上海MSM人群对同志身份认同状况及其相关因素分析  

Study on identity status as gays and related factors among MSM in Shanghai

作　　者：石国政[1] 康来仪[2] 陈冬华[1] 张永[1] 殷方兰[1] 查燕芬 毛军 庄琴[1] Steele SJ Myers T 

机构地区：[1]嘉定区疾病预防控制中心,上海201800 [2]上海市疾病预防控制中心,上海200336 [3]松江区疾病预防控制中心,上海201600 [4]浦东新区疾病预防控制中心,上海200120 [5]多伦多大学

出　　处：《中国艾滋病性病》2012年第11期724-727,共4页Chinese Journal of Aids & STD

基　　金：中国-加拿大艾滋病合作项目(103460-045);嘉定区卫生系统科研项目(QNKYJJ20101205)~~

摘　　要：目的了解上海男男性行为人群(MSM)对同志身份的认同状况并分析相关因素。方法在上海嘉定区、松江区、浦东新区招募MSM,采用统一问卷进行匿名面对面调查,了解身份认同等相关信息,并采用Logistic回归分析相关因素。结果共调查459名MSM,平均年龄(29.7±8.4)岁;大学及以上学历者占68.0%;过去一年月均收入≥3 000元者占62.6%。自认性取向为同性恋者占73.0%(335/459),双性恋者26.4%(121/459),异性恋者0.6%(3/459);认同性取向平均时间(9.1±0.8)年。首次男男性行为平均年龄(22.2±5.0)岁。在同志社会身份认同上,持消极自我认同的占53.2%(244/459),在同志个人身份认同上,持消极自我认同的占48.1%(221/459);同志社会身份积极认同组其相应的个人身份积极认同比例高。年龄长者、收入高者更具同志社会身份积极认同,而在婚者则相反。受教育程度高、自认性取向时间长者更具同志个人身份积极认同,而在婚者、初次同性性行为年龄大者、确知感染艾滋病者则相反。结论 MSM对同志社会身份和个人身份认同均偏低,应改善社会歧视环境,加强对MSM的心理干预,以降低艾滋病的传播风险。Objective To understand men who have sex with men （MSM）＇s identity status as gays in Shanghai and analyze related factors. Methods An anonymous face-to-face investigation was implemented among MSM with unified questionnaires in Jiading, Songjiang and Pudong districts of Shanghai and logistic regression analysis was used. Result A total of 459 MSM were surveyed, with the average age （29.7＋8. 4）years; the MSM with educa- tion of university level or above accounted for 68.0% ; those with monthly incomes above Y3 000 in the past year accounted for 62.6%; the MSM self-identified as gays accounted for 73.0% （335/459）, as bisexual was 26.4% （121/459）, and as heterosexual was 0.6% （3/459）. The average time of admitting sexual orientation among them was（9. 1 ±0.8） years, and the average age of having the first homosexual behaviors was （22.2 ±5.0） years. The MSM with negative social identity accounted for 53.2% （244/459）, and negative self-identity accounted for 48.1% （221/459）. The more positive social-identity, the more positive self-identity. The older and higher income persons had more positive social identity, while the married had less. The MSM with higher education and with longer time of admitting sexual orientation had more positive self-identity, while the married, and those with younger age of having 1he first gay sex, and those of being informed of human immunodeficiency virus （HIV）infection status had less. Conclusion The social identity and self-identity of MSM are tended to be negative. It is suggested that the so- cial discrimination environment should be improved, and psychological interventions should be strengthened to re duce the risk of AIDS spreading.

关 键 词：男男性行为人群 同志 认同 艾滋病 

分 类 号：R512.91[医药卫生—内科学]