ABSTRACT

Sexual minority men (e.g., gay, bisexual, queer) are more likely than heterosexual men to be involved in an adolescent pregnancy, but little research has been done on the context surrounding this disparity. To address this gap, and as part of the larger Sexual Orientation, Gender Identity, and Pregnancy Experiences (SLOPE) Study, semi-structured interviews and descriptive surveys were conducted with 10 cisgender sexual minority men, ages 29–49, from across the United States. Interview transcripts were analyzed using immersion/crystallization and template organizing style methods, and themes were organized into a conceptual model describing sexual minority men’s debut sexual activity and decision-making experiences during adolescence. This model depicts three themes: 1) partnership and negotiation of sexual experiences, 2) psychological processes related to development, pregnancy, and sexuality, and 3) cultural and environmental contexts. These three themes are contextualized by a throughline of transformative life events (i.e., the existence and chronology of life-impacting events). Findings indicate a complex interplay of psychological (e.g., developmental processes surrounding sexuality and sexual orientation), social (e.g., personal relationships), and policy-level factors (e.g., sex education) influence sexual minority men’s sexuality and pregnancy prevention decision-making during adolescence. Care should be taken to consider and include sexual minority men in pregnancy prevention messaging and education.

摘要

性少数男性（例如同性恋、双性恋、酷儿）比异性恋男性更有可能参与青春期怀孕，但围绕这种差异的背景却很少进行研究。为了解决这一差距，作为更大规模的性取向、性别认同和怀孕经历 (SLOPE) 研究的一部分，我们对来自美国各地的 10 名年龄 29-49 岁的顺性别性少数男性进行了半结构化访谈和描述性调查。状态。使用沉浸/结晶和模板组织风格方法对访谈笔录进行分析，并将主题组织成概念模型，描述性少数男性在青春期的首次性活动和决策经历。该模型描绘了三个主题：1）性经历的伙伴关系和协商，2）与发育、怀孕和性有关的心理过程，3）文化和环境背景。这三个主题通过一系列变革性的生活事件（即影响生活的事件的存在和时间顺序）来背景化。研究结果表明，心理（例如，围绕性和性取向的发展过程）、社会（例如，个人关系）和政策层面因素（例如，性教育）之间复杂的相互作用影响着性少数男性的性行为和怀孕预防决策。青春期。应注意将性少数男性纳入预防怀孕的信息和教育中。