青年男同性恋者/男双性恋者购买性商业同性性行为的社会文化因素

胡健; 何孟芹

doi:10.16462/j.cnki.zhjbkz.2020.01.021

青年男同性恋者/男双性恋者购买性商业同性性行为的社会文化因素

doi: 10.16462/j.cnki.zhjbkz.2020.01.021

胡健^,,
何孟芹

550025 贵阳, 贵州财经大学公共管理学院

基金项目: 国家社会科学基金项目(14BGL213)

详细信息

通讯作者:
胡健, E-mail:jianhucdc@126.com

中图分类号: R512.91
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出版历程
- 收稿日期: 2019-08-21
- 修回日期: 2019-11-22
- 刊出日期: 2020-01-10

Socio-cultural factors influencing the buying commercial homosexual sex behaviors among young homosexual/bisexual men

HU Jian^,,
HE Meng-qin

School of Public Management, Guizhou University of Finance and Economics, Guiyang 550025, China

Funds: National Social Science Foundation of China(14BGL213)

More Information

Corresponding author: HU Jian, E-mail:jianhucdc@126.com

摘要

摘要: 目的调查青年男同性恋者/男双性恋者购买性商业同性性行为, 分析影响购买性商业同性性行为的社会文化因素。方法于2016年在贵州省贵阳市、遵义市、安顺市和铜仁市釆取分类滚雪球抽样(classification snowball sampling, CSS)调查和艾滋病(acquired immunodeficiency syndrome, AIDS, 又称获得性免疫缺陷综合征)自愿咨询检测门诊调查相结合的方法, 对824例青年男同性恋者/男双性恋者进行AIDS危险性行为一对一面访匿名问卷调查。结果 2016年购买性商业同性性行为总报告率为7.8%(95% CI:5.9%~9.6%), 其中, 青年男双性恋者报告率为13.0%, 高于男同性恋者的5.7%(P < 0.001)。对购买性商业同性性行为有影响的因素为月均收入(OR=6.54, P=0.005), 年龄(OR=3.59, P=0.011), 喜欢同性年龄(OR=2.85, P=0.004), 婚姻状况(OR=2.62, P=0.005), 户籍(OR=2.38, P=0.011), 口交增加危险性(OR=0.42, P=0.019), 感染AIDS可能性(P < 0.005), 公开性取向(OR=0.17, P=0.001)。结论青年男同性恋者/男双性恋者, 尤其是男双性恋者购买性商业同性性行为报告率较高。社会文化影响因素为喜欢同性年龄、口交增加危险性、感染AIDS可能性和公开性取向。
- 艾滋病危险性行为 /
- 男同性恋者 /
- 男双性恋者 /
- 社会文化因素
Abstract: Objective To investigate the buying commercial homosexual sex behaviors among young gay men/bisexual men, and analyze the socio-cultural factors influencing the buying commercial homosexual sex behaviors. Methods A cross-sectional study was performed on risk sexual behaviors for acquired immunodeficiency syndrome(AIDS) with an anonymous questionnaire among 824 young homosexual/bisexual men in Guiyang City, Zunyi City, Anshun City and Tongren City of Guizhou Province in 2016. Respondents were selected by a classified snowball sampling method combined with an interview at AIDS voluntary consultation and testing clinics. Results About 7.8%(95% CI:5.9%-9.6%)of respondents reported the buying commercial homosexual sex behaviors in the last year. The report rate was 13.0% for homosexual men, higher than 5.7% for bisexual men(P < 0.001). The influencing factors of the buying commercial homosexual sex behaviors were average monthly income(OR=6.54, P=0.005), age(OR=3.59, P=0.011), age of liking the same-sex(OR=2.85, P=0.004), marital status(OR=2.62, P=0.005), household registration(OR=2.38, P=0.011), increased risk of oral sex(OR=0.42, P=0.019), possibility of HIV infection(P < 0.005), and the dusckisure of sexual orientation(OR=0.17, P=0.001). Conclusions Young homosexual/bisexual men, especially bisexual men, had a higher report rate of the buying commercial homosexual sex behaviors. The socio-cultural factors influencing the buying commercial homosexual sex behaviors included age of liking the same-sex, increased risk of oral sex, possibility of HIV infection, and the disclosure of sexual orientation.
- Risk sexual behavior for AIDS /
- Homosexual man /
- Bisexual man /
- Socio-cultural factor

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表 1 青年男同性恋者/男双性恋者购买性商业同性性行为特征[n(%)]

Table 1. The buying commercial homosexual sex behaviors among young homosexual/bisexual men [n(%)]

性取向	例数(例)	购买性商业同性性行为		χ²值	P值
性取向	例数(例)	是	否	χ²值	P值
男同性恋者	594	34(5.7)	560(94.3)	12.40	< 0.001
男双性恋者	230	30(13.0)	200(87.0)
合计	824	64(7.8)	760(92.2)
注:购买性商业同性性行为总报告率的95% CI:5.9%~9.6%。

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表 2 青年男同性恋者/男双性恋者购买性商业同性性行为二元Logistic回归分析

Table 2. Analysis results of binomial Logistic regression analysis model of the buying commercial homosexual sex behaviors among young homosexual/bisexual men

变量	β	s_x	Wald/ χ²值	P值	OR值	95%CI值
年龄(岁)			7.84	0.020
15~					1.00
25~	0.54	0.51	1.13	0.287	1.72	0.63~4.68
30~40	1.28	0.50	6.50	0.011	3.59	1.34~9.60
婚姻状况
未婚/离异/丧偶					1.00
在婚/异性同居	0.96	0.35	7.73	0.005	2.62	1.33~5.15
户籍			8.96	0.011
调查区					1.00
本省非调查区	0.87	0.34	6.46	0.011	2.38	1.22~4.63
外省非调查区	-0.71	0.62	1.32	0.251	0.49	0.15~1.65
月均收入(元)			9.17	0.010
< 1 000					1.00
1 000~	1.25	0.71	3.11	0.078	3.51	0.87~14.12
3 000~	1.88	0.67	7.80	0.005	6.54	1.75~24.45
公开性取向
否					1.00
是	-1.77	0.51	11.96	0.001	0.17	0.06~0.46
喜欢同性年龄(岁)			8.42	0.015
4~					1.00
20~	1.05	0.36	8.36	0.004	2.85	1.40~5.80
25~40	0.49	0.45	1.21	0.271	1.63	0.68~3.90
感染AIDS可能性			19.40	< 0.001
可能性很小					1.00
有一定可能	-1.47	0.37	15.64	< 0.001	0.23	0.11~0.48
可能性很大	-1.38	0.52	7.02	0.008	0.25	0.09~0.70
口交增加危险性
否					1.00
是	-0.87	0.37	5.48	0.019	0.42	0.20~0.87
常数项	-3.79	0.68	30.72	< 0.001	0.02
注：负二倍对数似然值=311.83；模型χ²检验值=137.66，P＜0.001；卡克斯-史奈尔决定系数=0.15；总体预测率=92.8%。

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