【摘要】 目的:探讨固定伴侣是男男性行为者(MSM)的女性之相关身心健康状况和影响因素。方法:调查对象限定为其固定性伴是MSM的在婚、已离异或尚未结婚的女性。采用三种问卷,同时对受调查者均采用了流调中心用抑郁量表(CES-D)、症状自评量表(SCL-90)进行评定。主要依托同妻网站进行动员,数据收集通过互联网调查软件"问卷星"进行。结果:有效样本144例。与MSM有婚史者3/4遭遇过某种性冷淡;知道真相后略过2/5的人几乎或停止与MSM的性交;1/10曾经历肛交,1/10遭遇过性虐待。1/3曾被辱骂和/或殴打,1/5不止一次被殴打。在婚期间1/3有婚外男性伴。不足3/10做过HIV检测,5.6%阳性。有婚史者1/3出现过性病症状。约3/5与MSM性交时用过安全套,但为MSM口交、肛交时仅少数人用过,知道真相后用套率明显升高。多数人知道真相后心理发生变化,2/5曾有强烈自杀念头,近1/10有过自杀未遂行为。CES-D发现9/10有抑郁症状,SCL-90发现多种单项得分超过2分。3/10知道同性爱是正常现象。普遍认为MSM隐瞒真相是对女性权益的严重伤害。多数人希望得到专业人员帮助。绝大多数认为中国有关性教育严重不足,2/3认为保障MSM权益有助于女性权益,9/10认为应设立法律保护相关女性权益。结论:该女性群体是一个易患艾滋病及性病和抑郁症等心理障碍的高危人群,亟需帮助。医界有责任和义务在面向MSM和全社会的教育和权益保障方面采取行动。更多还原

【Abstract】 Objectives: To investigate the physical and mental health status and the relevant factors of women who have regular sexual relationships with men who have sex with men( MSM). Method: The respondents were limited to those whose regular sexual partners were MSM,including married,divorced and single women. The study designed three types of questionnaire. Meanwhile,all the respondents were adopted by the assessment of CES- D and SCL- 90. The study relied on the website mobilization. The data were collected by the inquisitional software of‘questionnaire star’. Results: There were 144 valid cases. Among those who were in marriage with MSM,three quarters had suffered sexless apathy. A little more than two fifths didn’t have sex any more after knowing their spouse were MSM; 1 /10 had passive anal sex; 1 /10 had suffered sexually abuse. One third had been abused and / or beaten up,and one fifths has been beaten up for more than once. One thirds of those who had married had sexual partners besides their husband during their marriage period; less than 3 /10 had received HIV test,5. 6% of who were HIV sero- positive; One third of those that had married MSM were of STD symptoms. When having sex with the MSM,about 3 /5 of them ever used condoms,the percentage was much lower in oral sex and anal sex. The usage rate clearly increased when they knew that their fixed sexual partners were MSM. The psychology and temperament of most people would change when they knew their fixed sexual partners were MSM. Two fifth of the subjects had strong suicidal attention;nearly 1 /10 ever had attempted suicide behavior. CES- D scale revealed that 9 /10 had depressive symptoms,and SCL- 90 discovered that the scores of a variety of single items were above 2. Only 3 /10 believed that homosexual phenomenon was normal. Most women who had married a MSM expressed that they got greatly hurt by this kind of marriage,most of whom wished to get assistance from experts and thought that China was severely lack of sexual education. Two thirds thought that the protection on MSM rights and interests would also be helpful for women’s rights and90% of them thought that related laws should be established to protect women’s rights. Conclusion: Such female are susceptible to AIDS,VD and depression or other psychological disorders,hereby desiderating the help from society.Medical experts are liable and responsible to take measures with education to MSM and their rights protection.更多还原