Li Yang, Zhang Bei-chuan, Li Xiu-fang, Zang Yun-shu, Wang Li-xin, Chen Guan-zhi, Yu Zeng-zhao
Department of Dermatology, the Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Feb;31(2):142-5.
To investigate the behavioral characteristics of men who have sex with men (MSM)with sadomasochism associated bleeding and to analyze the relationship with HIV/AIDS high risk behavior.
Using modified snowball sampling methods (target sampling methods) to carry out a cross-sectional study on persons with behavior of sadomasochism that associated with bleeding in MSM, using a valid questionnaire. Another control group without the related behavior was set up. SPSS 13.0 was used.
People practicing sadomasochism associated with bleeding had higher percentage in the following indicators: number of accumulated same gender sexual partners (median = 20), anal intercourse (median = 10), oral intercourse (median = 10), hand intercourse (median = 15) with same gender sexual partners, number of same gender sexual partners in the previous six months (median = 4), numbers of anal intercourse (median = 3), hand intercourse (median = 3), were more than in the control group. People with sadomasochism associated bleeding had higher rates in the following behaviors: condom was ever broken or slipped in the previous six months (22.6%), suffering from disease of sexual transmitted infections (28.0%), involving in group-sex intercourse (34.8%), having sex with same sex strangers at the place for MSM in the previous six months (62.2%), ever having initiative or passive behavior of oral-anal sex (64.0%), fist-sex (18.9%), finger-sex (66.7%), bleeding during sexual intercourse(58.3%), first coition object was pupil (33.8%), having strong suicide attempts (33.3%) and suicide attempt (23.6%) etc. were more than in the control group.
MSM who had the behavior of sadomasochism which associated with bleeding had the higher percentage of HIV/AIDS high risk behaviors than the persons without those behaviors. The latter group called for special concern on interventions.
探讨有受虐施虐相关出血行为的男男性行为者(MSM)的行为特征,并分析其与艾滋病病毒/艾滋病高危行为的关系。
采用改良雪球抽样法(目标抽样法),对有受虐施虐相关出血行为的MSM进行横断面研究,使用有效问卷。另设无相关行为的对照组。采用SPSS 13.0软件进行分析。
有受虐施虐相关出血行为的人群在以下指标上的比例较高:累计同性性伴数(中位数=20)、肛交(中位数=10)、口交(中位数=10)、与同性性伴进行手交(中位数=15)、前6个月同性性伴数(中位数=4)、肛交次数(中位数=3)、手交次数(中位数=3),均高于对照组。有受虐施虐相关出血行为的人群在以下行为上的发生率较高:前6个月曾发生避孕套破裂或滑脱(22.6%)、患有性传播感染疾病(28.0%)、参与群交(34.8%)、前6个月在男男性行为场所与同性陌生人发生性行为(62.2%)、曾有主动或被动口肛交行为(64.0%)、拳交(18.9%)、指交(66.7%)、性交时出血(58.3%)、首次性交对象为未成年人(33.8%)、有强烈自杀企图(33.3%)和自杀未遂(23.6%)等,均高于对照组。
有受虐施虐相关出血行为的MSM比无此类行为者具有更高比例的艾滋病病毒/艾滋病高危行为。后一类人群在干预方面需要特别关注。