中国九城市2046例男同性爱者与艾滋病相关状况调查概况  

Correlation between AIDS and homosexuals:A study of 2046 male homosexuals in nine major cities of China

作　　者：张北川[1] 李秀芳[1] 储全胜[2] 汪宁[3] 汪兆国 周生建 童传良[5] 张敬东[6] 管文辉[7] 崔兆麟[8] 王夏[9] 

机构地区：[1]青岛大学医学院附属医院性健康中心,山东青岛266003 [2]青岛市疾病预防控制中心,山东青岛266033 [3]中国疾病预防控制中心,北京市100050 [4]重庆市渝中区人口与计划生育生殖健康中心,重庆市400010 [5]中国福利会国际和平妇幼保健院上海生殖保健指导中心,上海市200030 [6]哈尔滨市疾病预防控制中心,黑龙江哈尔滨150056 [7]江苏省疾病预防控制中心,江苏南京210009 [8]河南省疾病预防控制中心,河南郑州450003 [9]武汉市疾病预防控制中心,湖北武汉430022

出　　处：《中国性科学》2008年第8期6-10,共5页Chinese Journal of Human Sexuality

基　　金："十五"国家科技攻关课题(编号:2004BA719A02)

摘　　要：目的:通过对男同性爱者一般心理—行为状况等的了解,为制定对该人群与艾滋病相关的公共政策提供依据。方法:采用定向抽样("滚雪球")法,对东北、西北、华北、华东、中南、西南9城市2046例男同性爱者同步开展横断面匿名问卷调查,使用SPSS11.0进行统计分析。结果:51.1%(曾)因同性爱性取向感到很痛苦。55.6%认为性取向暴露会使自己受到伤害,加害者首先来自家庭,其次是"单位"和一般人。因性取向或有关活动,15.2%遭受过异性爱者伤害,29.8%遭受过其他男同性爱者伤害。20.3%有过强烈自杀念头,9.4%有过自杀行为。68.7%希望国家立法承认同性婚姻。未在婚者中,30.6%确定未来独身,79.7%希望(过)与同性的固定专一性伴生活,44.1%希望生育,31.2%与女性性交过。在婚者结婚的最重要原因:53.8%是为满足父母愿望,13.4%是为证明自己"正常",56.7%认为社会宽容自己就不会结婚,仅有11.2%把性取向告知过配偶。结论:需要积极通过反歧视宣传和立法手段等加强对性取向少数人群的权益尊重与保障,进而促进艾滋病防控等工作和社会和谐。Objectives：To understand the general psycho-behavioral situation of male homosexuals and provide evidence for formulating public policies related to this group and the control of AIDS infection.Methods：Target sampling（rolling a snowball） was employed and cross-sectional anonymous questionnaires were developed in-synchronism to investigate 2 046 gays in nine cities of northeast,northwest,northern,eastern,mid-south and southwest of China.SPSS11.0 was used for data statistical analysis.Results：Of the participants,51.1%（ever） suffered much from their homosexual orientation.55.6% considered that sexual orientation exposure would make them vulnerable in their family firstly,then work unit and among other people.For the reason of sexual variant or related activity,15.2% encountered harm from heterosexuals and 29.8% from other gay men.20.3% had a strong suicide tendency and 9.4% once had suicidal behaviors.68.7% expected that state legislation would admit homosexual marriage.Of those who were not in marriage,30.6% were determined to keep single in the future,79.7%（once）hoped to live with a stable single partner of the same sex,44.1% hoped to have a baby,and 31.2% once had sex with female.On the contrary,the most important causes of getting married were：53.8% wanted to meet parents＇ desire,13.4% chose to prove to be ＂normal＂,56.7% considered they would be out of marriage if social tolerance permited,merely 11.2% notified their spouse of sexual orientation.Conclusion：Rights esteem and interest assurance targeting at the minority of homosexuals should be emphasized through positive means of anti-discrimination propaganda and legislation to promote AIDS control and prevention development and social harmony.

关 键 词：男同性爱者 生存状况 艾滋病 公共政策 

分 类 号：R512.91[医药卫生—内科学] R172[医药卫生—临床医学]