摘要
目的 通过对中国男同性爱者（gay）的调查,分析gay儿童期状况,对自身性别、性别角色、性取向的态度及认识,某些少见经历和心理与艾滋病（AIDS）高危因素间的关系,发现影响艾滋病病毒（HIV）传播的深层次因素。方法 从男男性接触者自我填写的问卷中筛选出性引力完全来自同性的240例gay的相关资料,进行一般性描述并进行统计学分析。结果 中国gay的性活跃程度不亚于工业化国家情况,但普遍存在易感染HIV的高危行为。儿童早期认为当女孩更好和不喜欢刀枪类玩具是成年后被动肛交的预示因子。首次性交年龄<16岁者性伴更多,区易遭受伤害。成年后不喜欢自身性别和同性性关系中自认为女性角色者,较多被动肛交,其心理与儿童早期跨性心理-行为有明确的关系,曾被当做女孩抚养者却无此特点。有被迫性交经历和有药物滥用者是高危行为最多的两个gay亚群。曾与女性性交者累计性伴数更多且较多参与群交。恋童、恋老者更多地有偶遇性伴。对gay的伤害与其自杀念头/行为相关。结论 中国gay中存在HIV高水平流行的前景。Gay中的若干小亚群在HIV传播中起到不同的特殊作用。部分gay的高危行为在童年期就有明确的预示因子存在,或者与其对自身的认识、特殊的经历和心理密切相关。
Objective To probe some more profound factors affecting HIV epidemic by surveying relationship between AIDS high risk behaviors and childhood status, attitude/perception to gender of male/sex orientation and rare experiences/ psychology among Chinese homosexuals. Method Data of 240 questionnaires completed by gays who were entirely attracted in sex by their same gender were described and analyzed. Result The active extent of sex among gays in the mainland of China was not inferior to that in industrialized countries, and HIV susceptible behaviors were common.Perception of that "being a girl is better", "Dislike toys as sword, pistol in early childhood were predictors to passive anal intercourse in adulthood . Those who began sexual intercourse at age younger than 16 years tended to have more sex partners and suffered more hurts. Those who disliked gender of male or self-regarded as female tended to have more passive anal intercourse and were related to childhood cross-gender experience/psychology while those who were raised as girls by their parents did not take on the above characteristics. Those who experienced sex coercion or drug abuse were the two subgroups of population with the highest risk behaviors. Those who experienced sex intercourse with females had more male sex partners and were more prone to group sex. Pedophilia or gerontophilia had more casual sex partners. Hurts to gays were related to suicides attempted and committed Conclusion The prospect of high level of AIDS epidemic among Chinese gays does exist and some subgroups of gays play important roles in the epidemic. Some high risk behaviors among adult gays can be foreseen explicitly by the predictors taking on in childhood, and closely relate to attitude/perception to gender of male, and to some rare experience/psychology.
出处
《中国性病艾滋病防治》
2002年第2期84-87,共4页
Chinese Journal of Std & Aids Prevention and Control
基金
Barry-Martin基金会
福特基金会资助
关键词
男同性恋者
儿童
经历
心理
艾滋病
高危行为
Homosexuals
Childhood
Experience
Psychology
HIV/AIDS
High risk behaviors
