台湾地区男同性恋和双性恋者成年初显期的生活质量：传统骚扰和网络骚扰受害的作用。
Quality of life of gay and bisexual men during emerging adulthood in Taiwan: Roles of traditional and cyber harassment victimization.
机构信息
Department of Psychiatry, Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Tainan, Taiwan.
School of Nursing, The State University of New York, University at Buffalo, New York, United States of America.
出版信息
PLoS One. 2019 Feb 28;14(2):e0213015. doi: 10.1371/journal.pone.0213015. eCollection 2019.
This study examined factors related to the quality of life (QOL) of gay and bisexual men during emerging adulthood in Taiwan. The factors included traditional harassment (e.g., verbal ridicule, relational exclusion, physical aggression, and theft of belongings), cyber harassment, sex- and gender-related factors (e.g., sexual orientation, age at initial identification of sexual orientation, self-reported level of gender nonconformity, and perceived social acceptance toward homosexuality and bisexuality), and demographic characteristics. In total, 305 Taiwanese gay and bisexual men, aged 20-25 years, were recruited. Their QOL, traditional harassment, and cyber harassment data were collected using the World Health Organization Questionnaire on Quality of Life: Short Form, School Bullying Experience Questionnaire, and Cyberbullying Experiences Questionnaire, respectively. In total, 60.3%, 34.4%, 28.2%, and 29.5% of the participants reported experiencing traditional harassment, cyber harassment, traditional harassment across multiple contexts, and harassment in multiple forms, respectively. Both traditional and cyber harassment were significantly associated with lower QOL. Individuals who experienced traditional harassment across multiple contexts and harassment in multiple forms had lower QOL in nearly all domains than did individuals who had experienced traditional harassment in a single context and harassment of a single form. However, the QOL did not significantly differ between individuals who had experienced traditional harassment in a single context and nonvictims nor between individuals who had experienced harassment of a single form and nonvictims. Lower education level, older age at initial identification of sexual orientation, higher perception of gender nonconformity, and lower perceived social acceptance toward homosexuality and bisexuality were significantly associated with lower QOL. Clinical and public health professionals should consider these factors when developing programs to enhance the QOL of gay and bisexual men.
本研究考察了与台湾同性恋和双性恋男性在成年早期的生活质量（QOL）相关的因素。这些因素包括传统骚扰（例如言语嘲笑、关系排斥、身体攻击和财物盗窃）、网络骚扰、性别相关因素（例如性取向、最初识别性取向的年龄、自我报告的性别不一致程度以及对同性恋和双性恋的感知社会接受度）和人口统计学特征。共有 305 名 20-25 岁的台湾同性恋和双性恋男性参与了研究。他们的生活质量、传统骚扰和网络骚扰数据分别通过世界卫生组织生活质量问卷：简短形式、学校欺凌经历问卷和网络欺凌经历问卷收集。共有 60.3%、34.4%、28.2%和 29.5%的参与者报告经历了传统骚扰、网络骚扰、多种情境下的传统骚扰和多种形式的骚扰。传统骚扰和网络骚扰都与较低的生活质量显著相关。经历过多种情境的传统骚扰和多种形式的骚扰的个体，在几乎所有领域的生活质量都低于仅经历过单一情境的传统骚扰和单一形式的骚扰的个体。然而，仅经历过单一情境的传统骚扰和非受害者之间，以及仅经历过单一形式的骚扰和非受害者之间，生活质量没有显著差异。较低的教育水平、最初识别性取向的年龄较大、较高的性别不一致感以及对同性恋和双性恋的感知社会接受度较低与较低的生活质量显著相关。临床和公共卫生专业人员在制定提高同性恋和双性恋男性生活质量的方案时应考虑这些因素。
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