[1]殷方兰,钟培松,张永,等.不同性取向的男男性行为人群行为特征差异性分析[J].中国皮肤性病学杂志,2018,(08):898-901.[doi: 10.13735/j.cjdv.1001-7089.201701114]
 YIN Fanglan,ZHONG Peisong,ZHANG Yong,et al.Difference of Behaviors among Men Who Have Sex with Men of with Different Sexual Orientation[J].The Chinese Journal of Dermatovenereology,2018,(08):898-901.[doi: 10.13735/j.cjdv.1001-7089.201701114]
点击复制

不同性取向的男男性行为人群行为特征差异性分析
分享到:

《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2018年08期
页码:
898-901
栏目:
性传播疾病
出版日期:
2018-09-10

文章信息/Info

Title:
Difference of Behaviors among Men Who Have Sex with Men of with Different Sexual Orientation
作者:
殷方兰钟培松张永王嘉行路明梁冬妮吴杰
嘉定区疾病预防控制中心,上海 嘉定 201800
Author(s):
YIN FanglanZHONG PeisongZHANG YongWANG JiaxingLU MingLIANG DongniWU Jie
Jiading Center for Disease Control and Prevention,Shanghai 201800,China
关键词:
男男性行为 艾滋病 性取向
Keywords:
Men who have sex with men(MSM) HIV Sexual orientation
分类号:
R 759
DOI:
10.13735/j.cjdv.1001-7089.201701114
文献标志码:
B
摘要:
目的 了解男男性行为(MSM)人群的社会人口学特征、性取向及行为差异性,为高危人群干预提供参考依据。方法 通过VCT门诊、同伴推动、网络动员、外展干预等方式招募MSM人群,开展面对面问卷调查,并采集血样进行HIV抗体检测。结果 334例MSM人群中,HIV(+)39例(占11.68%)。自诉同性恋者159例(占47.60%),自诉双性恋者175例(占52.40%)。同性恋和双性恋已婚/再婚的比例分别为15.09%和50.29%。MSM人群过去5年性行为方式仅与男性、以男性为主、男女各半、以女性为主的比例分别为41.02%、26.65%、13.47%和18.86%,不同性取向MSM人群性行为对象差异有统计学意义。过去6个月内,MSM人群拥有女性性伴、固定男性伴、多次男性伴(与非固定男性性伴发生过多次性行为)、偶遇男性伴(与非固定男性性伴发生过一次性行为)、商业男性伴的比例分别为37.13%、43.11%、52.69%、56.29%和4.19%,不同性取向MSM人群拥有性伴的种类数,女性性伴、固定男性伴、多次男性伴比例差异有统计学意义; MSM人群与女性伴、固定男性伴、多次男性伴、偶遇男性伴发生无保护性行为(性行为时没有使用安全套)的比例分别为75.21%、65.97%、59.66%、48.40%,双性恋者与偶遇男性伴发生性行为时安全套使用率低。MSM人群中,12.28%曾患有性传播疾病,14.07%最近一年出现过性病相关症状,到正规医疗机构就诊的比例仅为40.43%。51.80%曾做过HIV抗体检测。结论 MSM人群性病艾滋病患病率较高,性伴种类多、高危性行为比例高,尤其是双性恋的MSM人群是重点关注群体。
Abstract:
ObjectiveTo learn about investigate social demographic characteristics,sexual orientation,and difference of behaviors characteristics among men who have sex with men(MSM),applying and provide references for high risk behavior intervention. Methods Face-to-face questionnaire interview was conducted among MSM who were recruited by voluntary counseling and testing clinics(VCT),peer mobilization,internet mobilization,outreach intervention,and so on. Blood samples were collected for HIV test. Results Among 334 subjects,39 subjects were HIV-positive,accounting for 11.68%. Homosexuality was 47.60%(159),and bisexuality was 52.40%(175)by self-report. 15.09% of homosexuality homosexual MSM and 50.29% of bisexuality bisexual MSM was were married. In recent 5 years,the partners who were men only,men articularly,half men and half women,women particularly accounted for 41.02%,26.65%,13.47%,and 18.86% respectively,and the difference between different sexual orientation MSM with different sexual orientation is statistically significant. In recent 6 months,proportion of female partners,fixed male partners,occasional male partners,partners for one night was 37.13%,43.11%,52.69%,56.29%,and 4.19% respectively. The difference of sexual partner type,female partners,fixed male partners,occasional male partners among MSM is statistically significant. In recent 6 months,MSM who have unprotected sexual behaviors with female partners,fixed male partners,occasional male partners,partners for one night accounted for 75.21%,65.97%,59.66%,and 48.40% respectively,and bisexuality bisexual MSM used less condoms when had sex with partners for one night. 12.28% suffered from sexually transmitted diseases ever. 14.07% had symptoms of sexually transmitted diseases,and 40.43% went to hospitals for regular professional medical treatment.51.80% had HIV test ever. Conclusion Prevalence of HIV/STD is high in MSM with different sexual orientation. Multiple sexual partners and unprotected sex behaviors are common among MSM popularly,especially in bisexualitybisexual MSM.

