男男性行为者486例性别认同与艾滋病高危行为的相关性分析

发布时间：2018-08-29 10:18

【摘要】：目的通过对486例男男性接触人群(MSM)的调查,分析其儿童期和成年期性别认同与艾滋病(AIDS)高危行为的关系,为有针对性地制定AIDS干预措施提供参考。方法对从486例MSM回收的问卷中有关性别认同的内容进行一般性描述,并将这部分内容与艾滋病高危行为之间的关系进行统计学分析。结果儿童期偏好女孩身份的MSM成年后更偏向被动肛交(OR=2.26),更少参与群交(OR=0.44),近1年更少与偶遇性伴发生性关系(OR=0.39);成年后不喜欢自身性别(偏好女性身份)和性行为中认同女性角色者较多进行被动肛交(OR=4.22)。认同男性者累计性伴中位数更多(P0.05),近1年有偶遇性伴情形更多(OR=2.56),更多主动吻肛(OR=2.30)。结论 MSM儿童期和成年期性别认同都与艾滋病高危行为关系密切,提示可根据心理状况采取侧重点不同的AIDS预防干预措施。
[Abstract]:Objective to investigate the relationship between (MSM) and (AIDS) high risk behaviors in childhood and adulthood in 486 men who had sex with men, so as to provide reference for making AIDS intervention measures. Methods A general description of gender identity was made in the questionnaires collected from 486 cases of MSM, and the relationship between the contents and high risk behaviors of AIDS was analyzed statistically. Results MSM who preferred girls' status in childhood were more inclined to passive anal sex (OR=2.26), less participation in group sex (OR=0.44), less sexual relations with casual sexual partners (OR=0.39) in the past year, and did not like their own sex (preference for female identity) and sexual behavior in adulthood. Passive anal sex (OR=4.22) was more common in those who identified with female role. The median of cumulative sexual partners in men was more than that in men (P0.05), but there were more accidental sexual partners (OR=2.56) and active anal kiss (OR=2.30) in recent years. Conclusion gender identity in childhood and adulthood of MSM is closely related to high risk behaviors of AIDS, suggesting that AIDS prevention interventions with different emphasis can be taken according to psychological status.
【作者单位】：安徽中医药高等专科学校;青岛大学医学院;山东省皮肤性病防治研究所;
【分类号】：R512.91

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