广州大学城在校大学生男同性恋者生存质量及其同性恋性身份认同情况调查  

Quality of life and sexual identity for men who have sex with men among university students in Guangzhou

作　　者：杨燕君[1] 张晖 秦小洁[1] 梁穗[1] 

机构地区：[1]广州市番禺区疾病预防控制中心,广东广州511400 [2]广州市番禺区何贤纪念医院,广东广州511400

出　　处：《热带医学杂志》2015年第3期381-384,420,共5页Journal of Tropical Medicine

基　　金：广州市医药卫生科技一般引导项目(20121A011187);广州市番禺区科技计划项目(2012-Z-03-52)

摘　　要：目的了解在校大学生男同性恋者(MSM)生存质量及其同性恋性身份认同情况,为在该人群中开展有针对性的健康干预措施提供参考。方法分别采用同伴推动、"滚雪球"抽样和分层抽样方法对符合纳入标准的广州大学城在校大学生MSM和普通大学生进行面对面匿名问卷调查。结果共调查233名大学生MSM,其生理、心理、社会关系、环境领域和生存质量总分分别为(13.52±1.59)、(13.43±1.95)、(13.14±2.77)、(12.63±1.89)、(13.18±1.58);共调查519名普通男性大学生,其生理、心理、社会关系、环境领域和生存质量总分分别为(14.11±1.97)、(14.06±2.39)、(13.67±2.83)、(13.38±2.11)、(13.81±1.89);大学生MSM生存质量各领域和生存质量总分均低于普通男性大学生得分,差异有统计学意义(P<0.05))。家庭经济状况差、与家人同住、性角色为"0"及多数时间性角色为"0"的大学生MSM生存质量总分均较低,差异有统计学意义(P<0.05))。59.66%的大学生MSM对自己同性恋性身份持认同的态度。结论改善大学生MSM的主观感受,为其提供一个宽松的学习、生活环境,根据不同人口学特征特别是家庭经济状况差、与家人同住、性角色为"0"及多数时间性角色为"0"的大学生MSM进行有针对性的干预,有利于提高其生存质量。Objective To explore quality of life（QOL） and sexual identity for men who have sex with men（MSM） among university students,and provide a basis theory for the targeted health intervention. Methods Peer recommended,Snowball sampling were appliedto recruit the subjects on MSM for this study and stratified sampling methods was used to recruit ordinary male college students. HOQOL-BREF was used to collect information from both MSM and ordinary male college students. Results A total of 233 MSM college students were investigated.Scores from the physiological,psychological,social relations and environmental domains for QOL and total QOL were（13.52 ±1.59）,（13.43 ±1.95）,（13.14 ±2.77）,（12.63 ±1.89） and（13.18 ±1.58）, respectively. A total of 519 ordinary male college students were investigated.Scores from the physiological,psychological,social relations and environmental domains for QOL and total QOL were（14.11 ±1.97）,（14.06 ±2.39）,（13.67 ±2.83）,（13.38 ±2.11） and（13.81 ±1.89）. Scores for all domains of QOL on MSM were significantly lower than the figures from ordinary male college students（P〈0.05）.Poor family economic situation, live with their families, sexual role is ＂0 ＂ and most of the time role as ＂0 ＂ were correlated to the low living quality score of MSM.59.66% MSM college students showed a positive attitude to their MSM identity. Conclusions The improvement of subjective feelings, give them a l iberal learning and living environment,and targeted interventions among this MSM population should base on different demographic characteristics,especially for those whose family economic situation is poor,and for those who live with their families, and for those whose sexual role is ＂0＂ and most of the time as ＂0＂ of MSM.

关 键 词：大学生 男同性恋 生存质量 性身份 

分 类 号：R395.1[哲学宗教—心理学]