参考文献/References:


[1] 王毅,张洪波,李志军,等.MSM人群艾滋病性病防治行为干预效果评价[J].实用预防医学,2009,16(3):654-657.
[2] 何静,王晔,林鹏,等.中围大陆男男性行为人群艾滋病防治所面临的挑战[J].中国艾滋病性病,2008,6(14):640-643.
[3] 石国政,殷方兰,张永,等.男男性行为人群同性恋身份自我认同与艾滋病危险因素的相关分析[J].环境与职业医学,2012,29(5):31-334.
[4] 张永,石国政,殷方兰,等.上海MSM人群拥有性伴情况及其性行为特征[J].中国艾滋病性病,2012,18(11):720-723.
[5] 张枭,林涛,孙乔,等.浦东新区新发现感染HIV的MSM的双性性行为特征分析[J].中国艾滋病性病,2014,20(11):843-844.

相似文献/References:

[1]周彩霞,王世平,马云丽,等.2010-2014年遵义市男男性行为人群艾滋病哨点监测结果分析[J].中国皮肤性病学杂志,2016,(01):53.[doi:10.13735/j.cjdv.1001-7089.201505093]
 ZHOU Cai xia,WANG Shi ping,MA Yun li,et al.Analysis on Surveillance Data of AIDS Sentinel Points among MSM in Zunyi, 2010-2014[J].The Chinese Journal of Dermatovenereology,2016,(08):53.[doi:10.13735/j.cjdv.1001-7089.201505093]
[2]胡洁,陈晓红,熊琦,等.神经梅毒并艾滋病2例[J].中国皮肤性病学杂志,2016,(07):716.[doi:10.13735/j.cjdv.1001-7089.201506186]
 HU Jie,CHEN Xiao-hong,XIONG Qi,et al.Two cases of Neurosyphilis Accompany with Acquired Immunodeficiency Syndrome[J].The Chinese Journal of Dermatovenereology,2016,(08):716.[doi:10.13735/j.cjdv.1001-7089.201506186]
[3]吴淑萍,王建波,李敏,等.校外青少年艾滋病认知及高危行为调查与培训[J].中国皮肤性病学杂志,2016,(10):1057.[doi:10.13735/j.cjdv.1001-7089.201501152]
 WU Shu-ping,WANG Jian-bo,LI Min,et al.Survey and Training of HIV/AIDS-related Cognization and High Risk Behaviors among Adolescents Outside School[J].The Chinese Journal of Dermatovenereology,2016,(08):1057.[doi:10.13735/j.cjdv.1001-7089.201501152]
[4]李腾雁,安丽辉,邹旭辉,等.延误诊治的一个家庭聚集性感染艾滋病案例分析[J].中国皮肤性病学杂志,2017,(04):408.[doi:10.13735/j.cjdv.1001-7089.201608106]
 LI Teng-yan,AN Li-hui,ZOU Xu-hui,et al.Delay in Diagnosis and Treatment of An AIDS Family[J].The Chinese Journal of Dermatovenereology,2017,(08):408.[doi:10.13735/j.cjdv.1001-7089.201608106]
[5]张莲,刘栋华.梅毒并艾滋病1例[J].中国皮肤性病学杂志,2017,(04):417.[doi:10.13735/j.cjdv.1001-7089.201610030]
 ZHANG Lian,LIU Dong-hua.A Case Syphilis Co-infected with AIDS[J].The Chinese Journal of Dermatovenereology,2017,(08):417.[doi:10.13735/j.cjdv.1001-7089.201610030]
[6]农丽萍,何波,农全兴,等.中老年艾滋病高危人群及其高危行为影响因素分析[J].中国皮肤性病学杂志,2017,(06):641.[doi:10.13735/j.cjdv.1001-7089.201609015]
 NONG Li-ping,HE Bo,NONG Quan-xing,et al.Analysis on the Middle-aged and Old People with HIV /AIDS Related High-risk Behaviors and Its Influence Factors[J].The Chinese Journal of Dermatovenereology,2017,(08):641.[doi:10.13735/j.cjdv.1001-7089.201609015]
