Psychological characteristics in high-risk MSM in China.
Psychological characteristics in high-risk MSM in China.
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DOI：
10.1186/1471-2458-12-58
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发表时间：
2012-01-20
影响因子：
4.5
通讯作者：
Yu Z
中科院分区：
文献类型：
--
作者：
Chen G;Li Y;Zhang B;Yu Z;Li X;Wang L;Yu Z
男男性行为者(MSM)已成为中国艾滋病病毒感染的高危人群。到目前为止，对中国男男性接触者的行为、社会和心理特征知之甚少，这使得针对这一高危人群的预防和治疗策略的实施变得极其困难。调查问卷来源于国家重点研究项目“中国地区男男性接触者向普通人群传播的风险分析与策略预防”。受访者被分为高危组和对照组。对他们的行为、社会和心理特征进行对比分析。在调查的714名男男性接触者中，59人(8.26%)有高危同性恋行为。与对照组相比，男男性接触者的未婚率更高，月收入更高，饮酒量更大，儿童期性虐待、故意自杀未遂和对避孕套预防艾滋病毒感染作用的错误认识更严重(P<；0.05)。相比之下，两组在性取向、教育程度、职业类型、吸毒、避孕套使用以及遭受社会耻辱和歧视方面没有显著差异(P>；0.05)。在这两种行为类别中，绝大多数人都表示支持法律保护的同性恋俱乐部以及中国的同性婚姻立法。高危行为与儿童期性虐待、饮酒、收入水平以及错误地认为通过使用避孕套来完美地保护艾滋病毒之间存在很强的相关性。有高危同性恋行为和无高危同性恋行为的男男性接触者具有不同的社会心理特征，在实施预防艾滋病传播的行为和治疗干预措施时，应考虑到这一点。
Men who have sex with men (MSM) have become a high-risk group of HIV infection in China. To date, little is known regarding the behavioral, social and psychological characteristics in Chinese MSM, which makes the implementation of preventive and therapeutic strategies for this high-risk subpopulation of people extremely difficult. A total of 714 questionnaires were retrieved from the database of a Chinese government-sponsored National Key Research Project titled "Risk Analysis and Strategic Prevention of HIV Transmission from MSM to the General Population in China". The respondents were categorized into a high-risk group and a control group. Their behavioral, social and psychological characteristics were comparatively analyzed. Of the 714 MSM analyzed, 59 (8.26%) had high-risk homosexual behaviors. This sub-group of MSM had a higher in-marriage rate, a higher monthly income, heavier alcohol consumption and more serious problems with sexual abuse in childhood, intentional suicide attempts and mistaken assumption on condom's role in protecting HIV infection, as compared with the control group (P < 0.05). In contrast, the two groups did not differ significantly the sexual orientation, level of education, types of profession, drug use, condom use and experience of social stigma and discrimination (P > 0.05). A vast majority of the individuals in both behavior categories expressed support of legally protected gay clubs as well as gay marriage legislation in China. There was a strong correlation between high-risk behaviors and sexual abuse in childhood, alcohol drinking, income level and a mistaken belief in perfect HIV protection through the use of condoms. MSM with and without high-risk homosexual behaviors have different social and psychological characteristics, which should be taken into account when implementing behavioral and therapeutic interventions aimed at preventing HIV/AIDS transmission among MSM as well as from MSM to the general population in China.
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