中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
11期
974-979
,共6页
倪明健%胡晓敏%李志军%马媛媛%陈学玲%胡晓远
倪明健%鬍曉敏%李誌軍%馬媛媛%陳學玲%鬍曉遠
예명건%호효민%리지군%마원원%진학령%호효원
获得性免疫缺陷综合征%性行为%男男性行为者%身份认同
穫得性免疫缺陷綜閤徵%性行為%男男性行為者%身份認同
획득성면역결함종합정%성행위%남남성행위자%신빈인동
Acquired immunedeficiency syndrome%Sexual behavior%Men who have sex with men%Identity
目的：调查新疆维吾尔自治区（简称新疆自治区）男男性行为人群（ MSM ）个人和社会身份认同状况，及其与该人群性相关行为的关系，并分析影响个人和社会身份认同的因素。方法于2013年5—8月，采用方便抽样方法在新疆自治区的乌鲁木齐、喀什、阿克苏、伊宁市对MSM进行问卷调查。纳入≥16岁、自述有同性性行为者，共获取1475名对象。采用单因素χ2检验分析个人和社会身份认同积极性差异及其分别与性相关行为的关系，并采用多因素logistic回归模型分析影响个人和社会身份认同的因素。结果个人身份认同积极者占44畅7％（656／1467），社会身份认同积极者占29畅1％（427／1467）。个人身份认同积极性：维吾尔族是汉族的0畅43（0畅32～0畅58）倍，确定性倾向年龄＞20岁组是≤20岁组的0畅61（0畅47～0畅80）倍，同性恋组是双性恋组的1畅98（1畅50～2畅61）倍。社会身份认同积极性：回族是汉族的0畅61（0畅42～0畅88）倍，大专以上组是初中组的0畅60（0畅40～0畅89）倍，农牧民是学生的4畅17（2畅13～8畅17）倍，离婚或丧偶组是未婚组的2畅40（1畅34～4畅29）倍，确认性取向年龄＞20岁组是≤20岁组的0畅59（0畅44～0畅81）倍。个人和社会身份认同消极者打算今后与异性结婚的比例分别为66畅8％（267／400）、76畅5％（306／400），均高于积极者[33畅2％（133／400）、23畅5％（94／400）]（χ2值分别为55畅96、20畅25，P值均＜0畅05），其希望生育后代的比例分别为62畅0％（287／463）、73畅4％（340／463），均高于积极者[38畅0％（176／463）、26畅6％（123／463）]（χ2值分别为39畅61、7畅90，P值均＜0畅05）社会身份认同消极者在公园或公厕[18畅1％（188／1040）]、浴室或桑拿房[17畅3％（180／1040）]、网络[82畅0％（853／1040）]寻找同性性伴的比例高于积极者[8畅9％（38／427）、9畅8％（42／427）、61畅6％（263／427）]（χ2＝66畅78，P＜0畅01）。结论2013年，新疆自治区MSM身份认同积极性较差，民族、职业、婚姻、文化程度是其主要影响因素，身份认同消极的MSM处于危险的性相关行为中，其感染HIV风险较高。
目的：調查新疆維吾爾自治區（簡稱新疆自治區）男男性行為人群（ MSM ）箇人和社會身份認同狀況，及其與該人群性相關行為的關繫，併分析影響箇人和社會身份認同的因素。方法于2013年5—8月，採用方便抽樣方法在新疆自治區的烏魯木齊、喀什、阿剋囌、伊寧市對MSM進行問捲調查。納入≥16歲、自述有同性性行為者，共穫取1475名對象。採用單因素χ2檢驗分析箇人和社會身份認同積極性差異及其分彆與性相關行為的關繫，併採用多因素logistic迴歸模型分析影響箇人和社會身份認同的因素。結果箇人身份認同積極者佔44暢7％（656／1467），社會身份認同積極者佔29暢1％（427／1467）。箇人身份認同積極性：維吾爾族是漢族的0暢43（0暢32～0暢58）倍，確定性傾嚮年齡＞20歲組是≤20歲組的0暢61（0暢47～0暢80）倍，同性戀組是雙性戀組的1暢98（1暢50～2暢61）倍。社會身份認同積極性：迴族是漢族的0暢61（0暢42～0暢88）倍，大專以上組是初中組的0暢60（0暢40～0暢89）倍，農牧民是學生的4暢17（2暢13～8暢17）倍，離婚或喪偶組是未婚組的2暢40（1暢34～4暢29）倍，確認性取嚮年齡＞20歲組是≤20歲組的0暢59（0暢44～0暢81）倍。箇人和社會身份認同消極者打算今後與異性結婚的比例分彆為66暢8％（267／400）、76暢5％（306／400），均高于積極者[33暢2％（133／400）、23暢5％（94／400）]（χ2值分彆為55暢96、20暢25，P值均＜0暢05），其希望生育後代的比例分彆為62暢0％（287／463）、73暢4％（340／463），均高于積極者[38暢0％（176／463）、26暢6％（123／463）]（χ2值分彆為39暢61、7暢90，P值均＜0暢05）社會身份認同消極者在公園或公廁[18暢1％（188／1040）]、浴室或桑拿房[17暢3％（180／1040）]、網絡[82暢0％（853／1040）]尋找同性性伴的比例高于積極者[8暢9％（38／427）、9暢8％（42／427）、61暢6％（263／427）]（χ2＝66暢78，P＜0暢01）。結論2013年，新疆自治區MSM身份認同積極性較差，民族、職業、婚姻、文化程度是其主要影響因素，身份認同消極的MSM處于危險的性相關行為中，其感染HIV風險較高。
목적：조사신강유오이자치구（간칭신강자치구）남남성행위인군（ MSM ）개인화사회신빈인동상황，급기여해인군성상관행위적관계，병분석영향개인화사회신빈인동적인소。방법우2013년5—8월，채용방편추양방법재신강자치구적오로목제、객십、아극소、이저시대MSM진행문권조사。납입≥16세、자술유동성성행위자，공획취1475명대상。채용단인소χ2검험분석개인화사회신빈인동적겁성차이급기분별여성상관행위적관계，병채용다인소logistic회귀모형분석영향개인화사회신빈인동적인소。결과개인신빈인동적겁자점44창7％（656／1467），사회신빈인동적겁자점29창1％（427／1467）。개인신빈인동적겁성：유오이족시한족적0창43（0창32～0창58）배，학정성경향년령＞20세조시≤20세조적0창61（0창47～0창80）배，동성련조시쌍성련조적1창98（1창50～2창61）배。사회신빈인동적겁성：회족시한족적0창61（0창42～0창88）배，대전이상조시초중조적0창60（0창40～0창89）배，농목민시학생적4창17（2창13～8창17）배，리혼혹상우조시미혼조적2창40（1창34～4창29）배，학인성취향년령＞20세조시≤20세조적0창59（0창44～0창81）배。개인화사회신빈인동소겁자타산금후여이성결혼적비례분별위66창8％（267／400）、76창5％（306／400），균고우적겁자[33창2％（133／400）、23창5％（94／400）]（χ2치분별위55창96、20창25，P치균＜0창05），기희망생육후대적비례분별위62창0％（287／463）、73창4％（340／463），균고우적겁자[38창0％（176／463）、26창6％（123／463）]（χ2치분별위39창61、7창90，P치균＜0창05）사회신빈인동소겁자재공완혹공측[18창1％（188／1040）]、욕실혹상나방[17창3％（180／1040）]、망락[82창0％（853／1040）]심조동성성반적비례고우적겁자[8창9％（38／427）、9창8％（42／427）、61창6％（263／427）]（χ2＝66창78，P＜0창01）。결론2013년，신강자치구MSM신빈인동적겁성교차，민족、직업、혼인、문화정도시기주요영향인소，신빈인동소겁적MSM처우위험적성상관행위중，기감염HIV풍험교고。
