辽宁省男男性接触者同性身份认同与内在感受的关系研究

发布时间：2019-05-07 11:54

【摘要】：目的:了解男男性接触者(Men who has sex with men, MSM)对同性恋身份的认同(对同性恋的态度和适应)与其内在感受(社会歧视感、经济不确定性、内在耻感和社会隔离感)的水平与分布特征,并分析其相互关系。方法:1.研究对象:2008年5月1日～2008年7月31日,在沈阳、丹东、鞍山、本溪抽取807名MSM。选择的对象必须符合以下标准:(1)在过去12个月内与其他男性有过插入性口交或肛交同性性行为的男性;(2)年龄在18-65岁;(3)同意参加问卷调查;(4)有招募卡片;(5)通过每天更新的指纹识别系统对重复参加者进行辨别。2.抽样方法:采用同伴驱动抽样方法(Respondent-Driven Sampling, RDS),通过关键知情人每市分别招募5-10名MSM作为“种子”,然后每名“种子”招募3名MSM伙伴参与调查活动,被招募来的MSM再招募3人,依次推动招募链的延伸。3.调查内容:对所有调查对象进行面对面访谈。应用结构式调查问卷记录访谈内容,包括年龄、性取向、受教育程度、是否公开身份、HIV/AIDS感染情况以及精神疾病的患病情况等。4.研究工具:应用同性恋态度问卷以及社会影响量表对MSM自我身份的认同与内在感受进行全面的测量。5.统计分析:采用RDS专用软件分析样本的平衡性。应用SPSS17.0统计软件进行分析,对态度问卷和社会影响量表的分布水平进行描述,采用单因素方差分析和t检验分析各维度得分的差异。结果:应用RDS方法抽取的样本具有良好代表性;47%-79% MSM表示认同同性恋,但也有51%-65%MSM不能适应同性身份,84%MSM认为有必要向大多数人隐藏自己的同性身份,显示MSM人群多存在对同性身份认同的困惑。70%MSM曾有社会拒绝感,60%MSM感到经济不确定,88%MSM存在内在耻感,84%MSM有社会隔离感,提示MSM存在较高的内心不良感受。MSM中同性恋者的身份认同与适应水平显著高于双性恋、不确定性取向者以及异性恋者,反映了生物学因素的重要影响。MSM社会拒绝感、经济不确定、内在耻感以及社会隔离感的水平均与其对同性身份的态度与适应性水平呈显著负相关。MSM对同性身份的态度和适应均差时社会拒绝感、经济不确定、内在耻感以及社会隔离感的感受最强,反之MSM对同性身份的态度和适应均好时社会拒绝感、经济不确定、内在耻感以及社会隔离感的感受最低。结论: (1)MSM人群多存在对同性身份的认同困惑以及较高水平的社会拒绝感、经济不确定、内在耻感、社会隔离感。 (2)MSM人群中,同性恋者对同性恋的态度更积极,适应性更好;但社会拒绝感和社会隔离感显著高于其他性取向者。双性恋者的内在耻感较同性恋更强。异性恋者最不能认同同性恋身份。 (3)年龄较大、文化程度低、离异或是隐藏性取向的MSM,其对同我的身份认同度较低,而内在感受的水平较高。 (4)MSM对同性身份的态度、适应性与社会拒绝感、经济不确定、内在耻感以及社会隔离感呈中等强度显著负相关。
[Abstract]:Objective: to understand (Men who has sex with men, MSM) 's identity towards homosexuality (attitude and adaptation to homosexuality) and his inner feelings (social discrimination, economic uncertainty) among men who have sex with men. The level and distribution of the sense of internal shame and social isolation, and the relationship between them. Methods: 1. Participants: from May 1, 2008 to July 31, 2008, 807 MSM. were selected from Shenyang, Dandong, Anshan and Benxi. The following criteria must be met: (1) men who have had sex with other men in oral or anal sex in the past 12 months; (2) aged 18 to 65; (3) who have agreed to participate in the questionnaire; (3) who have had sexual intercourse with other men in the past 12 months; (2) aged 18 to 65; (3) agreed to participate in the questionnaire; (IV) recruitment cards; (v) Identification of repeat participants through a daily updated fingerprint identification system. Sampling methods: peer-driven sampling (Respondent-Driven Sampling, RDS), recruited 5 to 10 MSM each city as "seed" through key informants, and then 3 MSM partners per "seed" to participate in the survey; MSM was recruited to recruit another three people, in turn promoting the extension of the recruitment chain. 3. Survey contents: face-to-face interviews with all subjects. A structured questionnaire was used to record interviews, including age, sexual orientation, education, public identity, HIV/AIDS infection and mental illness. 4. Research tools: the self-identity and internal feelings of MSM were measured by Gay attitude questionnaire and Social impact scale. 5. Statistical analysis: RDS software is used to analyze the balance of samples. SPSS17.0 statistical software was used to analyze the distribution level of attitude questionnaire and social impact scale. One-way ANOVA and t-test were used to analyze the difference of each dimension score. Results: the samples extracted by RDS method had good representativeness. 47% / 79% of MSM said they agreed with homosexuality, but there are also 51%-65%MSM who can't adapt to the same-sex identity, and 84%MSM believes it is necessary to hide their same-sex identity from most people. 70% of MSM had a sense of social rejection, 60%MSM felt economic uncertainty, 88%MSM had inherent shame, and 84%MSM had a sense of social isolation. It is suggested that there is a high level of negative feelings in the heart of MSM. The level of identity and adaptation of homosexuals is significantly higher than that of bisexuals, uncertain orientators and heterosexuals, which reflects the important influence of biological factors. The level of economic uncertainty, internal shame and social isolation were all negatively correlated with their attitude and adaptability to same-sex identity. When the attitude and adaptation to same-sex identity were poor, MSM had a sense of social rejection and economic uncertainty. The sense of internal shame and social isolation was the strongest, whereas MSM had the lowest feeling of social rejection, economic uncertainty, internal shame and social isolation when both attitudes and adaptations to same-sex identity were good. Conclusion: (1) there are more confusion about identity of same sex and higher level of social rejection, economic uncertainty, inner shame and social isolation in MSM population. (2) in MSM, homosexuals had more positive attitude towards homosexuality and better adaptability, but social rejection and social isolation were significantly higher than those of other sexual orientations. Bisexuals have a stronger sense of shame than homosexuality. Heterosexuals are the least able to identify themselves with homosexuality. (3) MSM, with older age, lower education level, divorce or hidden sexual orientation, had lower identity and higher level of inner feeling. (4) the attitude and adaptability of MSM to same-sex identity were negatively correlated with social rejection, economic uncertainty, inner shame and social isolation.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：B846

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