摘要
目的了解年轻男男性行为者(YMSM)出柜和自我身份认同(简称身份认同)现状,分析身份认同与相关因素的关系。方法本研究于2015年至2017年选取四川省绵阳市年龄范围15周岁~24周岁的362名男男性行为者作为调查对象。用滚雪球抽样法对这362名男性进行出柜、身份认同、行为、心理等调查和血清学检测。身份认同与相关因素关系单因素分析采用χ~2检验,多因素分析采用非条件Logistic回归。结果共回收有效问卷362份,调查对象出柜占19.3%(67/348),MSM身份消极认同占14.6%(53/362)、积极认同占85.4%(309/362)。消极认同、积极认者HIV、梅毒阳性率差异均无统计学意义(均P>0.05)。多因素分析结果:月收入>2000元(OR=3.403)、性伴相处不能坚持自我(OR=29.841)、首次同性性行为年龄>20岁(OR=6.165)、曾有自杀念头(OR=3.883)、近1年做过HIV检测(OR=21.516)、近6个月有群交(OR=23.319)身份消极认同的可能性较大,近6个月做1肛交有保护性(OR=0.268)者较小。结论 YMSM出柜少,身份认同较好。身份认同与多种因素相关,消极认同增大了艾滋病感染风险,应针对性强化行为干预。
Objective To understand the status quo of the coming out of young men who have sex with men(YMSM) and their self-identity, and to analyze the relationship between self-identity and related factors. Methods 362 malesaged from 15 to 24 years old in Mianyang city between 2015 and 2017 were recruited by using the method of rolling snowballs, and surveys in coming out, identify, behavior, psychology and so on and serological examination were conducted. The single-factor analysis of the relationship between identity and related factors was conducted with the test of χ~2 test, and multivariate analysis was performed by unconditional Logistic regression. Results A total of 362 valid questionnaires were collected, with the coming out accounting for 19.3%(67/348). The negative identity of MSM was 14.6%(53/362) and the positive identity was 85.4%(309/362). There was no statistically significant difference in thepositive rate of HIV and syphilis between males with negative identification and positive identification(allP> 0.05). According to multi-factor analysis, people with over 2000 Yuan monthly income(OR=3.403), not adhering to the self withsexual partners(OR=29.841), aged over 20 years old having sex with man at the first time(OR=6.165), having suicidal thoughts(OR=3.883), not revceivingHIV testingin the past year(OR=21.516), having group sex in the past 6 months(OR=23.319) were likely to have negative identity recognition and those taking protective measures in the past 6 months were unlikely to have negative indentity recognition. Conclusions The proportion of coming out in YMSM is small with good identity. Identification is related to a variety of factors, and negative identity increases the risk of HIV infection and targetedbehavioral intervention should be taken.
作者
王毅
李六林
周万明
樊静
赵西和
唐宇
何静
刘江
周力
张晓军
WANG Yi;LI Liulin;ZHOU Wanming;FAN Jing;ZHAO Xihe;TANG Yu;HE Jing;LIU Jiang;ZHOU li;ZHANG XiaoJun(Department of STD / AIDS Control and Prevention,Mianyang Center for Disease Prevention and Control,Mianyang 621000, Sichuan,China;Mianyang Gay Love Group,Mianyang 621000, Sichuan,China;Department of STD / AIDS Control and Prevention,Jiangyou Center for Disease Prevention and Control,Jiangyou 621700, Sichuan,China)
出处
《中国性科学》
2019年第10期149-153,共5页
Chinese Journal of Human Sexuality
基金
四川省财政补助艾滋病防治项目(ZC2015007,SCWJWZC2016013)
绵阳市应用研究技术研究与开发项目(15S-01-10)
关键词
年轻男男性行为者
出柜
身份认同
行为
心理
艾滋病
Young men who have sex with men(YMSM)
Coming out
Identity
Behavior
Psychological
AIDS
