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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(P<0.05),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。
Objective To investigate the relationship between gender identity and high-risk AIDS in 486 men who have sex with men (MSM), and to provide a reference for the targeted AIDS intervention. Methods A general description of the gender identity in the questionnaire collected from 486 MSMs was made and the relationship between this part and the high-risk behaviors of AIDS was analyzed statistically. Results MSM, who preferred girl status in childhood, was more likely to have passive anal sex (OR = 2.26), less participation in group cohort (OR = 0.44), less sexual contact with casual partners in the past year (OR = 0.39) Those who did not like their own gender (prefer female status) and female characters who accepted female roles in sexual activity had more passive anal sex (OR = 4.22). The number of male partners who agreed with them was more (P <0.05). There were more occasional partners in the past year (OR = 2.56) and more active anus analysis (OR = 2.30). Conclusion The gender identity of MSM in childhood and adulthood is closely related to the high-risk behavior of AIDS, suggesting that AIDS prevention interventions with different emphasis may be adopted according to the psychological status.