Objective To investigate gay identity status of men who have sex with men ( MSM) in Xinjiang,and analyze its association with sexual behaviors.Methods From May to August in 2013, an anonymous questionnaire survey with convenience sampling was conducted among MSM in Urumqi , Kashgar , Aksu and Yining cities of Xinjiang.Those who were ≥16 years of age and claimed to have male-to-male sex behaviors were eligible for the survey.A total of 1 467 participants were recruited.Chi square analysis was performed for examining the association between ego-identity, social-identity and relevant sexual behaviors.Selected variables associated with ego-identity, social-identity in the univariate analysis were subsequently assessed in a multivariate analysis using logistic regression.Results The MSM with positive ego-identity accounted for 44.7% ( 656/1 467 ) , and positive social-identity accounted for 29.1% ( 427/1 467 ).For ego-identity, Uyghur MSM were less positive than Han MSM (OR(95%CI) was 0.43(0.32-0.58));those who were over 20 years of age when accepting their sexual orientation were less positive than those who were younger than 20 years of age when accepting their sexual orientation ( OR ( 95% CI ) was 0.61 (0.47-0.80));and homosexuals were more positive than bisexuals (OR(95%CI) was 1.98(1.50-2.61)).For social-identity , Hui MSM were less positive than Han MSM ( OR ( 95%CI ) was 0.61 ( 0.42-0.88 ) );those whose education level was higher than college were less positive than those with junior high education (OR(95%CI) was 0.60(0.40-0.89));famers/herdsmen were more positive than students (OR(95%CI) was 4.17(2.13-8.17)); the divorced/widowed were more positive than the singles (OR(95%CI) was 2.40(1.34-4.29));those who were over 20 years of age when accepting their sexual orientation were less positive than those who were younger than 20 years of age when accepting their sexual orientation (OR(95%CI) was 0.59(0.44-0.81)).Among the MSM with negative ego-identity and negative social-identity, the proportion of planning to get married with women was 66.8% ( 267/400 ) and 76.5%(306/400), respectively, which were higher than those with positive ego-identity(33.2%(133/400))and positive social-identity ( 23.5% ( 94/400 ) ); their proportion of intending to have offspring was 62.0%(287/463) and 73.4%(340/463), respectively, which were higher than those with positive ego-identity and social-identity(38.0% (176/463), 26.6% (123/463)) (χ2 =39.61 and 7.90, respectively, both P values were <0.05).Among the MSM with negative social-identity, the proportion of looking for male sexual partners in toilets or parks was 18.1% ( 188/1 040 ) , in bathhouse or sauna was 17.3%(180/1 040), and through internet was 82.0% (853/1 040), which were higher than those with positive social-identity(8.9% (38/427), 9.8% (42/427) and 61.6% (263/427)) (χ2 =66.78, P<0.01).Conclusion In 2013,the gay identity of MSM in Xinjiang was relatively poor , and the factors associated with it included ethnicity , occupation , marital status and education level.The MSM with negative identity tended to involve in risk sexual behaviors , and had increased risk of HIV infection .
