有导致出血的性施虐-受虐行为的男男性行为者行为特征研究

Behavioral characteristics of men who have sex with men with sadomasochism associated with bleeding

目的探讨有导致出血的性施虐-受虐行为的男男性行为者（MSM）的行为特征，并分析与HW／AIDS高危行为等之间关系。方法采用改良型“滚雪球”抽样法（定向抽样法）进行横断面调查。从MSM有效问卷中获取有导致出血的性施虐-受虐行为者，并在无此行为者中选取比较组进行研究，采用SPSS13．0软件进行统计分析。结果有导致出血的性施虐-受虐行为组累计同性性伴数（M=20）、肛交（M=10）、口交（M=10）、手交（肘=15）同性性伴数及近6个月同性性伴数（M=4）、肛交（肘=3）、手交（M=3）同性性伴数均高于或显著高于比较组。有导致出血的性施虐-受虐行为组近6个月性交中安全套曾破裂或滑脱（22．6％）、曾罹患性传播感染（28．O％）、曾参与群交（34．8％）、近6个月曾在MSM活动场所与陌生同性性交（62．2％）、有过主动或被动的吻肛（64．0％）、拳交（18．9％）、指交行为（66．7％）、性交过程中曾出血（58．3％）、首次性交对象为未成年人（33．8％）、曾有过强烈自杀念头（33．3％）及自杀未遂行为（23．6％）的百分率，均高于或显著高于比较组。结论有导致出血的性施虐一受虐行为的MSM与HIV/AIDS相关的高危行为，显著多于无此行为者，该人群是在健康干预工作中需特殊关注的亚人群。

Objective To investigate the behavioral characteristics of men who have sex with men（MSM） with sadomasochism associated bleeding and to analyze the relationship with HIV/AIDS high risk behavior. Methods Using modified snowball sampling methods （target sampling methods） to carry out a cross-sectional study on persons with behavior of sadomasochism that associated with bleeding in MSM, using a valid questionnaire. Another control group without the related behavior was set up. SPSS 13.0 was used. Results People practicing sadomasochism associated with bleeding had higher percentage in the following indicators： number of accumulated same gender sexual partners （median=20）, anal intercourse （median=10）, oral intercourse （median=10）, hand intercourse （median=15） with same gender sexual partners, number of same gender sexual partners in the previous six months （ median= 4 ）, numbers of anal intercourse （median = 3 ）, hand intercourse （median = 3）, were more than in the control group. People with sadomasochism associated bleeding had higher rates in the following behaviors： condom was ever broken or slipped in the previous six months （22.6%）, suffering fi＇om disease of sexual transmitted infections （28.0%） , involving in group-sex intercourse （34.8%）, having sex with same sex strangers at the place for MSM in the previous six months （62.2%）, ever having initiative or passive behavior of oral-anal sex （ 64.0% ）, fist-sex （ 18.9% ）, fmger-sex （66.7%） , bleeding during sexual intercourse （58.3%） , first coition object was pupil （33.8%）, having strong suicide attempts （33.3%） and suicide attempt （23.6%） etc. were more than in the control group. Conclusion MSM who had the behavior of sadomasochism which associated with bleeding had the higher percentage of HIV/AIDS high risk behaviors than the persons without those behaviors. The latter group called for special concern on interventions.