MSM中同性与双性性取向的男性性工作者的行为特征比较  

Comparative study of behavioral features of men sex workers with homosexual and bisexual orientations

作　　者：李洋[1] 张北川[2] 陈官芝[1] 王丽欣[1] 李秀芳[2] 

机构地区：[1]青岛大学医学院附属医院皮肤科,山东青岛266003 [2]青岛大学医学院附属医院性健康中心,山东青岛266003

出　　处：《中国艾滋病性病》2010年第2期152-156,共5页Chinese Journal of Aids & STD

基　　金："十五"国家科技攻关课题(编号:2004BA719A02;子课题负责人张北川)~~

摘　　要：目的比较男男性行为人群(MSM)中,同性与双性性取向的男性性工作者(MSW)的行为特征,探索两类亚人群在传播艾滋病病毒(HIV)过程中的不同作用。方法采用改良型"滚雪球"抽样法(定向抽样法)进行横断面调查。从MSM的有效问卷中获取同性性取向(gay)与双性性取向(Bi)的男性性工作者并进行比较,采用SPSS13.0软件进行统计分析。结果gay意识到喜欢同性(P<0.001)、确认自我性取向(P<0.05)、首次与同性发生商业性交(P<0.001)的年龄均早于Bi。Bi(曾)有女性性伴(P<0.001)、向女性提供(过)性服务(P<0.001)、曾主动与女性性交(P<0.001)、希望与女性生育后代(P<0.01)、近1年曾参与同性群交(不含与男性客人情况)(P<0.05)、近6个月曾与男性客人群交(P<0.05)、曾因性取向或同性恋活动受到异性恋者伤害(P<0.05)的百分率均高于gay。gay希望与固定同性伴侣一同生活(P<0.001)、希望参加国家的保护gay社团(P<0.001)、希望国家立法承认同性婚姻(P<0.001)、有过强烈自杀念头(P<0.05)、有过自杀未遂行为(P<0.05)的百分率均高于Bi。结论不同性取向的MSW行为特征与心理等情况存在差异,应根据其不同性取向采取有针对性的干预措施。Objective To compare behavioral features of men sex workers （MSWs） with homosexual （gay） and bisexual （Bi）orientations as a sub-MSM population and to explore the different roles they play in the process of HIV spread Methods Modified snowball sampling methods （target sampling methods） was used to carry out a cross-sectional study on MSW with gay and bisexual orientations . SPSS13.0 was used for statistical analysis. Results Acknowledging their sex orientation（P〈0.05）, gay MSWs admitted that they were fond of men （P〈0.001） and their first commercial intercourse was earlier than bisexual MSWs（P〈0.001）. Bisexual MSWs had female sex-partners（P〈0.001）,provided sexual services to female clients（P〈0.001）,took initiative to make love with females（P〈0.001）,hoping to have offspring with them（P〈0.01）; meanwhile they also admitted that they had group sex with men in the past year （P〈0.05）,and had group sex with male clients in the past six months（P〈0.05）and that the percentage of injury from heterosexual partners due to their own sex orientation or homosexual behaviors was higher than gays. Gays hoped to have regular homo-sex partners （P〈0.001）,to participate in gay groups protected by the State （P〈0.001） and expected that the government might adopt a law to recognize homosexual marriage（P〈0.001）; they admitted that they had strong suicide notion （P〈0.05） and higher percentage of attempted suicides than bisexual MSWs（P〈0.05）.Conclusions As a MSM subpopulation, MSWs with different sexual orientations have different behavioral features and psychological states, therefore , different interventions should be adopted accordingly.

关 键 词：男男性行为人群 男性性工作者 艾滋病病毒 性取向 

分 类 号：R512.91[医药卫生—内科学]