昆明市不同性角色MSM 的性行为特征分析 |
李彩霞 ,王玉淼 ,李 琪 ,贾曼红 ,马艳玲 ,陆 林 |
1. 昆明医科大学附属延安医院皮肤科,云南 昆明 650051;2. 云南省疾病预防控制中心,云南 昆明 650022;3. 昆明市疾病预防控制中心,云南 昆明 650031;4. 昆明医科大学,云南 昆明 650500 |
Sexual risk characteristics of anal sexual role among men who have sex with men |
LI Cai-xia ,WANG Yu-miao ,Li Qi ,JIA Man-hong ,MA Yan-ling ,LU Lin |
1.YanAn hospital of Kunming Medical University,Kunming,Yunnan 650051,China;2.Yunnan Center for Disease Control andPrevention,Kunming,Yunnan 650022,China;3.Kunming Center for Disease Control and Prevention,Kunming,Yunnan 650031,China;4.Kunming Medical University,Kunming,Yunnan 650500,China |
摘要 |
[目的] 了解昆明市不同性角色男男性行为者(MSM)的行为特点,为制定个体化的干预措施提供科学依据。方法 在知情同意前提下,由经过培训的调查员对 MSM 开展面对面问卷调查。采用 SPSS 17.0 软件包进行统计分析,用 x 2 检验对不同组间各种率进行分析比较。结果 根据问卷调查自我报告的性角色不同将 MSM 分为不同亚人群。根据 MSM 人群在肛交过程中的性角色不同,将其分为三类:1 号是指在与同性发生肛交时,仅作为主动插入方;0 号是指在与同性发生肛交时,仅作为被动插入的一方;0.5 号是指在与同性发生性行为时,既可以作为主动插入的一方,也可以作为被动插入的一方。在 224 名MSM 中,1 号 93 人,占 41.5%(93/224);0 号 64 人,占 28.6%(64/224);0.5 号 67 人,占 29.9%(67/224)。0 号 MSM 具有以下性行为特征:发生首次性行为的年龄更小,首次性行为的性伴以男性更多,最近 6 个月内与男性发生肛交的比例最大,较少与女性发生性行为,女性性伴数量相对更少。1 号具有以下性行为特征:和女性结婚比例更高,首次性行为性伴以女性为多。0.5号有以下性行为特征:在婚者最多,首次性行为性伴以女性为多,拥有更多女性性伴,与女性发生性行为的比例最高。结论 不同性角色的 MSM 亚人群行为各具特点,应针对具体的行为特点制定个体化干预策略。 |
关键词 |
男男性行为者 ; 性角色 ; 性行为特征 |
Abstract: |
This study aims to explore the behavior characteristics of men with different sexual roles in MSM groups in Kunming, andthen provides reference for the formulation of individual interference measures. Method With the prerequisite of interviewee’s consent, our well-trained surveyors conducted face-to-face questionnaire surveys to MSM groups. SPSS17.0 was utilized in statistical analysis, and X 2 -test was adoptedto analyze and compare indexes of different groups.Result The entire MSM group was divided into different sub-groups based on their sexual roles inself-statements in the questionnaires. Among the totally 224 individuals in MSM group, 93 (41.5%)were categorized into Insertive group; 64 (28.6%)were categorized into Receptive group, and 67 (29.9%) were categorized into Both group (means these individuals could either be Insertive or Recep-tive).Sexual Behavior Characteristics of People in Receptive Group: these individuals had their fi rst sexual contact in relatively young ages; their fi rstsexual partners were mostly males; these people shew the highest frequency of conducting anal sex with male partners within the last six months; theyrarely had sexual intercourses with female partners and had fewer female sexual partners. Homosexuals were more likely to be receptive in anal sex.Sex-ual Behavior Characteristics of People in Insertive Group: these individuals were more likely to get married with females; most of them conducted theirfi rst sexual contact with female partners.Sexual Behavior Characteristics of People in Both Group: people in this group were more likely to be married;most of them conducted their fi rst sexual behaviors with females; they had more female sexual partners and shew the highest ratio of having sex withfemales. Conclusion MSM sub-groups of different sexual roles have distinct behaviors; it is necessary to design personalized intervention strategiesbased on the behavior characteristics of each sub-group. |
