烟台市青年学生男男性行为人群首次同性性行为特征分析

林荣; 王洪涛; 程晓松; 薛建; 于相冬; 孙皓钰; 姜聚军

doi:10.16462/j.cnki.zhjbkz.2020.12.013

烟台市青年学生男男性行为人群首次同性性行为特征分析

doi: 10.16462/j.cnki.zhjbkz.2020.12.013

1.
264000 烟台，烟台市疾病预防控制中心艾滋病防治科
2.
264000 烟台，烟台市市直机关医院

林荣和王洪涛为共同第一作者

基金项目:

山东省医药卫生科技发展计划项目 2017WS391

烟台市科技计划项目 2016WS058

详细信息

通讯作者:
姜聚军，E-mail：ytjkafk@yt.shandong.cn

中图分类号: R512.91
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出版历程
- 收稿日期: 2020-03-17
- 修回日期: 2020-06-30
- 刊出日期: 2020-12-10

Analysis of the characteristics of the first homosexual behavior among young male students who have sex with men in Yantai City

1.
Department of AIDS Control and Prevention, Yantai City Center for Disease Control and Prevention, Yantai 264000, China
2.
Yantai City Municipal Government Hospital, Yantai 264000, China

LIN Rong and WANG Hong-tao contributed equally to this articel

Funds:

Shandong Medical Health Technology Development Project 2017WS391

Yantai Science and Technology Project 2016WS058

More Information

Corresponding author: JIANG Ju-jun, E-mail: ytjkafk@yt.shandong.cn

摘要

摘要: 目的分析烟台市青年学生男男性行为(men who have sex with men, MSM)人群首次同性性行为特征，为高校艾滋病防控措施的制定提供参考依据。方法研究使用横断面调查和深入访谈。通过问卷调查收集目标人群人口学特征、首次同性性行为相关情况等信息。通过深入访谈了解目标人群首次同性性行为的发生背景及未使用安全套原因。结果共收集有效问卷302份，发生首次同性性行为的年龄为(17.59±1.78)岁；性行为对象以网友居多(34.1%)；首次同性性行为与近6个月同性性行为保护性存在统计学差异(χ² =52.247，P < 0.001)。深入访谈结果显示，13人自述通过交友软件等网络联系方式发生首次同性性行为是基于好奇、追求刺激等心理，未全程使用安全套的主要原因是对艾滋病防治知识的匮乏(77.8%)。结论青年学生MSM人群首次同性性行为存在年龄小、防护意识差、知晓率低以及主要通过交友软件寻找性伴等特点。需进一步加强针对该人群的宣传教育，包括提前普及年龄、提高细节认知以及强化行为干预和沟通技巧，同时充分发挥新媒体在艾滋病防治宣传教育中的作用。
- 青年学生 /
- 男男性行为者 /
- 首次同性性行为 /
- 特征
Abstract: Objective To analyze the characteristics of first-time homosexual behavior among young male students who have sex with men (MSM) population, so as to provide reference for the formulation of acquired immune deficiency syndrome (AIDS) prevention and control measures in colleges and universities. Methods A combination of cross-sectional study and in-depth interview were used. A self-reported questionnaire was used to collect information of participant demographics and sexual debut. By in-depth interview, we further summarized reasons of sexual debut and condomless sexual intercourse. Results A total of 302 valid questionnaires were surveyed. The age at which the first homosexual behavior occurred was (17.59 ± 1.78) years old. Most of participants sought sexual partners from internet (34.1%). There was statistical difference between the protection of the first homosexual behavior and homosexual behavior in the past 6 months (χ² =52.247, P < 0.001). The results of in-depth interviews showed that 13 people acknowledged the first homosexual behavior that occurred through online connections such as dating software due to psychology such as curiosity and pursuit of stimulus. The main reason for not using condoms during the whole process was the lack of knowledge about AIDS prevention and control(77.8%). Conclusions For the first time, the homosexual behavior of young male students MSM populations were characterized by young age, poor protection awareness, low awareness rate, and finding sexual partners mainly through dating software. It was necessary to further strengthen the publicity and education for this group, including popularizing the age in advance, improving details, and strengthening behavioral intervention and communication skills. The active role of new media in AIDS prevention and education should be fully played.
- Young students /
- Men who have sex with men /
- The first homosexual behavior /
- Characteristics

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表 1 烟台市青年学生MSM人群艾滋病知识知晓率[n(%)]

Table 1. The awareness rate of AIDS knowledge of MSM among young male students in Yantai [n(%)]

艾滋病知识	知晓率
艾滋病是一种不可治愈的严重传染病	205(67.9)
男男同性性行为人群是中国目前受艾滋病危害最严重的人群	187(61.9)
通过外表不可以判断一个人是否感染艾滋病	215(71.2)
感染其他性病会增加感染艾滋病的风险	266(88.1)
坚持正确使用安全套可以减少感染和传播艾滋病的风险	289(95.7)
使用新型毒品(如冰毒、摇头丸及K粉等)会增加感染艾滋病的风险	263(87.1)
发生高危行为后(共用针具吸毒/不安全性行为等)，应主动寻求艾滋病检测与咨询	293(97.0)
故意传播艾滋病需要承担法律责任	286(94.7)
合计(答对6个问题及以上者)	237(78.5)

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表 2 烟台市青年学生MSM人群首次同性性行为与近6个月同性性行为保护性比较

Table 2. Comparation of the protection between first time homosexual intercourse and activities during the past six months among young male students who have sex with men in Yantai City

首次同性性行为	近6个月同性性行为		合计	χ²值	P值
首次同性性行为	有保护	无保护	合计	χ²值	P值
有保护	91	20	111
无保护	7	32	39
合计	98	52	150	52.247	＜0.001

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