates and outcomes of enhanced sexual pleasure from condom-protected sex. Six-hundred YBMSM were enrolled from an sexually transmitted infection clinic in the southern United States. Men completed a computer-assisted self-interview. A 3-item scale assessed perceptions related to condoms enhancing sexual pleasure. Nine of 14 correlates met the screening level of significance and were tested in a regression model. Three obtained multivariable significance: (1) Men discussing condom use with sex partners had greater odds (AOR = 1.67, 95 % CI 1.20-2.34) of experiencing enhanced pleasure; (2) Insertive-partners had lower odds (AOR = 0.63, 95 % CI 0.44-0.91) of experiencing enhanced pleasure; and (3) men scoring higher in internalized homophobia had lower odds (AOR = 0.66, 95 % CI 0.47-0.93) of experiencing enhanced pleasure. Also, men experiencing enhanced pleasure were less likely to report any condomless anal sex. The experience of enhanced sexual pleasure during condom-protected sex may be an important "target" of behavioral intervention efforts.
College of Public Health, University of Kentucky, 111 Washington Ave., Lexington, KY, 40506-0003, USA. crosbyr3@gmail.com.|University of Mississippi Medical Center, Jackson, USA. crosbyr3@gmail.com.
Richard A
RA
Crosby
University of Mississippi Medical Center, Jackson, USA.
Leandro
L
Mena
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D063509:Homophobia; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D008297:Male; D008922:Mississippi; D010465:Perception; D057181:Pleasure; D021841:Safe Sex / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014481:United States; D055815:Young Adult
Black MSM; Condoms; HIV/AIDS; Sex