上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (5): 581-.

• 论著（预防医学） • 上一篇    下一篇

上海市52名青少年男同性恋者社会心理和性行为状况调查

黄凤荣1,2, 黄 红1,2, 庄鸣华3, 方 蕙3, 李生惠4, 叶秀霞5, 王俊丽1,2, 陈 涛6   

  1. 1.上海交通大学 医学院新华医院儿童与青少年保健科, 2.上海交通大学 医学院新华医院上海市环境与儿童健康重点实验室, 上海 200092；3.上海市疾病预防控制中心艾滋病性病防治科, 上海 200336；4.上海交通大学 医学院公共卫生学院, 上海 200025；5.上海交通大学 医学院上海儿童医学中心儿内科, 上海 200127；6.上海市疾病预防控制中心学校卫生科, 上海 200336
  • 出版日期:2010-05-25 发布日期:2010-05-28
  • 通讯作者: 黄 红, 电子信箱: hhong@shsmu.edu.cn。
  • 作者简介:黄凤荣（1983—）, 女, 硕士生；电子信箱: huangfengrong@gmail.com。

Investigations on social psychology and sexual behavior of 52 male homosexual adolescents in Shanghai

HUANG Feng-rong1,2, HUANG Hong1,2, ZHUANG Ming-hua3, FANG Hui3, LI Sheng-hui4, YE Xiu-xia5, WANG Jun-li1,2, CHEN Tao6   

  1. 1.Department of Child and Adolescent Healthcare, 2.Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China；3.Department of AIDS/STD Control and Prevention, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China；4.School of Public Health,Shanghai Jiaotong University, Shanghai 200025, China；5.Department of Pediatrics, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China；6.Department of School Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
  • Online:2010-05-25 Published:2010-05-28

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摘要：

目的 了解青少年男同性恋者社会心理和性行为状况，为进一步在青少年人群中开展获得性免疫缺陷综合征（AIDS）相关高危行为的干预提供科学依据。方法 采用无记名方式，应用自编的调查问卷以及抑郁自填问卷（SDS）和焦虑自填问卷（SAS）对52名青少年男同性恋者进行问卷调查和抑郁、焦虑评定。结果 研究对象年龄15～19岁。35人（67.31%）近6个月有过口交行为，其中30人（85.71%）有过无保护口交，25人（71.43%）最近一次口交没有使用口交套。34人（65.38%）近6个月有过肛交行为，其中16人（47.06%）肛交坚持使用安全套，10人（29.41%）最近一次肛交没有使用安全套。AIDS相关知识知晓率较高，知识总答对率82.47%。抑郁和焦虑症状检出率分别为36.54%和26.92%。结论 青少年同性恋存在感染AIDS的高危行为和心理问题，对其进行预防AIDS干预时应同时关注其心理健康。

关键词: 青少年, 同性恋, 心理状况

Abstract:

Objective To investigate the social psychology and sexual behavior of male homosexual adolescents in Shanghai, and provide scientific evidence for advanced intervention in acquired immune deficiency syndrome (AIDS)-related risk behaviors for adolescents. Methods Anonymous questionnaires, including self-composed questionnaire, self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were employed for investigations among 52 male homosexual adolescents in Shanghai. Results The investigated adolescents aged between 15 to 19 years. Thirty-five adolescents (67.31%) had oral sex in the past 6 months, among whom 30 (85.71%) had unprotected oral sex and 25 (71.43%) did not use condom in the last oral sex. Thirty-four adolescents (65.38%) had anal sex in the past 6 months, among whom 16 (47.06%) insisted on condom use for anal sex and 10 (29.41%) did not use condom in the last anal sex. The awareness rate of AIDS-related knowledge was relatively higher, with the total correct answer rate of 82.47%. The rates of depression and anxiety were 36.54% and 26.92%, respectively. Conclusion AIDS-related risk sexual behaviors and psychological problems exist in homosexual adolescents. Attention should be paid to the psychological health during the health intervention for AIDS.

Key words: adolescent, homosexuality, psychological status