CAJ | 학술논문

目的研究不同场所男性双向性性行为者性行为特征。方法选择男男性行为者(men who have sex with men,MSM)聚集的浴池、酒吧、公园、会所为目标场所,采用分层整群抽样方法,抽取473名兼有异性性行为的 MSM开展匿名问卷调查,同时进行艾滋病和梅毒血清学检测。对社区志愿者组织(CBO)关键人物及场所业主开展深度访谈。结果473名 MSM 中,“1暠(扮演“丈夫暠者)占38.56%,“0.5暠(可扮演“丈夫暠或“妻子暠者)占45.53%,“0暠(扮演“妻子暠者)占15.90%,酒吧和会所中“0暠和“1暠占比较大,浴池和公园中“1暠占比较大；最近半年与女性发生过性行为的共占37.58%,公园和浴池中的占比高于酒吧和会所；有“滥交暠经历的共占66.23%,按占比高低排序为：浴池、公园、会所、酒吧；每次性行为时均使用安全套的共占37.93%,活动于公园的最低；HIV 抗体和梅毒血清学检测阳性率分别为4.44%和20.93%,浴池和公园的 MSM 感染率均较高。结论在针对 MSM 的艾滋病行为干预工作中,应将浴池和公园作为场所干预的重点。
목적연구불동장소남성쌍향성성행위자성행위특정。방법선택남남성행위자(men who have sex with men,MSM)취집적욕지、주파、공완、회소위목표장소,채용분층정군추양방법,추취473명겸유이성성행위적 MSM개전닉명문권조사,동시진행애자병화매독혈청학검측。대사구지원자조직(CBO)관건인물급장소업주개전심도방담。결과473명 MSM 중,“1고(분연“장부고자)점38.56%,“0.5고(가분연“장부고혹“처자고자)점45.53%,“0고(분연“처자고자)점15.90%,주파화회소중“0고화“1고점비교대,욕지화공완중“1고점비교대；최근반년여녀성발생과성행위적공점37.58%,공완화욕지중적점비고우주파화회소；유“람교고경력적공점66.23%,안점비고저배서위：욕지、공완、회소、주파；매차성행위시균사용안전투적공점37.93%,활동우공완적최저；HIV 항체화매독혈청학검측양성솔분별위4.44%화20.93%,욕지화공완적 MSM 감염솔균교고。결론재침대 MSM 적애자병행위간예공작중,응장욕지화공완작위장소간예적중점。
Objectives To study the characteristics of sexual behavior among men who have sex both with men and women in different places.Methods Public bathhouses,gay bars,the parks and the clubs were chosen as the target places.By stratified cluster sampling method,473 men who have sex with men and women were selected and interview with anonymous questionnaires,meanwhile HIV and syphilis test were carried out.We interviewed the key person of Community-based organization (CBO)in depth.Results Among the 473 cases,38.56% were "1"(who playing the husband),45.53% were “0.5 ”(who playing the husband or the wife),and 1 5.90% were “0”(who playing the wife).There were more “0”and “1”in gay bar and the club but more “1”in public bathhouses and the parks.In the last half year,37.58% had sex with women,and the proportion in the parks and public bath-houses was higher than that in the pubs and the clubs.66.23% had promiscuity in public bathhouses,the parks, the clubs and the pubs in succession.Only 37.93% used the condom in sexual behavior,and the proportion in the parks was the lowest.The positive rates of HIV and syphilis respectively were 4.44% and 20.93%.In public bath-houses and the parks,the positive rate was higher.Conclusions In the work of behavioral intervention to MSM, public bathhouses and the parks are recommended to be the key places.