非接触性和接触性儿童期性虐待的患病率：基于互联网的中国男男性行为者样本。
Prevalence of non-contact and contact childhood sexual abuse: An Internet-based sample of men who have sex with men in China.
作者信息
Xu Wenjian, Zheng Lijun, Zheng Yong
机构信息
Key Laboratory of Cognition and Personality (MOE), Southwest University, Chongqing, China.
Faculty of Psychology, Southwest University, Chongqing, China.
出版信息
PLoS One. 2017 Apr 10;12(4):e0175444. doi: 10.1371/journal.pone.0175444. eCollection 2017.
BACKGROUND
The prevalence of childhood sexual abuse (CSA) is high among Western men who have sex with men (MSM), and CSA is associated with certain socio-demographic variables and with human immunodeficiency virus (HIV) status. Little is known about CSA among Chinese MSM; therefore, we explored the prevalence and frequency of non-contact (e.g., sexual invitations, exhibitionism) and contact (e.g., intercourse, genital contact) forms of CSA in an Internet-based sample of MSM in China. We also examined the associations between the participants' socio-demographic characteristics and HIV status, and their histories of CSA.
METHODS
We surveyed MSM from 30 Chinese provinces in 2014-2015; 1,030 (mean age = 25.15 years, SD = 6.32) and 1,020 (mean age = 25.05 years, SD = 5.95) respondents were eligible for inclusion in the non-contact and contact CSA groups, respectively.
RESULTS
Prevalence of non-contact and contact CSA was 36.2% and 29.8%, respectively; 20.4% and 15.0% had experienced non-contact and contact CSA ≥ 3 times, respectively. Most respondents were young adults, well educated, single, had never "come out," and self-identified as gay or bisexual men. Univariate analyses showed that respondents who had experienced contact CSA were more likely to be HIV-positive than those who had never experienced contact CSA. Multivariate analyses showed that non-contact CSA was associated with less education, being in a relationship with a woman or a man, and having "come out." Contact CSA was associated with less education, higher income, and being in a relationship with a man. Respondents who had experienced non-contact CSA ≥ 3 times were more likely to be less educated, "out," and to be in a relationship with a woman or a man. Respondents who had experienced contact CSA ≥ 3 times were more likely to be less educated and to be in a relationship with a man.
CONCLUSIONS
It is necessary to pay closer attention to CSA among MSM and other sexual minorities in China.
背景
在西方男男性行为者（MSM）中，儿童性虐待（CSA）的发生率很高，且CSA与某些社会人口统计学变量以及人类免疫缺陷病毒（HIV）感染状况相关。关于中国男男性行为者中的CSA情况，人们了解甚少；因此，我们在一个基于互联网的中国男男性行为者样本中，探究了非接触形式（如性邀请、暴露癖）和接触形式（如性交、生殖器接触）的CSA的发生率及发生频率。我们还研究了参与者的社会人口统计学特征和HIV感染状况与其CSA经历之间的关联。
方法
我们在2014年至2015年期间对来自中国30个省份的男男性行为者进行了调查；分别有1030名（平均年龄 = 25.15岁，标准差 = 6.32）和1020名（平均年龄 = 25.05岁，标准差 = 5.95）受访者符合纳入非接触和接触CSA组的条件。
结果
非接触和接触CSA的发生率分别为36.2%和29.8%；分别有20.4%和15.0%的人经历非接触和接触CSA≥3次。大多数受访者为年轻人，受过良好教育，单身，从未“出柜”，且自我认定为男同性恋者或双性恋者。单因素分析显示，经历过接触CSA的受访者比从未经历过接触CSA的受访者更有可能感染HIV。多因素分析显示，非接触CSA与受教育程度较低、与女性或男性恋爱以及“出柜”有关。接触CSA与受教育程度较低、收入较高以及与男性恋爱有关。经历非接触CSA≥3次的受访者更有可能受教育程度较低、已“出柜”且与女性或男性恋爱。经历接触CSA≥3次的受访者更有可能受教育程度较低且与男性恋爱。
结论
有必要更加关注中国男男性行为者及其他性少数群体中的儿童性虐待情况。
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