【摘要】 目的了解上海男男性行为人群(MSM)对同性恋身份的认同状况并分析相关因素。方法在上海嘉定区、松江区、浦东新区招募MSM,采用统一问卷进行匿名面对面调查,了解身份认同等相关信息,并采用Logistic回归分析相关因素。结果共调查459名MSM,平均年龄(29.7±8.4)岁;大学及以上学历者占68.0%;过去一年月均收入≥3 000元者占62.6%。自认性取向为同性恋者占73.0%(335/459),双性恋者26.4%(121/459),异性恋者0.6%(3/459);认同性取向平均时间(9.1±0.8)年。首次男男性行为平均年龄(22.2±5.0)岁。在同性恋社会身份认同上,持消极自我认同的占53.2%(244/459),在同性恋个人身份认同上,持消极自我认同的占48.1%(221/459);同性恋社会身份积极认同组其相应的个人身份积极认同比例高。年龄长者、收入高者更具同性恋社会身份积极认同,而在婚者则相反。受教育程度高、自认性取向时间长者更具同性恋个人身份积极认同,而在婚者、初次同性性行为年龄大者、确知感染艾滋病者则相反。结论 MSM对同性恋社会身份和个人身份认同均偏低,应改善社会歧视环境,加强对MSM的心理干预,以降低艾滋病的传播风险。更多还原

【Abstract】 Objective To understand men who have sex with men(MSM)’s identity status as gays in Shanghai and analyze related factors.Methods An anonymous face-to-face investigation was implemented among MSM with unified questionnaires in Jiading,Songjiang and Pudong districts of Shanghai and logistic regression analysis was used.Result A total of 459 MSM were surveyed,with the average age(29.7±8.4)years;the MSM with education of university level or above accounted for 68.0%;those with monthly incomes above $3 000 in the past year accounted for 62.6%;the MSM self-identified as gays accounted for 73.0%(335/459),as bisexual was 26.4%(121/459),and as heterosexual was 0.6%(3/459).The average time of admitting sexual orientation among them was(9.1±0.8)years,and the average age of having the first homosexual behaviors was(22.2±5.0)years.The MSM with negative social-identity accounted for 53.2%(244/459),and negative self-identity accounted for 48.1%(221/459).The more positive social-identity,the more positive self-identity.The older and higher income persons had more positive social-identity,while the married had less.The MSM with higher education and with longer time of admitting sexual orientation had more positive self-identity,while the married,and those with younger age of having the first gay sex,and those of being informed of human immunodeficiency virus(HIV)infection status had less.Conclusion The social-identity and self-identity of MSM are tended to be negative.It is suggested that the social discrimination environment should be improved,and psychological interventions should be strengthened to reduce the risk of AIDS spreading.更多还原