CAJ | 학술논문

目的探讨有导致出血的性施虐-受虐行为的男男性行为者(MSM)的行为特征,并分析与HIV/AIDS高危行为等之间关系.方法采用改良型"滚雪球"抽样法(定向抽样法)进行横断面调查.从MSM有效问卷中获取有导致出血的性施虐-受虐行为者,并在无此行为者中选取比较组进行研究,采用SPSS 13.0软件进行统计分析.结果有导致出血的性施虐-受虐行为组累计同性性伴数(M=20)、肛交(M=10)、口交(M=10)、手交(M=15)同性性伴数及近6个月同性性伴数(M=4)、肛交(M=3)、手交(M=3)同性性伴数均高于或显著高于比较组.有导致出血的性施虐-受虐行为组近6个月性交中安全套曾破裂或滑脱(22.6%)、曾罹患性传播感染(28.0%)、曾参与群交(34.8%)、近6个月曾在MSM活动场所与陌生同性性交(62.2%)、有过主动或被动的吻肛(64.0%)、拳交(18.9%)、指交行为(66.7%)、性交过程中曾出血(58.3%)、首次性交对象为未成年人(33.8%)、曾有过强烈自杀念头(33.3%)及自杀未遂行为(23.6%)的百分率,均高于或显著高于比较组.结论有导致出血的性施虐-受虐行为的MSM与HW/AIDS相关的高危行为,显著多于无此行为者,该人群是在健康干预工作中需特殊关注的亚人群.
목적 탐토유도치출혈적성시학-수학행위적남남성행위자(MSM)적행위특정,병분석여HIV/AIDS고위행위등지간관계.방법 채용개량형"곤설구"추양법(정향추양법)진행횡단면조사.종MSM유효문권중획취유도치출혈적성시학-수학행위자,병재무차행위자중선취비교조진행연구,채용SPSS 13.0연건진행통계분석.결과 유도치출혈적성시학-수학행위조루계동성성반수(M=20)、항교(M=10)、구교(M=10)、수교(M=15)동성성반수급근6개월동성성반수(M=4)、항교(M=3)、수교(M=3)동성성반수균고우혹현저고우비교조.유도치출혈적성시학-수학행위조근6개월성교중안전투증파렬혹활탈(22.6%)、증리환성전파감염(28.0%)、증삼여군교(34.8%)、근6개월증재MSM활동장소여맥생동성성교(62.2%)、유과주동혹피동적문항(64.0%)、권교(18.9%)、지교행위(66.7%)、성교과정중증출혈(58.3%)、수차성교대상위미성년인(33.8%)、증유과강렬자살념두(33.3%)급자살미수행위(23.6%)적백분솔,균고우혹현저고우비교조.결론 유도치출혈적성시학-수학행위적MSM여HW/AIDS상관적고위행위,현저다우무차행위자,해인군시재건강간예공작중수특수관주적아인군.
Objective To investigate the behavioral characteristics of men who have sex with men(MSM)with sadomasochism associated bleeding and to analyze the relationship with HIV/AIDS high risk behavior.Methods Using modified snowball sampling methods(target sampling methods)to carry out a cross-sectional study on persons with behavior of sadomasochism that associated with bleeding in MSM,using a valid questionnaire.Another control group without the related behavior was set up.SPSS 13.0 was used.Results People practicing sadomasochism associated with bleeding had higher percentage in the following indicators:number of accumulated same gender sexual partners (median=20),anal intercourse(median=10),oral intercourse(median=10),hand intercourse (median=15)with same gender sexual partners,number of same gender sexual partners in the previous six months(median=4),numbers of anal intercourse(median=3),hand intercourse(median=3),were more than in the control group.People with sadomasochism associated bleeding had higher rates in the following behaviors:condom was ever broken or slipped in the previous six months (22.6%),suffering from disease of sexual transmitted infections(28.0%),involving in group-sex intercourse(34.8%),having sex with same sex strangers at the place for MSM in the previous six months(62.2%),ever having initiative or passive behavior of oral-anal sex(64.0%),fist-sex(18.9%),finger-sex(66.7%),bleeding during sexual intercourse(58.3%),first coition object was pupil (33.8%),having strong suicide attempts(33.3%)and suicide attempt(23.6%)etc.were more than in the control group.Conclusion MSM who had the behavior of sadomasochism which associated with bleeding had the higher percentage of HIV/AIDS high risk behaviors than the persons without those behaviors.The latter group called for special concern on interventions.