中国西部地区男同性恋人群与男双性恋人群相关特征比较分析

戴浈浈; 钟晓妮; 彭斌; 张燕; 梁浩; 邹云峰; 罗锦坤; 彭鸿斌; 黄爱龙

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中国西部地区男同性恋人群与男双性恋人群相关特征比较分析

论著 | 更新时间：2026-01-09

- 中国西部地区男同性恋人群与男双性恋人群相关特征比较分析
- Comparative analysis on characteristics of gay-identified and bisexual-identified men in western China
- 陆军军医大学学报 2014年36卷第19期页码：2025-2029
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  中图分类号： R195.1;R749.91
- 纸质出版：2014
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戴浈浈,钟晓妮,彭斌,张燕,梁浩,邹云峰,罗锦坤,彭鸿斌,黄爱龙.中国西部地区男同性恋人群与男双性恋人群相关特征比较分析[J].陆军军医大学学报(原第三军医大学学报),2014,36(19):2025-2029.

　Dai Zhenzhen,Zhong Xiaoni,Peng Bin,Zhang Yan,Liang Hao,Zou Yunfeng,Luo Jinkun,Peng Hongbin,Huang Ailong.Comparative analysis on characteristics of gay-identified and bisexual-identified men in western China[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2025-2029.
戴浈浈,钟晓妮,彭斌,张燕,梁浩,邹云峰,罗锦坤,彭鸿斌,黄爱龙.中国西部地区男同性恋人群与男双性恋人群相关特征比较分析[J].陆军军医大学学报(原第三军医大学学报),2014,36(19):2025-2029. DOI：

　Dai Zhenzhen,Zhong Xiaoni,Peng Bin,Zhang Yan,Liang Hao,Zou Yunfeng,Luo Jinkun,Peng Hongbin,Huang Ailong.Comparative analysis on characteristics of gay-identified and bisexual-identified men in western China[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(19):2025-2029. DOI：

摘要

目的比较中国西部地区男同性恋和男双性恋人群的行为特征以及其艾滋病相关知识和态度，为开展针对性干预措施提供参考和建议。方法采用非随机抽样，对1 275名自我鉴定为男男同性恋和男男双性恋者进行面对面匿名问卷调查，并利用CMH方法对两者的行为特征和知识态度进行比较分析。结果共调查男同性恋974名，男双性恋301名，同性恋已婚比例低于双性恋

分别为13.55%、27.24%(P0.05)。最近6个月

同性恋和双性恋者中，同性恋临时性伴数量少于双性恋，而与其发生性行为时每次使用安全套比例（50.61%）却高于双性恋（43.18%）(P0.05)。二者发生过异性性行为的比例分别为6.78%、31.23%(P0.05)。在安全套自我效能方面，知道正确使用安全套的分别占92.09%、83.72%；主动拒绝无安全套性行为的比例分别为60.47%、51.83%；能劝服对方使用安全套的分别占70.74%、62.46%(P0.05)。同性恋者中做过艾滋病病毒检测的占69.20%，高于双性恋的57.81%(P0.05)，二者经网络和同伴教育途径获得艾滋病知识有统计学差异(P0.05)。结论双性恋者较同性恋者无保护性行为发生率高，风险感知低、自我保护意识薄弱，应加大行为干预力度；而同性恋者较双性恋者对艾滋病歧视感知更强烈，污名效应更高，应积极开展同伴教育和网络干预，将艾滋病知识转化成保护行为，以减少其HIV感染和传播。

Abstract

Objective To compare the sexual behavior and AIDS-related knowledge among men having sex with men (MSM) with different sex orientation in China’s western region. Methods Cross-sectional surveys were conducted to 1 275 self-identified gays and self-identified bisexual men selected by non-randomly sampling in Chongqing City

Sichuan Province and Guangxi Zhuang Autonomous Region during July 2009 to March 2010. The information was collected by face-to-face anonymous questionnaire survey

and analyzed by cochran-mantel -haenszel (CMH) method. Results There were 975 gay-identified men and 301 bisexual-identified men enrolled in this study. The proportion of the married was higher in bisexual-identified men than the gays (27.24% vs 13.55%

P0.05). In recent 6 months

there were more temporary male partners in bisexual-identified men than in the gays

but the latter were more likely to use condom for insertive behavior with temporary partners (50.61% vs 43.18%

P0.05). The proportion of whom having female sexual partners were 6.78% and 31.23% respectively (P0.05). In terms of self-efficacy of condom use

knowing the proper way of using accounted for 92.09% and 83.72% respectively for the gays and the bisexual

actively refusing unprotected sex accounted for 60.47% and 51.83% respectively

and successfully persuading their partners to use condom accounted for 70.74% and 62.46% (P0.05). The gay-identified men had higher proportion of free HIV testing than bisexual-identified men (69.20% vs 57.81%

P0.05). There was statistical difference in the proportion of obtaining information about HIV/AIDS via internet and peer education (P0.05). Conclusion Compared with gay-identified men

the bisexual-identified men have a higher rate of unprotected sex and less consciousness of risk and self-protection. More efforts should be exerted for behavioral interventions. While

the self-identified gays have relatively more intense perception of AIDS discrimination and stronger stigma effect. Peer education and internet intervention should be actively carried out in order to transform AIDS knowledge into protective behaviors to reduce their HIV infection and transmission.

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