女同性恋人群性行为特征及性传播疾病知识知晓情况调查

Characteristics of sexual behavior and sexually transmitted infection related knowledge among lesbians

目的 了解山东省聊城市女同性恋（LES）人群性行为特征及性传播疾病（STI）知识知晓等情况。方法 于2013—2015年在山东省聊城市通过滚雪球抽样方法,在网络和实地招募调查对象并进行面对面调查。结果 共调查LES 163人,年龄以20~30岁为主,占68.1%（111人）;婚姻状况以未婚为主,占71.8%（117人）;75.5%在〈20岁发生性行为,65.6%发生过异性性行为,最近半年至少有2个同性性伴侣的占21.4%,11.6%与同性发生过偶然性行为,13.5%最近1年与异性发生过性行为,13.5%与同性发生过器具交,8.0%发生过商业性行为,20.3%月经期间与同性发生过性行为,与同性交换使用性器具的占8.1%,76.5%交换时不清洗或消毒;STI认识程度较低,仅有41.6%的认为同性性行为会传播STI或容易发生生殖系统感染。结论 LES中存在多性伴现象,缺乏健康知识和防护意识,存在生殖健康危险因素。

Objective To examine the status of sexual behavior and sexually transmitted infection （STI）related knowledge among lesbians in Liaocheng city of Shandong province. Methods A face-to-face interview was conducted with a self-designed questionnaire in Liaocheng city between 2013 and 2015 among 163 lesbians recruited via internet or at public places with snow-ball sampling. Results Of the lesbians interviewed,68.1% were aged 20 -30 years;71.8 % were unmarried;75.5% reported sexual behavior before the age of 20 years;and 65.6% reported heterosexual experi- ence. Among the lesbians,21.4% had at least two homosexual partners during the recent six months; 11.6% had casual homosexual behavior; 13.5% had instrumental sex; 8.0% had commercial sex; and 20. 3% had homosexual behavior during menstruation. There were 8. 1% of the lesbians reporting the experience of sharing sexual instrument during homo- sexual acts and 76. 5% of the lesbians using shared sexual instruments without cleaning. The awareness rate of STI related knowledge was low among the lesbians and 41.6% of the lesbians considered possible STI and reproductive tract infec- tion related to homosexual acts. Conclusion The lesbians are at high risk of reproductive system diseases due to multiple homosexual partners and limited knowledge on healthy and safe homosexual behaviors.