摘要
目的:了解长沙市大学生男男性接触者(MSM)性取向及HIV感染危险性性行为状况及其相关因素。方法:在长沙市有MSM活动的高校中以滚雪球抽样方式招募到240名有效大学生MSM样本,采用自编及改编问卷以面对面访谈法调查样本的一般情况、性取向、性行为、相关性态度以及艾滋病/性病知识知晓情况。结果:全部样本中有89人(37.1%)自我报告为纯同性恋,其余151人(62.9%)报告为双性恋。24名样本(10.0%)报告在调查时点前仅发生过同性边缘性行为;其余216人(90%)报告发生过插入式同性性行为。143人报告近三个月内发生了同性肛交行为,无保护肛交行为发生率为41.3%;在142名报告近三个月内发生了同性口交行为的样本中,无保护口交行为发生率为96.5%;163名近三个月发生过同性插入式性行为的样本中,多性伴同性性行为发生率为35.0%。Logistic回归分析结果显示,来自农村、在三类本科或专科院校、就读于人文社科类专业与样本近三个月发生无保护肛交行为有统计学意义的关联。来自扩展家庭、对同性恋的自我认同程度低、同性性取向自我发觉年龄在16岁前及性态度开放程度高与样本近三个月发生多性伴同性性行为有统计学意义的关联。结论:大学生MSM人群的无保护行为发生率高,应从性心理和性态度的角度开展有针对性的干预。
Objective： To understand sexual orientation and sexual risk behaviors among male college students who have sex with men（MSM）, and explore the impacts of social demographics and other factors on sexual risk behavior among them in Changsha city. Methods： After the pre-survey, 240 valid samples were recruited by snowball sampling in the active area with the undergraduate MSM and were investigated by using self-designed and revised questionnaires, which included socio-demographical information and the study variables. Results： The self-report resuh shows that 89 participants （37.1%） are homosexual and the remainders（62.9%） are bisexual. Of the 240 participants, 10% only had the episode of marginal sexual behaviors and 90% experienced insert homo intercourse in life time. In recent 3 months, among 143 samples who had homo anal sex intercourse, the incident of unprotected anal sex were 41.3%, among 142 samples who had homo oral sexual behaviors, the incident of unprotected oral sex were 96.5%, among 163 samples who had insert homo intercourse, the incident of multiple sexual partner behavior were 35%. The participates who come from rural area and who are currently studying in the third-level colleges, and the majors of whom were humane studies were more likely experienced unprotected anal intercourse; growing up from extended family, the age when he was aware of his homosexual orientation was less than 16 years old, negative self-identification, and the high degree of openness of sexual attitudes were significant related with multiple sexual partner behavior. Conclusion： The incidence of unprotected sex intercourse was high among college MSM samples. Greater effort should be made towards stemming the HIV epidemics among college student MSM.
出处
《中国临床心理学杂志》
CSSCI
CSCD
北大核心
2014年第4期652-657,共6页
Chinese Journal of Clinical Psychology
基金
中国全球基金艾滋病项目2012年支持社会组织参与艾滋病防治工作项目(CSO-2012-研24)
中南大学中央高校基本科研业务费专项资金资助项目(2012QNZT201)
中南大学大学生创新训练项目(CL11243)
