中国大陆与男男性行为者保持定期性关系的女性的性健康状况。
Sexual health status of women who have regular sexual relations with men who have sex with men in mainland China.
作者信息
Li Xiufang, Zhang Beichuan, Wang Juan, Li Yang, Li Xianhong, Yu Peiheng, Liu Minghua, Liu Xinqiao
机构信息
Department of Sex Health Center, Affiliated Hospital of Qingdao University, 16 Jiangsu Street, Qingdao, Shandong, 266003, China.
Department of Dermatology, Jiaozhou Central Hospital of Qingdao, 29 Xuzhou Street, Jiaozhou, Shandong, 266300, China.
出版信息
BMC Public Health. 2017 Feb 6;17(1):168. doi: 10.1186/s12889-017-4096-z.
BACKGROUND
Men who have sex with men (MSM) are a high-risk group for sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV) infection. In China, the vast majority of MSM feel forced to marry or plan to marry women, according to traditional Chinese culture. Women who have regular sexual relations with MSM, called tongqi in mainland China, live with a high risk of STDs or HIV infection, but these risks are often ignored. Our investigation of this group of the women is a preliminary study that aims to understand the sexual health problems of tongqi and related factors.
METHODS
This study relied on website mobilization and was funded by tongqi. Participants were limited to women who had sex with MSM to whom they were married (in-GWs), whom they had divorced (ex-GWs), or with whom they were friends (GGFs). The data were collected using questionnaire software.
RESULTS
A total 144 valid surveys were returned from 100 in-GWs, 33 ex-GWs, and 11 GGFs. Average respondent age was 32.8 ± 6.4 years (range 22 to 58 years). Among in-GWs and ex-GWs, over 95% learned that their husbands were MSM after marriage. More than half of respondents had had sex before marriage, and one-third of those women had sex partners other than their husbands. In addition, 35.3% of tongqi had STDs symptoms. About 50% participants had had oral sex with sex partners of MSM and 10% had had passive anal sex, with low condom use during both oral (9.7%) and anal sex (23.1%). Most tongqi had misunderstandings about STDs and HIV and less than 30% had undergone HIV screening. Among participants tested, 5.6% were HIV positive. A total 93.5% of respondents believed that laws should be established to protect the sexual rights of women.
CONCLUSIONS
Women who have regular sexual relations with MSM face adverse sexual health issues and are susceptible to STDs and HIV infection. Measures must be taken to protect the rights and interests of tongqi in mainland China.
背景
男男性行为者（MSM）是性传播疾病（STDs）和人类免疫缺陷病毒（HIV）感染的高危人群。在中国，根据传统文化，绝大多数男男性行为者觉得被迫结婚或打算与女性结婚。在中国大陆与男男性行为者保持规律性关系的女性（被称为“同妻”），面临着性传播疾病或HIV感染的高风险，但这些风险常常被忽视。我们对这一群体女性的调查是一项初步研究，旨在了解“同妻”的性健康问题及相关因素。
方法
本研究依靠网络动员，由“同妻”资助。参与者限于与已婚男男性行为者（婚内“同妻”）、已离婚男男性行为者（离异“同妻”）或男性伴侣为男男性行为者的女性朋友（性伴女友）发生性行为的女性。数据通过问卷软件收集。
结果
共收到144份有效调查问卷，其中婚内“同妻”100人、离异“同妻”33人、性伴女友11人。受访者平均年龄为32.8±6.4岁（范围22至58岁）。在婚内“同妻”和离异“同妻”中，超过95%是在婚后得知丈夫为男男性行为者。超过一半的受访者婚前有过性行为，其中三分之一的女性有丈夫以外的性伴侣。此外，35.3%的“同妻”有性传播疾病症状。约50%的参与者与男男性行为者的性伴侣有过口交，10%有过被动肛交，口交（9.7%）和肛交（23.1%）时避孕套使用率均较低。大多数“同妻”对性传播疾病和HIV存在误解，不到30%的人接受过HIV检测。在接受检测的参与者中，5.6%为HIV阳性。共有93.5%的受访者认为应制定法律保护女性的性权利。
结论
与男男性行为者保持规律性关系的女性面临不良性健康问题，易感染性传播疾病和HIV。必须采取措施保护中国大陆“同妻”的权益。
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