摘要
目的：调查新疆维吾尔自治区（简称新疆自治区）男男性行为人群（ MSM ）个人和社会身份认同状况，及其与该人群性相关行为的关系，并分析影响个人和社会身份认同的因素。方法于2013年5—8月，采用方便抽样方法在新疆自治区的乌鲁木齐、喀什、阿克苏、伊宁市对MSM进行问卷调查。纳入≥16岁、自述有同性性行为者，共获取1475名对象。采用单因素χ^2=验分析个人和社会身份认同积极性差异及其分别与性相关行为的关系，并采用多因素logistic回归模型分析影响个人和社会身份认同的因素。结果个人身份认同积极者占44.7％（656／1467），社会身份认同积极者占29.1％（427／1467）。个人身份认同积极性：维吾尔族是汉族的0.43（0.32～0.58）倍，确定性倾向年龄＞20岁组是≤20岁组的0.61（0.47～0.80）倍，同性恋组是双性恋组的1.98（1.50～2.61）倍。社会身份认同积极性：回族是汉族的0.61（0.42～0.88）倍，大专以上组是初中组的0.60（0.40～0.89）倍，农牧民是学生的4.17（2.13～8.17）倍，离婚或丧偶组是未婚组的2.40（1.34～4.29）倍，确认性取向年龄＞20岁组是≤20岁组的0.59（0.44～0.81）倍。个人和社会身份认同消极者打算今后与异性结婚的比例分别为66.8％（267／400）、76.5％（306／400），均高于积极者[33.2％（133／400）、23.5％（94／400）]（χ^2=分别为55.96、20.25，P值均＜0.05），其希望生育后代的比例分别为62.0％（287／463）、73.4％（340／463），均高于积极者[38.0％（176／463）、26.6％（123／463）]（χ^2=分别为39.61、7.90，P值均＜0.05）社会身份认同消极者在公园或公厕[18.1％（188／1040）]、浴室或桑拿房[17.3％（180／1040）]、网络[82.0％（853／1040）]寻找同性性伴的比例高于积极者[8.9％（38／427）、9.8％（42／427）、61.6％（263／427）]（χ^2=66.78，P＜0.01）。�
Objective To investigate gay identity status of men who have sex with men （ MSM） in Xinjiang,and analyze its association with sexual behaviors.Methods From May to August in 2013, an anonymous questionnaire survey with convenience sampling was conducted among MSM in Urumqi , Kashgar , Aksu and Yining cities of Xinjiang.Those who were ≥16 years of age and claimed to have male-to-male sex behaviors were eligible for the survey.A total of 1 467 participants were recruited.Chi square analysis was performed for examining the association between ego-identity, social-identity and relevant sexual behaviors.Selected variables associated with ego-identity, social-identity in the univariate analysis were subsequently assessed in a multivariate analysis using logistic regression.Results The MSM with positive ego-identity＂nbsp;accounted for 44.7% （ 656/1 467 ） , and positive social-identity accounted for 29.1% （ 427/1 467 ）.For ego-identity, Uyghur MSM were less positive than Han MSM （OR（95%CI） was 0.43（0.32-0.58））;those who were over 20 years of age when accepting their sexual orientation were less positive than those who were younger than 20 years of age when accepting their sexual orientation （ OR （ 95% CI ） was 0.61 （0.47-0.80））;and homosexuals were more positive than bisexuals （OR（95%CI） was 1.98（1.50-2.61））.For social-identity , Hui MSM were less positive than Han MSM （ OR （ 95%CI ） was 0.61 （ 0.42-0.88 ） ）;those whose education level was higher than college were less positive than those with junior high education （OR（95%CI） was 0.60（0.40-0.89））;famers/herdsmen were more positive than students （OR（95%CI） was 4.17（2.13-8.17））; the divorced/widowed were more positive than the singles （OR（95%CI） was 2.40（1.34-4.29））;those who were over 20 years of age when accepting their sexual orientation were less positive than those who were younger than 20 years of age when accepting their sexual orientation （OR（95%CI） was 0.59（0
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2014年第11期974-979,共6页
Chinese Journal of Preventive Medicine
基金
国家科技重大专项（2013ZX10004907）
中美艾滋病防治合作项目（GAP）（5U2GPS001188）
志谢中国CDC、美国CDCGAP项目办的大力支持和技术指导,上海市CDC及所有参与项目调查的工作人员和志愿者的帮助
关键词
获得性免疫缺陷综合征
性行为
男男性行为者
身份认同
Acquired immunedeficiency syndrome
Sexual behavior
Men who have sex with men
Identity
