烟台市青年学生男男性行为人群首次同性性行为特征分析  

Analysis of the characteristics of the first homosexual behavior among young male students who have sex with men in Yantai City

作　　者：林荣[1] 王洪涛 程晓松[1] 薛建 于相冬 孙皓钰 姜聚军 LIN Rong;WANG Hong-tao;CHENG Xiao-song;XUE Jian;YU Xiang-dong;SUN Hao-yu;JIANG Ju-jun(Department of AIDS Control and Prevention,Yantai City Center for Disease Control and Prevention,Yantai 264000,China;Yantai City Municipal Government Hospital,Yantai 264000,China)

机构地区：[1]烟台市疾病预防控制中心艾滋病防治科,烟台264000 [2]烟台市市直机关医院,烟台264000

出　　处：《中华疾病控制杂志》2020年第12期1428-1432,共5页Chinese Journal of Disease Control & Prevention

基　　金：山东省医药卫生科技发展计划项目(2017WS391);烟台市科技计划项目(2016WS058)。

摘　　要：目的分析烟台市青年学生男男性行为(men who have sex with men, MSM)人群首次同性性行为特征,为高校艾滋病防控措施的制定提供参考依据。方法研究使用横断面调查和深入访谈。通过问卷调查收集目标人群人口学特征、首次同性性行为相关情况等信息。通过深入访谈了解目标人群首次同性性行为的发生背景及未使用安全套原因。结果共收集有效问卷302份,发生首次同性性行为的年龄为(17.59±1.78)岁;性行为对象以网友居多(34.1%);首次同性性行为与近6个月同性性行为保护性存在统计学差异(χ2=52.247,P<0.001)。深入访谈结果显示,13人自述通过交友软件等网络联系方式发生首次同性性行为是基于好奇、追求刺激等心理,未全程使用安全套的主要原因是对艾滋病防治知识的匮乏(77.8%)。结论青年学生MSM人群首次同性性行为存在年龄小、防护意识差、知晓率低以及主要通过交友软件寻找性伴等特点。需进一步加强针对该人群的宣传教育,包括提前普及年龄、提高细节认知以及强化行为干预和沟通技巧,同时充分发挥新媒体在艾滋病防治宣传教育中的作用。Objective To analyze the characteristics of first-time homosexual behavior among young male students who have sex with men(MSM) population, so as to provide reference for the formulation of acquired immune deficiency syndrome(AIDS) prevention and control measures in colleges and universities. Methods A combination of cross-sectional study and in-depth interview were used. A self-reported questionnaire was used to collect information of participant demographics and sexual debut. By in-depth interview, we further summarized reasons of sexual debut and condomless sexual intercourse. Results A total of 302 valid questionnaires were surveyed. The age at which the first homosexual behavior occurred was(17.59 ± 1.78) years old. Most of participants sought sexual partners from internet(34.1%). There was statistical difference between the protection of the first homosexual behavior and homosexual behavior in the past 6 months(χ~2=52.247, P<0.001). The results of in-depth interviews showed that 13 people acknowledged the first homosexual behavior that occurred through online connections such as dating software due to psychology such as curiosity and pursuit of stimulus. The main reason for not using condoms during the whole process was the lack of knowledge about AIDS prevention and control(77.8%). Conclusions For the first time, the homosexual behavior of young male students MSM populations were characterized by young age, poor protection awareness, low awareness rate, and finding sexual partners mainly through dating software. It was necessary to further strengthen the publicity and education for this group, including popularizing the age in advance, improving details, and strengthening behavioral intervention and communication skills. The active role of new media in AIDS prevention and education should be fully played.

关 键 词：青年学生 男男性行为者 首次同性性行为 特征 

分 类 号：R512.91[医药卫生—内科学]