青年男男同性性取向相关因素研究

Study on related factors of sexual orientation among young men who have sex with men

目的了解青年男男同性性行为人群(men who have sex with men,MSM)性取向的形成原因及影响因素。方法2018年5月-2020年8月,由经过培训的人员用自行编制的统一调查问卷对210名受访者开展问卷调查,使用SPSS 17.0软件进行统计分析。结果调查对象共210人,均为男性,平均年龄为(22.14±2.11)岁。单因素分析显示,MSM与异性性行为者比较,童年时有过与男性非自愿发生的性行为、童年时父亲与母亲关系不融洽、童年时不和父母一起居住、童年时没有父母一起抚养和陪伴、童年时与父/母亲关系不融洽、童年时追求细节、童年时不爱运动、童年时被当作女孩子抚养、童年时喜欢扮作女孩、童年时喜欢玩女孩的玩具和游戏、童年时不喜欢男孩的玩具和游戏、童年时父母对性有恐惧和排斥、童年时身边有太多的女性长辈、童年时的玩伴主要为男性、童年时没有和异性交往的经历、童年时没有性教育经历的比例高,差异均有统计学意义(均P<0.05)。多因素logistic回归分析显示,童年时加入过同性恋者的QQ或者微信群和童年时被同学或朋友引导发生过男男性行为是与男男同性性取向形成的相关因素(P<0.05)。51人(42.5%)自述同性性取向为后天形成。与异性性行为者相比,MSM既往进行过人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体检测比例更高,且第1次检测HIV抗体的地点更为隐蔽,差异有统计学意义(P<0.05)。结论童年时期的个人成长、家庭环境与社会影响对男男同性性取向形成起着至关重要的作用。家庭和学校应重视对未成年人的性健康教育,减少后天因素影响的男男同性性取向的形成,从而减少高危性行为的发生,降低感染艾滋病的风险。

Objective To understand the causes and influencing factors of sexual orientation among young men who have sex with men(MSM).Methods From May 2018 to August 2020,210 respondents were surveyed by trained personnel using a unified selfmade questionnaire.SPSS 17.0 was used for statistical analysis.Results There were 210 respondents in total,all male,and the average age was(22.14±2.11)years old.Single factor analysis showed that the the proportions of MSM who has non-consensual sex with male in childhood,the relationship between father and mother is not harmonious in childhood,dose not live with parents in childhood,not be raised by parents together in childhood,has unharmonious relationship with father/mother in childhood,pursue the details in childhood,dose not like sports in childhood,be raised as a girl in childhood,dress up as a girl in childhood,like to play girls toys and games in childhood,dose not like to play boys toys and games in childhood,parents have fear and rejection of sex,there are too many female elders around in childhood,childhood playmates are predominantly male,has no experience of interacting with girls in childhood,and has no experience of sex education in childhood were statistically higher than those of heterosexual sex population(all P<0.05).Multivariate logistic regression analysis showed that having joined QQ or WeChat group of homosexuals in childhood and being guided by classmates or friends in childhood to have sex with men were related to the formation of sexual orientation among MSM(P<0.05).51(42.5%)people reported their homosexual orientation was acquired.Compared with heterosexual sex population,MSM had a higher percentage of previous human immunodeficiency virus(HIV)antibody tests,the location of the first HIV antibody test was more hidden,and the differences were statistically significant(P<0.05).Conclusion Personal growth,family environment and social influences in childhood play an important role in formation of MSM sexual orientation.Families and schools should pay attention to the sexual health education of minors,and decrease the influence of acquired factors on MSM sexual orientation,thereby reducing the occurrence of high-risk sexual behavior and the risk of AIDS.