青年男同性恋者/男双性恋者购买性商业同性性行为的社会文化因素

Socio-cultural factors influencing the buying commercial homosexual sex behaviors among young homosexual/bisexual men

目的调查青年男同性恋者/男双性恋者购买性商业同性性行为,分析影响购买性商业同性性行为的社会文化因素。方法于2016年在贵州省贵阳市、遵义市、安顺市和铜仁市釆取分类滚雪球抽样(classification snowball sampling,CSS)调查和艾滋病(acquired immunodeficiency syndrome,AIDS,又称获得性免疫缺陷综合征)自愿咨询检测门诊调查相结合的方法,对824例青年男同性恋者/男双性恋者进行AIDS危险性行为一对一面访匿名问卷调查。结果2016年购买性商业同性性行为总报告率为7.8%(95%CI:5.9%~9.6%),其中,青年男双性恋者报告率为13.0%,高于男同性恋者的5.7%(P<0.001)。对购买性商业同性性行为有影响的因素为月均收入(OR=6.54,P=0.005),年龄(OR=3.59,P=0.011),喜欢同性年龄(OR=2.85,P=0.004),婚姻状况(OR=2.62,P=0.005),户籍(OR=2.38,P=0.011),口交增加危险性(OR=0.42,P=0.019),感染AIDS可能性(P<0.005),公开性取向(OR=0.17,P=0.001)。结论青年男同性恋者/男双性恋者,尤其是男双性恋者购买性商业同性性行为报告率较高。社会文化影响因素为喜欢同性年龄、口交增加危险性、感染AIDS可能性和公开性取向。

Objective To investigate the buying commercial homosexual sex behaviors among young gay men/bisexual men,and analyze the socio-cultural factors influencing the buying commercial homosexual sex behaviors.Methods A cross-sectional study was performed on risk sexual behaviors for acquired immunodeficiency syndrome(AIDS)with an anonymous questionnaire among 824 young homosexual/bisexual men in Guiyang City,Zunyi City,Anshun City and Tongren City of Guizhou Province in 2016.Respondents were selected by a classified snowball sampling method combined with an interview at AIDS voluntary consultation and testing clinics.Results About 7.8%(95%CI:5.9%-9.6%)of respondents reported the buying commercial homosexual sex behaviors in the last year.The report rate was 13.0%for homosexual men,higher than 5.7%for bisexual men(P<0.001).The influencing factors of the buying commercial homosexual sex behaviors were average monthly income(OR=6.54,P=0.005),age(OR=3.59,P=0.011),age of liking the same-sex(OR=2.85,P=0.004),marital status(OR=2.62,P=0.005),household registration(OR=2.38,P=0.011),increased risk of oral sex(OR=0.42,P=0.019),possibility of HIV infection(P<0.005),and the dusckisure of sexual orientation(OR=0.17,P=0.001).Conclusions Young homosexual/bisexual men,especially bisexual men,had a higher report rate of the buying commercial homosexual sex behaviors.The socio-cultural factors influencing the buying commercial homosexual sex behaviors included age of liking the same-sex,increased risk of oral sex,possibility of HIV infection,and the disclosure of sexual orientation.