中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2011年
10期
983-986
,共4页
陈宏泉%李洋%张北川%李秀芳
陳宏泉%李洋%張北川%李秀芳
진굉천%리양%장북천%리수방
同性爱%双性爱%自杀意念%高危行为%艾滋病
同性愛%雙性愛%自殺意唸%高危行為%艾滋病
동성애%쌍성애%자살의념%고위행위%애자병
Gay%Bisexual%Suicidal ideation%High-risk behaviour%Acquired immune deficiency syndrome
目的 探讨男同性爱者(gay)与双性爱者(Bi)中有自杀意念者的艾滋病高危行为特征,并分析其与自杀意念相关的危险因素.方法 采用定向抽样法对gay/Bi人群进行横断面调查.从有效问卷中获取有自杀意念者,并依照自杀意念组的年龄情况在无此意念者中选取比较组进行比较.结果 调查的gay/Bi中有自杀意念者占20.2％.自杀意念组性向为同性、婚姻状况为未婚者多于比较组(P＜0.05).自杀意念组在曾经向同性买性、近一年性交时曾出过血、曾去外地与陌生同性性交、16岁前曾遭受成年同性性虐待、有性施虐与受虐行为、有过主动或被动吻肛行为、有过主动或被动指交行为、每周饮酒至少一次或更多、曾因性向和/或同性性活动受到gay伤害、曾因性向和/或同性性活动受到异性爱者伤害等方面的比例显著高于对照组(P＜0.05).多因素logistic回归模型提示曾因性向和/或同性性活动受到gay( Waldx2=6.637,P=0.010)及异性爱者(Waldx2=5.835,P=0.016)伤害是导致自杀意念产生的危险因素.结论 有自杀意念的gay/Bi与艾滋病相关的高危性行为显著多于无此意念者.减少社会对gay与Bi人群的歧视及伤害可能对遏制艾滋病的流行有一定作用.
目的 探討男同性愛者(gay)與雙性愛者(Bi)中有自殺意唸者的艾滋病高危行為特徵,併分析其與自殺意唸相關的危險因素.方法 採用定嚮抽樣法對gay/Bi人群進行橫斷麵調查.從有效問捲中穫取有自殺意唸者,併依照自殺意唸組的年齡情況在無此意唸者中選取比較組進行比較.結果 調查的gay/Bi中有自殺意唸者佔20.2％.自殺意唸組性嚮為同性、婚姻狀況為未婚者多于比較組(P＜0.05).自殺意唸組在曾經嚮同性買性、近一年性交時曾齣過血、曾去外地與陌生同性性交、16歲前曾遭受成年同性性虐待、有性施虐與受虐行為、有過主動或被動吻肛行為、有過主動或被動指交行為、每週飲酒至少一次或更多、曾因性嚮和/或同性性活動受到gay傷害、曾因性嚮和/或同性性活動受到異性愛者傷害等方麵的比例顯著高于對照組(P＜0.05).多因素logistic迴歸模型提示曾因性嚮和/或同性性活動受到gay( Waldx2=6.637,P=0.010)及異性愛者(Waldx2=5.835,P=0.016)傷害是導緻自殺意唸產生的危險因素.結論 有自殺意唸的gay/Bi與艾滋病相關的高危性行為顯著多于無此意唸者.減少社會對gay與Bi人群的歧視及傷害可能對遏製艾滋病的流行有一定作用.
목적 탐토남동성애자(gay)여쌍성애자(Bi)중유자살의념자적애자병고위행위특정,병분석기여자살의념상관적위험인소.방법 채용정향추양법대gay/Bi인군진행횡단면조사.종유효문권중획취유자살의념자,병의조자살의념조적년령정황재무차의념자중선취비교조진행비교.결과 조사적gay/Bi중유자살의념자점20.2％.자살의념조성향위동성、혼인상황위미혼자다우비교조(P＜0.05).자살의념조재증경향동성매성、근일년성교시증출과혈、증거외지여맥생동성성교、16세전증조수성년동성성학대、유성시학여수학행위、유과주동혹피동문항행위、유과주동혹피동지교행위、매주음주지소일차혹경다、증인성향화/혹동성성활동수도gay상해、증인성향화/혹동성성활동수도이성애자상해등방면적비례현저고우대조조(P＜0.05).다인소logistic회귀모형제시증인성향화/혹동성성활동수도gay( Waldx2=6.637,P=0.010)급이성애자(Waldx2=5.835,P=0.016)상해시도치자살의념산생적위험인소.결론 유자살의념적gay/Bi여애자병상관적고위성행위현저다우무차의념자.감소사회대gay여Bi인군적기시급상해가능대알제애자병적류행유일정작용.
Objective Characteristics on AIDS high-risk behaviors in gay or bisexual men with suicide ideas were explored and analyzed.Methods A cross-sectional survey was conducted with the snowball sampling method adopted.Subjects with suicide ideas were collected from responses to the valid questionnaires and subjects with no suicide ideas were collected from the age comparable men.Results The overall rate of gays or bisexuals with suicide ideas was 20.2％ in this survey.The attitude for homogeneity and marital status among the unmarried was more than that among the comparable group (P＜0.05).The rate of AIDS high-risk behaviors as same-sex sexual harassment,bleeding during sexual intercourse in the last year,coitus with unfamiliar same-sex partners in cities,suffering from adult same-sex sexual abuse before the age of 16,having had sexual abuse and abusive behavior,having had active or passive anal kiss,having had active or passive coitus with fingers,alcohol consumption weekly at least once or more,hurt by gays because of attitude and/or same-sex sexual activity and hurt by heterosexual men because of attitude and/or same-sex sexual activity were significantly higher in gays and bisexual men with suicide ideas than those without (P＜0.05).Data from multivariate logistic regression models suggested that harm from gays (Waldx2=6.637,P=0.010) and heterosexual men (Waldx2=5.835,P=0.016) due to attitude on homosexual activity appear to be the risk factors causing the suicide ideas.Conclusion Reducing the social discrimination and harm towards gays and bisexual men could reduce the occurrence of the suicide ideas and have a positive effect on curbing the prevalence of AIDS.
