论文部分内容阅读
[目的]了解青少年男男性接触者(young men who have sex with men,YMSM)性行为安全认知和社会状况,为进一步在YMSM中开展艾滋病(acquired immunodeficiency syndrome,AIDS)相关高危行为干预提供科学依据。[方法]采用无记名方式,运用自编的调查问卷、抑郁自填问卷(self-rating depression scale,SDS)、焦虑自填问卷(self-rating anxiety scale,SAS)和半结构式访谈提纲,对28名YMSM进行问卷调查和个人深入访谈。[结果]研究对象年龄16~19岁,平均(18.11±0.83)岁;22人近半年有肛交性行为,其中仅10人每次肛交均使用安全套;15人有过一夜情。研究对象对安全性行为认知较差,19人与性伴讨论过此问题;多数人认为安全套相对安全且购买方便,但主动购买者较少(11人),不喜欢使用安全套者占多数;对一夜情态度较开放。多数人认为自己行为是后天形成的,主要受性别认同环境、不愉快经历、同性恋信息和家庭教育方式4方面的影响。多数能感受到来自家人等方面的压力,抑郁和焦虑症状检出率分别为32.14%和25.00%。[结论]YMSM中同性性行为安全认知较差且心理压力较大,应加强AIDS健康教育,提倡单一固定性伴侣和安全性行为,推广使用安全套,提供有利于青少年健康成长的支持性环境,为YMSM健康营造和谐氛围。
[Objective] To understand the sexual safety awareness and social status of young men who have sex with men (YMSM), and provide a scientific basis for further intervention in high-risk behaviors related to acquired immunodeficiency syndrome (AIDS) in YMSM . [Methods] With the self-rating depression scale (SDS), self-rating anxiety scale (SAS) and semi-structured interview scale, twenty-eight YMSM conducted a questionnaire survey and personal in-depth interviews. [Results] The subjects were aged 16 to 19 years (mean, 18.11 ± 0.83) years old. Among them, 22 had anal sex in the past six months, of which only 10 used condoms for each anal sex and 15 had one-night stand. Most of the people think that condoms are relatively safe and easy to buy, but fewer are active purchasers (11 people) and do not like to use condoms as the majority. More open to one-night stands. Most people think that their behavior is acquired, mainly affected by gender-sensitive environment, unpleasant experiences, homosexual information and family education. Most can feel pressure from family members and other aspects, the detection rate of depression and anxiety symptoms are 32.14% and 25.00% respectively. [Conclusion] Homosexual behavior safety in YMSM is poorly cognized and psychologically stressful. AIDS health education should be strengthened to promote single fixed sexual partners and safety behaviors, to promote the use of condoms, to provide a supportive environment conducive to the healthy growth of adolescents, Create a harmonious atmosphere for YMSM health.