中国高危男男性行为者的心理特征。
Psychological characteristics in high-risk MSM in China.
机构信息
Department of Dermatology, Affiliated Hospital of Medical College, Qingdao University, Qingdao, Shandong, China.
出版信息
BMC Public Health. 2012 Jan 20;12:58. doi: 10.1186/1471-2458-12-58.
BACKGROUND
Men who have sex with men (MSM) have become a high-risk group of HIV infection in China. To date, little is known regarding the behavioral, social and psychological characteristics in Chinese MSM, which makes the implementation of preventive and therapeutic strategies for this high-risk subpopulation of people extremely difficult.
METHODS
A total of 714 questionnaires were retrieved from the database of a Chinese government-sponsored National Key Research Project titled "Risk Analysis and Strategic Prevention of HIV Transmission from MSM to the General Population in China". The respondents were categorized into a high-risk group and a control group. Their behavioral, social and psychological characteristics were comparatively analyzed.
RESULTS
Of the 714 MSM analyzed, 59 (8.26%) had high-risk homosexual behaviors. This sub-group of MSM had a higher in-marriage rate, a higher monthly income, heavier alcohol consumption and more serious problems with sexual abuse in childhood, intentional suicide attempts and mistaken assumption on condom's role in protecting HIV infection, as compared with the control group (P < 0.05). In contrast, the two groups did not differ significantly the sexual orientation, level of education, types of profession, drug use, condom use and experience of social stigma and discrimination (P > 0.05). A vast majority of the individuals in both behavior categories expressed support of legally protected gay clubs as well as gay marriage legislation in China. There was a strong correlation between high-risk behaviors and sexual abuse in childhood, alcohol drinking, income level and a mistaken belief in perfect HIV protection through the use of condoms.
CONCLUSIONS
MSM with and without high-risk homosexual behaviors have different social and psychological characteristics, which should be taken into account when implementing behavioral and therapeutic interventions aimed at preventing HIV/AIDS transmission among MSM as well as from MSM to the general population in China.
背景
男男性行为者（MSM）已成为中国 HIV 感染的高危人群。迄今为止，人们对中国 MSM 的行为、社会和心理特征知之甚少，这使得为这一高危人群实施预防和治疗策略变得极其困难。
方法
从中国政府资助的国家重点研究项目“中国男男性行为人群 HIV 经性传播风险分析及防控策略研究”数据库中检索到 714 份问卷。受访者被分为高危组和对照组。比较分析他们的行为、社会和心理特征。
结果
在分析的 714 名 MSM 中，有 59 名（8.26%）有高危同性恋行为。与对照组相比，这组 MSM 的婚内率较高，月收入较高，饮酒量较重，儿童期性虐待、故意自杀未遂和错误假设避孕套在预防 HIV 感染方面的作用更为严重的问题（P <0.05）。相比之下，两组在性取向、教育水平、职业类型、吸毒、避孕套使用以及社会污名和歧视经历方面没有显著差异（P >0.05）。绝大多数这两种行为类别的人都表示支持中国受法律保护的同性恋俱乐部以及同性恋婚姻立法。高危行为与儿童期性虐待、饮酒、收入水平以及对完美避孕套预防 HIV 保护的错误信念密切相关。
结论
有和没有高危同性恋行为的 MSM 具有不同的社会和心理特征，在实施旨在预防中国 MSM 之间以及 MSM 向普通人群传播 HIV 的行为和治疗干预措施时，应考虑这些特征。
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