Keywords |
MSM ; Sexual role ; Sexual risk characteristics |
参考文献 |
[1] Salazar V L,Kusejko K,Schmidt A J,et al.Clusters of sexual behaviourin HIV-positive men who have sex with men reveal highly dissimilartime trends[J].Clin Infect Dis,2019,22(1):126-127. [2] 杨莉 , 杨朝军 , 陈会超 , 等 .2008-2011 年云南省男男性行为人群HIV 新发感染率调查 [J]. 现代预防医学 ,2015,42(1):137-139. [3] Cheng W,Xu H,Tang W,et al.Online HIV prevention intervention oncondomless sex among men who have sex with men:a web-basedrandomized controlled trial[J].BMC Infect Dis,2019,19(1):644. [4] Stansfi eld S E,Mittler J E,Gottlieb G S,et al.Sexual role and HIV-1set point viral load among men who have sex with men[J].Epidem-ics,2019,26(2):68-76. [5] Zeng X,Zhong X,Peng B,et al.Prevalence and associated risk charac-teristics of HIV infection based on anal sexual role among men whohave sex with men:a multi-city cross-sectional study in Western Chi-na[J].Int J Infect Dis,2016,49(1):111-118. [6] Kaighobadi F,Knox J,Reddy V,et al.Age and sexual risk among Blackmen who have sex with men in South Africa:the mediating role of at-titudes toward condoms[J].J Health Psychol,2014,19(10):1271-1278. [7] Rocha G M,Kerr L R,De B A M,et al.Unprotected receptive anal in-tercourse among men who have sex with men in Brazil[J].AIDS Be-hav,2013,17(4):1288-1295. [8] Pescatore N A,Pollak R,Kraft C S,et al.Short Communication: An-atomic Site of Sampling and the Rectal Mucosal Microbiota in HIVNegative Men Who Have Sex with Men Engaging in Condom-less Receptive Anal Intercourse[J].AIDS Res Hum Retrovirus-es,2018,34(3):277-281. [9] Pines H A,Gorbach P M,Weiss R E,et al.Individual-Level,Partner-ship-Level,and Sexual Event-Level Predictors of Condom Use DuringReceptive Anal Intercourse Among HIV-Negative Men Who HaveSex with Men in Los Angeles[J].AIDS Behav,2016,20(6):1315-1326. [10] Chu J H,Huang J H.Psychosociobehavioral characteristics asso-ciated with high condomless anal intercourse intention:a compar-ison of receptive,versatile,and insertive MSM in Taiwan[J].AIDSCare,2019(2):1-9. [11] Card K G,Lachowsky N J,Cui Z,et al.Exploring the role of sex-seek-ing apps and websites in the social and sexual lives of gay,bisexualand other men who have sex with men: a cross-sectional study[J].Sex Health,2017,14(3):229-237. [12] Sapsirisavat V,Phanuphak N,Keadpudsa S,et al.Psychosocial andBehavioral Characteristics of High-Risk Men Who Have Sex withMen(MSM)of Unknown HIV Positive Serostatus in Bangkok,Thai-land[J].AIDS Behav,2016,20(3):386-397. [13] 黄冰雪 , 阿比旦·艾尼瓦尔 , 田恬 , 等 . 不同性角色男男性行为人群的肛周人乳头瘤病毒感染及影响因素分析 [J]. 中华疾病控制杂志 ,2017,21(12):1236-1240. [14] 戴丽萍 , 姜宜海 , 刘奇 , 等 .2009 年广州市越秀区 1596 名男男性接触者艾滋病相关危险行为及其影响因素分析 [J]. 疾病监测 ,2011,26(12):972-975. [15] Li A,Varangrat A,Wimonsate W,et al.Sexual behavior and risk factorsfor HIV infection among homosexual and bisexual men in Thailand-[J].AIDS Behav,2009,13(2):318-327. [16] 陈楚莹 , 王曼 , 汪涛 , 等 . 中山市不同性角色男男性行为人群艾滋病、梅毒感染及相关行为特征分析 [J]. 公共卫生与预防医学 ,2016,27(1):53-56.
|
全文稿件 |
昆明市不同性角色MSM 的性行为特征分析.pdf (1371KB)
|
阅读: 188
下载: 130
上传: 2021-06-26 11:01:22
页面: 328
|
|