男男性行为者家庭社会关系及相关行为特征  

Social Relations and Behavior Characteristics of Man Who Have Sex With Men

作　　者：王毅[1] 李六林[1] 樊静[2] 赵西和[1] 贾蜀光[1] 杨红[1] 姚卫[1] 周力[2] 

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组

出　　处：《预防医学情报杂志》2014年第8期589-593,共5页Journal of Preventive Medicine Information

基　　金：四川省第四轮全球基金/中英艾滋病项目(项目编号:GF4SC2008012)

摘　　要：目的了解某地男男性行为者(MSM)家庭社会关系和相关行为特征。方法结合滚雪球采样法招募调查对象,进行询问式匿名问卷调查。结果共调查405例,首次男男性行为年龄平均(21.4±6.8)岁,80.0%是自愿、16.2%被引诱、1.5%被强迫,17.5%对男男性行为感到骄傲、2.9%羞耻、79.6%无所谓。目前最担心的为家里知道同性取向17.3%、强迫结婚11.3%、感染上艾滋病病毒(HIV)65.0%。1.7%吸食冰毒,吸毒后42.9%以男男性行为解冰,25.0%发生过群交,25.0%每次使用安全套。28.8%有过异性性行为,且随年龄增加而上升(χ2趋势=69.811,P=0.000)。已婚或有女朋友者对妻子或女朋友感染HIV的态度表示担心的60.5%、不担心28.6%、未考虑10.9%,不同年龄、婚姻状况、性取向、收入者其态度差异有统计学意义(χ2/H=56.490、9.204、11.547和15.941;P均<0.05);担心者24.7%表示会尽量少发生异性性行为,5.6%表示不再发生同性性行为,37.1%同性性行为、46.1%异性性行为表示使用安全套。近6月主动肛交、被动肛交、口交、阴道交安全套使用率差异有统计学意义(χ2=662.009,P=0.000);是否习惯携带安全套者主动、被动肛交安全套使用率差异有统计学意义(χ2=15.500、17.384,P均=0.000),携带安全套者使用率较高。结论某地MSM自我认同性较高,安全意识和行为分离明显,应继续加大防治力度。Objective To study the family and social relations and related behavior of men who have sex with men （MSM）. Methods With snowball sampling method, questionnaires were anonymously conducted among the MSM in Mianyang. Results Totally 405 people were investigated, the mean starting age to have sex with men was 21.4± 6.8 years old. Of the MSM, 80% was voluntary, 16.2% was tempted and 1.5% were forced.A proportion of 17.5% felt proud of homosexual behavior, 2.9% felt shame and 79.6% cared nothing about it. At the present, 17.3% most worried that their family got to know his homosexual orientation; 11.3% most worried that they were forced to marry; 65% most worried about being infected with the HIV. A proportion of 1.7% were users of ice, 42.9% of whom preferred to detoxify the ice by the homosexual behavior; 25% experienced in group sex; 25% used condom for each time.Among the MSM, 28. 8% experienced heterosexual behavior and the proportion increased with age （χ^2trend test=69.811, P 〈0.01） , 60.5% SMS who married or had a girlfriend feared that their wife/girlfriend getting infected with HIV, 28.6% did not worry about and 10. 9% didn＇t take it into account. There was sta- tistical significance on attitude with aspects of different age, marital status, sexual orientation and economic in come （χ 2/H = 56. 49, 9. 204, 11. 547, 15. 941, all P 〈 0. 05）. About 24.7% of the them would minimize the homosexual behavior, 5.6% prefer to had no homosexual behavior any more; 37.1% meant they would only have homosexual behavior and 46. 1% would use condom when conducting heterosexual behavior. There was statistical differences on the rate of condom use in the last 6 months with aspects of active and passive anal sex, oral sex and vaginal sex （χ2 =662. 01, P 〈0. 01 ）. There was statistical significance in the use rate for whether or not being custom carriers with aspects of active, passive anal sex （χ2 = 15.50, 17.38, P 〈 0. 01 ） , carriers had the higher rate of condom use. Conclusion The MSM in

关 键 词：男男性行为者 家庭社会关系 行为特征 

分 类 号：R512.91[医药卫生—内科学]