摘要
目的了解年轻男男性行为者(YMSM)首次同性性行为状况,分析首次同性性行为意愿的关联因素。方法采用“滚雪球”抽样法于2016年9月至2019年9月在绵阳市招募YMSM作为调查对象,对其进行首次同性性行为状况及关联因素等的问卷调查。结果共收取有效问卷344份,YMSM发生首次同性性行为时的年龄为(18.1±2.0)岁。发生首次同性性行为时89.0%为自愿,71.8%有心理准备,42.6%知晓有艾滋病病毒(HIV)感染风险,75.6%使用安全套,不使用安全套的主要原因为不知道需要用。多因素分析结果显示,社区朋友人数>10､近1年诊断过性病､近6个月偶遇性伴人数≥2的YMSM首次同性性行为非自愿发生的可能性更大,近6个月肛交有保护的首次同性性行为非自愿发生的可能性更小(P<0.05)。结论YMSM发生首次同性性行为时的年龄呈提前趋势,且其安全意识较差。非自愿发生的首次同性性行为可增加高危性行为和HIV感染风险,应加强青少年早期性教育。
Objective To understand the status of the first homosexual behavior in young men who have sex with men(YMSM)and analyze the related factors of willingness to first homosexual behaviors.Methods YMSM were recruited in Mianyang from September 2016 to September 2019 using the"snowball"sampling method,and the first questionnaire survey was conducted on their same-sex sexual behavior status and related factors.Results A total of 344 valid questionnaires were collected,among which the average age of the first homosexual behavior was(18.1±2.0).During the first homosexual behavior,89.0%of them were voluntary,71.8%were psychologically prepared,42.6%were aware of the risk of human immunodeficiency virus(HIV)infection,and 75.6%of them used condoms.The reason for not using condoms was that they did not know the necessity.The multivariate analysis results are as follows:those who have more than 10 friends in the community,or who have been diagnosed with sexually transmitted diseases in the past year,or who have more than two sex partners in the past six months,are more likely to have involuntary homosexual behavior for the first time.People with protected anal sex in the last six months were less likely to have first homosexual behavior involuntarily(P<0.05).Conclusions The trend of the first homosexual behavior in YMSM was ahead of schedule,and the safety awareness was poor.Involuntary first homosexual behavior increased the risk of high-risk sexual behavior and HIV infection.It is necessary to enhance the early adolescent sex education.
作者
王毅
李六林
樊静
赵西和
杨红
何静
周力
张晓军
WANG Yi;LI Liulin;FAN Jing;ZHAO Xihe;YANG Hong;HE Jing;ZHOU Li;ZHANG Xiaojun(Institute for AIDS/STD Control and Prevention,Mianyang Center for Disease Control and Prevention,Mianyang 621000,Sichuan,China;Mianyang Gay Love Group,Mianyang 621000,Sichuan,China)
出处
《中国性科学》
2022年第2期149-153,共5页
Chinese Journal of Human Sexuality
基金
四川省财政补助艾滋病防治项目(ZC2015007,SCWJWZC2016013)
绵阳市社会科学研究规划项目(MY2017ZC032)。
关键词
年轻男男性行为者
首次性行为
意愿
关联因素
艾滋病
Young men who have sex with men
First homosexual behavior
Desire
Related factors
Acquired immunodeficiency syndrome
