Heiman Erica, Haynes Sharon, McKee Michael
Department of Internal Medicine, University of California, Davis Medical Center, Sacramento, CA, USA.
Deaf Health Community Committee, Rochester, NY, USA.
Disabil Health J. 2015 Oct;8(4):579-85. doi: 10.1016/j.dhjo.2015.06.005. Epub 2015 Jun 30.
Little is known about the sexual health behaviors of Deaf American Sign Language (ASL) users.
We sought to characterize the self-reported sexual behaviors of Deaf individuals.
Responses from 282 Deaf participants aged 18-64 from the greater Rochester, NY area who participated in the 2008 Deaf Health were analyzed. These data were compared with weighted data from a general population comparison group (N = 1890). We looked at four sexual health-related outcomes: abstinence within the past year; number of sexual partners within the last year; condom use at last intercourse; and ever tested for HIV. We performed descriptive analyses, including stratification by gender, age, income, marital status, and educational level.
Deaf respondents were more likely than the general population respondents to self-report two or more sexual partners in the past year (30.9% vs 10.1%) but self-reported higher condom use at last intercourse (28.0% vs 19.8%). HIV testing rates were similar between groups (47.5% vs 49.4%) but lower for certain Deaf groups: Deaf women (46.0% vs 58.1%), lower-income Deaf (44.4% vs 69.7%) and among less educated Deaf (31.3% vs 57.7%) than among respondents from corresponding general population groups.
Deaf respondents self-reported higher numbers of sexual partners over the past year compared to the general population. Condom use was higher among Deaf participants. HIV was similar between groups, though HIV testing was significantly lower among lower income, less well-educated, and female Deaf respondents. Deaf individuals have a sexual health risk profile that is distinct from that of the general population.
对于使用美国手语（ASL）的美国聋人的性健康行为知之甚少。
我们试图描述聋人的自我报告的性行为特征。
分析了来自纽约大罗切斯特地区282名年龄在18 - 64岁之间、参与2008年聋人健康调查的聋人参与者的回复。将这些数据与一个普通人群对照组（N = 1890）的加权数据进行比较。我们研究了四个与性健康相关的结果：过去一年的禁欲情况；过去一年的性伴侣数量；最近一次性交时使用避孕套的情况；以及是否曾接受过HIV检测。我们进行了描述性分析，包括按性别、年龄、收入、婚姻状况和教育水平分层。
与普通人群受访者相比，聋人受访者更有可能自我报告在过去一年中有两个或更多性伴侣（30.9%对10.1%），但自我报告最近一次性交时使用避孕套的比例更高（28.0%对19.8%）。两组之间的HIV检测率相似（47.5%对49.4%），但某些聋人群体的检测率较低：聋人女性（46.0%对58.1%）、低收入聋人（44.4%对69.7%）以及受教育程度较低的聋人（31.3%对57.7%），低于相应普通人群组的受访者。
与普通人群相比，聋人受访者自我报告在过去一年中的性伴侣数量更多。聋人参与者中使用避孕套的比例更高。两组之间的HIV感染情况相似，尽管低收入、受教育程度较低的聋人女性受访者的HIV检测率明显较低。聋人的性健康风险状况与普通人群不同。
