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男同性恋或双性恋男性中与艾滋病毒/艾滋病相关的高危行为及自杀相关危险因素研究

[Study on high-risk behaviour and suicide associated risk factors related to HIV/AIDS among gay or bisexual men].

作者信息

Chen Hong-quan, Li Yang, Zhang Bei-chuan, Li Xiu-fang

机构信息

Department of Dermatology, Qingdao University, Qingdao, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Oct;32(10):983-6.

Abstract

OBJECTIVE

Characteristics on AIDS high-risk behaviors in gay or bisexual men with suicide ideas were explored and analyzed.

METHODS

A cross-sectional survey was conducted with the snowball sampling method adopted. Subjects with suicide ideas were collected from responses to the valid questionnaires and subjects with no suicide ideas were collected from the age comparable men.

RESULTS

The overall rate of gays or bisexuals with suicide ideas was 20.2% in this survey. The attitude for homogeneity and marital status among the unmarried was more than that among the comparable group (P < 0.05). The rate of AIDS high-risk behaviors as same-sex sexual harassment, bleeding during sexual intercourse in the last year, coitus with unfamiliar same-sex partners in cities, suffering from adult same-sex sexual abuse before the age of 16, having had sexual abuse and abusive behavior, having had active or passive anal kiss, having had active or passive coitus with fingers, alcohol consumption weekly at least once or more, hurt by gays because of attitude and/or same-sex sexual activity and hurt by heterosexual men because of attitude and/or same-sex sexual activity were significantly higher in gays and bisexual men with suicide ideas than those without (P < 0.05). Data from multivariate logistic regression models suggested that harm from gays (Waldχ(2) = 6.637, P = 0.010) and heterosexual men (Waldχ(2) = 5.835, P = 0.016) due to attitude on homosexual activity appear to be the risk factors causing the suicide ideas.

CONCLUSION

Reducing the social discrimination and harm towards gays and bisexual men could reduce the occurrence of the suicide ideas and have a positive effect on curbing the prevalence of AIDS.

摘要

目的

探讨并分析有自杀观念的男同性恋或双性恋男性的艾滋病高危行为特征。

方法

采用雪球抽样法进行横断面调查。从有效问卷的回答中收集有自杀观念的受试者,从年龄相仿的男性中收集无自杀观念的受试者。

结果

本次调查中有自杀观念的男同性恋或双性恋者总体比例为20.2%。未婚者中对同性的态度及婚姻状况方面的比例高于对照组(P<0.05)。有自杀观念的男同性恋和双性恋男性在同性性骚扰、过去一年性交时出血、在城市与不熟悉的同性伴侣性交、16岁之前遭受成年同性性虐待、有性虐待及虐待行为、有主动或被动肛交、有主动或被动手指性交、每周至少饮酒一次或更多、因态度和/或同性性活动受到男同性恋者伤害以及因态度和/或同性性活动受到异性恋男性伤害等艾滋病高危行为的发生率显著高于无自杀观念者(P<0.05)。多因素逻辑回归模型数据表明,因对同性恋活动的态度而受到男同性恋者(Waldχ(2)=6.637,P=0.010)和异性恋男性(Waldχ(2)=5.835,P=0.016)的伤害似乎是导致自杀观念产生的危险因素。

结论

减少对男同性恋和双性恋男性的社会歧视及伤害,可降低自杀观念的发生,对遏制艾滋病的流行有积极作用。

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