[7]覃寿学,谭燕萍,农燕丽,等.艾滋病母婴传播的三级预防理论架构[J].中国皮肤性病学杂志,2017,(07):795.[doi:10.13735/j.cjdv.1001-7089.201606033]
 QIN Shou-xue,TAN Yan-ping,NONG Yan-li,et al.Theoretical Framework of the Tertiary Prevention of Mother to Child Transmission of AIDS[J].The Chinese Journal of Dermatovenereology,2017,(08):795.[doi:10.13735/j.cjdv.1001-7089.201606033]
[8]陆珍珍,苏锦明,蓝光华,等.HIV-1阳性的广西男男性行为者启动抗病毒治疗的相关影响因素分析[J].中国皮肤性病学杂志,2017,(08):873.[doi:10.13735/j.cjdv.1001-7089.201701045]
 LU Zhen-zhen,SU Jin-ming,LAN Guang-hua,et al.Associated Factors Affecting the Initiation of HAART in HIV-1 Positive Men Who Have Sex with Men in Guangxi[J].The Chinese Journal of Dermatovenereology,2017,(08):873.[doi:10.13735/j.cjdv.1001-7089.201701045]
[9]晏瑞琳,刘开钳,邓宝清,等.深圳市社区居民性传播疾病/艾滋病知信行调查分析[J].中国皮肤性病学杂志,2018,(02):179.[doi:10.13735/j.cjdv.1001-7089.201707158]
 YAN Ruilin,LIU Kaiqian,DENG Baoqing,et al.A Survey of Knowledge, Attitude and Behavior about Sexually Transmitted Diseases/ AIDS(STD/AIDS)among Community Residents in Shenzhen City[J].The Chinese Journal of Dermatovenereology,2018,(08):179.[doi:10.13735/j.cjdv.1001-7089.201707158]
[10]冯艳洁,曹丛烨,王志刚,等.主动求询与被动检测的男男性行为人群艾滋病性病感染情况分析[J].中国皮肤性病学杂志,2013,(11):1134.
 FENG Yan-jie,CAO Cong-ye,WANG Zhi-gang,et al.Analysison HIV/STD Infection between Initiative Counseling-seeking and Passive-testing of MSM Population[J].The Chinese Journal of Dermatovenereology,2013,(08):1134.
[11]周小毅,夏宏丽,朱平,等.南通市男男性行为人群新型毒品滥用和HIV感染状况调查[J].中国皮肤性病学杂志,2020,(11):1283.[doi:10.13735/j.cjdv.1001-7089.202001068]
 ZHOU Xiaoyi,XIA Hongli,ZHU Ping,et al.Analysis of Club Drug Abuse and HIV Infection Among Men Who Have Sex with Men in Nantong City[J].The Chinese Journal of Dermatovenereology,2020,(08):1283.[doi:10.13735/j.cjdv.1001-7089.202001068]
[12]李莉,管文辉,吴小刚,等.在婚男男性行为者355例性行为特征及HIV感染状况分析[J].中国皮肤性病学杂志,2020,(12):1415.[doi:10.13735/j.cjdv.1001-7089.202005031]
 LI Li,GUAN Wenhui,WU Xiaogang,et al.Characteristics of Sexual Behavior and Influencing Factors of HIV Infection Among Married Men Who Have Sex With Men[J].The Chinese Journal of Dermatovenereology,2020,(08):1415.[doi:10.13735/j.cjdv.1001-7089.202005031]

备注/Memo

备注/Memo:
[基金项目] 嘉定区科委立项项目(2014-KW-11)
更新日期/Last Update: 2018-08-01