自我控制与学生男男性行为人群危险行为的关系

杨银梅; 肖琛嫦; 王棠; 李十月; 燕虹

doi:10.16462/j.cnki.zhjbkz.2017.12.013

自我控制与学生男男性行为人群危险行为的关系

doi: 10.16462/j.cnki.zhjbkz.2017.12.013

1. 武汉大学健康学院流行病与卫生统计学系, 湖北武汉 430071;
2. 湖北省卫生和计划生育委员会疾控处, 湖北武汉 430079

基金项目:

教育部人文社会科学基金（15YJAZH094）

详细信息

作者简介:
杨银梅(1990-),女,河南商丘人,在读硕士研究生。主要研究方向:行为流行病学。

中图分类号: R373.51
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出版历程
- 收稿日期: 2017-06-13
- 修回日期: 2017-09-12

Self-control and risky behaviors among male students who have sex with men

1. Department of Epidemiology and Health Statistics, School of Health Sciences of Wuhan University, Wuhan 430071, China;
2. Department of Disease Control, Hubei Province Health and Family Planning Commission, Wuhan 430079, China

摘要

摘要: 目的了解武汉市学生男男性行为人群（men who have sex with men，MSM）自我控制及艾滋病相关危险行为状况，以探讨自我控制与危险行为的关系。方法 2013年5~11月，通过多种方式共招募180名学生MSM，进行问卷调查。结果武汉市学生MSM自我控制总分为27.00~89.00分，中位数为55.00分。20~25岁组学生MSM自我控制总分和冲动控制维度得分分别为53.00（47.00~61.75）和17.00（13.00~19.75），低于16~19岁年龄组的57.50（51.25~65.00）和18.00（16.00~21.75）；每月可支配资金>1 000元的MSM冲动控制维度得分17.00（12.75~19.00），低于每月可支配资金 ≤ 1 000元者的18.00（15.00~21.00）；首次性行为年龄<18岁的MSM冲动控制、节制娱乐、自我控制总分得分分别为18.00（15.00~22.00）、9.00（7.00~11.00）、58.00（48.00~66.50），高于18~24岁组的17.00（13.75~20.00）、8.00（6.00~10.00）、54.00（48.00~60.00）。首次性行为使用安全套的MSM冲动控制维度得分为16.50（13.00~18.25），低于首次性行为未使用安全套者的18.00（15.00~21.00）；近六个月有多性伴行为者抵制诱惑维度得分为13.00（11.00~14.00），高于无多性伴者的12.00（10.00~14.00）；近六个月饮酒者在节制娱乐方面得分为8.50（7.00~10.00），高于未饮酒者的7.50（5.75~10.00）；有饮酒后性行为者在冲动控制维度得分为19.00（16.00~23.00），高于无饮酒后性行为者的17.00（14.00~20.00）。近六个月有一夜情行为、群交行为、药物滥用行为的学生MSM自我控制总分较高。结论武汉市学生MSM危险行为发生率较高，首次性行为使用安全套者其冲动控制能力较强，近六个月有多性伴者在抵制诱惑方面较差，有饮酒后性行为者在冲动控制能力较弱。近六个月有一夜情行为、群交行为、药物滥用其自我控制水平较低，同时可以预测上述危险行为的发生。
- 同性恋,男性 /
- 自我暗示 /
- 危险性行为
Abstract: Objective To investigate the relationship between self-control ability and AIDS(acquired immune deficiency syndrome)-related risky behaviors of male students who have sex with men in Wuhan. Methods A total of 180 students MSM(men who have sex with men)were recruited from May to November, 2013. Anonymous questionnaire survey was carried out. Results The self-control score was 27.00-89.00 (median=55.00). The scores of impulse control 17.00(13.00-19.75) and overall self-control 53.00(47.00-61.75) among the students MSM aged 20-25 were lower than those aged 16-19 years old 18.00(16.00-21.75),57.50(51.25-65.00); those with a disposable monthly income of over 1 000 RMB Yuan 17.00(12.75-19.00) were lower than among those with less than 1 000 Yuan 18.00(15.00-21.00) in the scores of impulse control; The scores of impulse control 18.00(15.00-22.00), temperance entertainment 9.00(7.00-11.00) and overall self-control 58.00(48.00-66.50)among those with homosexual behaviors before the age of 18 years were higher than those aged 18-24 years old 17.00(13.75-20.00),8.00(6.00-10.00),54.00(48.00-60.00). The students MSM with histories of multiple sexual partners in the past six months had higher scores for resisting the temptation 13.00(11.00-14.00),12.00(10.00-14.00); drinkers were poorer in temperance entertainment 8.50(7.00-10.00),7.50(5.75-10.00); those with sexual behaviors after drinking had higher scores for impulse control 19.00(16.00-23.00), 17.00(14.00-20.00). The students MSM who had one night sex, engaged in group sex activities or had drug abuse in the past 6 years had higher scores for self-control. Conclusions The prevalence of risky behaviors is high. MSM with low self-control are more likely to engage in AIDS-related risky behaviors.
- Homosexuality, male /
- Self hints /
- Unsafe sex