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目的 通过对中国男同性爱者(gay)的调查,分析gay儿童期状况,对自身性别、性别角色、性取向的态度及认识,某些少见经历和心理与艾滋病(AIDS)高危因素间的关系,发现影响艾滋病病毒(HIV)传播的深层次因素。方法 从男男性接触者自我填写的问卷中筛选出性引力完全来自同性的240例gay的相关资料,进行一般性描述并进行统计学分析。结果 中国gay的性活跃程度不亚于工业化国家情况,但普遍存在易感染HIV的高危行为。儿童早期认为当女孩更好和不喜欢刀枪类玩具是成年后被动肛交的预示因子。首次性交年龄<16岁者性伴更多,区易遭受伤害。成年后不喜欢自身性别和同性性关系中自认为女性角色者,较多被动肛交,其心理与儿童早期跨性心理-行为有明确的关系,曾被当做女孩抚养者却无此特点。有被迫性交经历和有药物滥用者是高危行为最多的两个gay亚群。曾与女性性交者累计性伴数更多且较多参与群交。恋童、恋老者更多地有偶遇性伴。对gay的伤害与其自杀念头/行为相关。结论 中国gay中存在HIV高水平流行的前景。Gay中的若干小亚群在HIV传播中起到不同的特殊作用。部分gay的高危行为在童年期就有明确的预示因子存在,或者与其对自身的认识、特殊的经历和心理密切相关。
Objective To investigate the relationship between gay status of childhood, attitudes and perceptions of gender, gender roles, sexual orientation, some rare experiences and psychological and AIDS risk factors through a survey of Chinese gay men , Found that affect the depth of HIV transmission (HIV) factors. Methods A total of 240 gay patients with the same sex from the same sex were screened from the questionnaire self-filled by MSM for general description and statistical analysis. As a result, gay in China has as much sexual activity as in industrialized countries, but the high risk of HIV infection is widespread. Early childhood that when girls are better and do not like sword and gun toys is a predictor of adult passive anal sex. First sexual intercourse age <16 years of age with more partners, the district vulnerable. Adolescents do not like their own gender and same-sex relationship that they think of female roles, more passive anal sex, their psychology and early childhood transgender psychology - behavior has a clear relationship, was used as a girl dependents have no such characteristics. Persecuted sexual intercourse and drug abusers are two of the most common gay subgroups at high risk. Cumulative sexual partners who have sex with women more and more involved in group sex. Love children, older lovers have more occasional partners. The damage to gay is related to the idea / behavior of suicide. Conclusions There is a high prevalence of HIV in gay China. Several small subsets of Gay play different and distinct roles in HIV transmission. Part of gay’s high-risk behavior in childhood there are clear predictors exist, or with their own understanding, special experience and psychology are closely related.