CAJ | 학술논문

目的研究25岁及以下青少年男男性行为人群(YMSM)性感觉寻求与其艾滋病相关危险性行为的关系.方法于2013年5--11月通过互联网宣传、外展活动以及例行的艾滋病自愿咨询检测服务招募403名YMSM,采用匿名问卷调查,回收375份(93.05％)有效问卷.结果 YMSM中有37.9％首次同性性行为未使用安全套,最近6个月有55.7％发生多性伴行为,51.7％有“419”(一夜情)行为,5.6％有群交行为.性感觉寻求与首次同性性行为未使用安全套、多性伴行为、“419”行为、群交行为呈正相关(偏相关系数分别为0.247、0.218、0.296、0.252).分别以首次同性性行为未使用安全套、多性伴行为、“419”行为、群交行为作为因变量进行logistic回归分析,结果显示性感觉寻求高者更有可能发生以上危险性行为.结论青少年性感觉寻求水平对危险性行为有影响,应加强基于人群性感觉寻求分析的艾滋病相关知识及行为教育,强化艾滋病相关危险性行为的风险意识,从而更有效开展YMSM艾滋病干预.
목적 연구25세급이하청소년남남성행위인군(YMSM)성감각심구여기애자병상관위험성행위적관계.방법 우2013년5--11월통과호련망선전、외전활동이급례행적애자병자원자순검측복무초모403명YMSM,채용닉명문권조사,회수375빈(93.05％)유효문권.결과 YMSM중유37.9％수차동성성행위미사용안전투,최근6개월유55.7％발생다성반행위,51.7％유“419”(일야정)행위,5.6％유군교행위.성감각심구여수차동성성행위미사용안전투、다성반행위、“419”행위、군교행위정정상관(편상관계수분별위0.247、0.218、0.296、0.252).분별이수차동성성행위미사용안전투、다성반행위、“419”행위、군교행위작위인변량진행logistic회귀분석,결과현시성감각심구고자경유가능발생이상위험성행위.결론 청소년성감각심구수평대위험성행위유영향,응가강기우인군성감각심구분석적애자병상관지식급행위교육,강화애자병상관위험성행위적풍험의식,종이경유효개전YMSM애자병간예.
Objective To explore the association between sexual sensation seeking and risk sexual behaviors among young men who have sex with men (YMSM) who were under 25 years old.Methods 403 YMSM were recruited through online publicity,organization of outdoor activities together with HIV voluntary counseling and testing services from May to November in 2013.A total number of 375 (93.05％) valid questionnaires were received.Results Data showed that,among the 375 YMSM,37.9％ had sex with men for the first time without using a condom,55.7％ had multiple sexual partners,51.7％ had one-night stand,and 5.6％ engaged in group sex activities.Results from correlation analysis showed that sexual sensation seeking was positively correlated with four risk sexual behaviors (r=0.247,0.218,0.296 and 0.252,respectively).Data from the Unconditional logistic regression analysis showed that YMSM with high sexual sensation seeking were more likely to engage in risk sexual behaviors.Conclusion Sexual sensation seeking was associated with risk sexual behaviors among YMSM.More knowledge and behavior education based on the sexual sensation seeking should be emphasized,as well as increasing the awareness on HIV-related risk sexual behaviors.