Wei Dannuo, Hou Fengsu, Hao Chun, Gu Jing, Dev Rubee, Cao Wangnan, Peng Liping, Gilmour Stuart, Wang Keru, Li Jinghua
Sun Yat-sen University, Guangzhou, China.
Kangning Hospital, Shenzhen, China.
J Interpers Violence. 2021 Nov;36(21-22):NP11968-NP11993. doi: 10.1177/0886260519889935. Epub 2019 Dec 2.
Intimate partner violence (IPV) in the heterosexual population has gained increasing public concern in China, but little is known about it among men who have sex with men (MSM). This study aimed to investigate the prevalence of IPV and associated factors among MSM in Chengdu, China. Participants were recruited from a local MSM-friendly health consulting center. This study used the adjusted Intimate Partner Violence Scale among Gay and Bisexual Men (IPV-GBM scale) to capture lifetime IPV experiences including physical, sexual and emotional violence, monitoring, and controlling behaviors. Among 431 participants, 153 (35.5%) reported any IPV experiences, and 119 (27.6%) reported themselves as being the perpetrator. Adjusted logistic regression models revealed that having been engaged in transactional sex was positively associated with victimization through monitoring behaviors (adjusted odds ratio [ORa] = 2.7, 95% confidence interval CI = [1.7, 7.4]) and perpetration of monitoring behaviors (ORa = 3.9, 95% CI = [1.5, 13.3]); drug use was positively associated with victimization through controlling behaviors (unadjusted odds ratio [ORu] = 2.5, 95% CI = [1.2, 5.0]) and emotional violence (ORa = 1.9, 95% CI = [1.0, 3.5]); older age (≥18 years) of first homosexual intercourse was negatively associated with perpetration of physical violence (ORu = 0.3, 95% CI = [0.2, 0.7]) and sexual violence (ORu = 0.4, 95% CI = [0.2, 1.0]); higher self-esteem was negatively associated with both victimization and perpetration of sexual and emotional violence. We found that victimization and perpetration experiences were correlated in all dimensions of IPV. Violence was prevalent among MSM and merits public attention. This study provides more evidence about IPV among Chinese MSM and identifies two significant factors contributing to IPV (self-esteem and age of first homosexual intercourse), which have been overlooked in previous studies. Researchers should take these factors into consideration for interventions developments.
异性恋群体中的亲密伴侣暴力（IPV）在中国已日益引起公众关注，但男男性行为者（MSM）中的情况却鲜为人知。本研究旨在调查中国成都男男性行为者中亲密伴侣暴力的患病率及相关因素。参与者来自当地一家对男男性行为者友好的健康咨询中心。本研究使用了经调整的男同性恋和双性恋男性亲密伴侣暴力量表（IPV - GBM量表）来获取一生的亲密伴侣暴力经历，包括身体暴力、性暴力和情感暴力、监视及控制行为。在431名参与者中，153人（35.5%）报告有任何亲密伴侣暴力经历，119人（27.6%）报告自己是施暴者。调整后的逻辑回归模型显示，从事交易性行为与通过监视行为遭受暴力（调整后的优势比[ORa]=2.7，95%置信区间CI=[1.7, 7.4]）以及实施监视行为（ORa = 3.9，95% CI = [1.5, 13.3]）呈正相关；吸毒与通过控制行为遭受暴力（未调整的优势比[ORu]=2.5，95% CI = [1.2, 5.0]）以及情感暴力（ORa = 1.9，95% CI = [1.0, 3.5]）呈正相关；首次发生同性性行为的年龄较大（≥18岁）与实施身体暴力（ORu = 0.3，95% CI = [0.2, 0.7]）和性暴力（ORu = 0.4，95% CI = [0.2, 1.0]）呈负相关；较高的自尊与性暴力和情感暴力的受害及实施均呈负相关。我们发现，亲密伴侣暴力的所有维度中，受害经历和施暴经历都存在相关性。暴力在男男性行为者中普遍存在，值得公众关注。本研究提供了更多关于中国男男性行为者亲密伴侣暴力的证据，并确定了导致亲密伴侣暴力的两个重要因素（自尊和首次发生同性性行为的年龄），这在以往研究中被忽视了。研究人员在制定干预措施时应考虑这些因素。
