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同性恋,男性

同性恋,男性的相关文献在2002年到2020年内共计73篇,主要集中在内科学、预防医学、卫生学、皮肤病学与性病学 等领域,其中期刊论文73篇、专利文献4745篇;相关期刊23种,包括健康研究、疾病监测、中华预防医学杂志等; 同性恋,男性的相关文献由389位作者贡献,包括吕繁、孙江平、张大鹏等。

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同性恋,男性

-研究学者

  • 吕繁
  • 孙江平
  • 张大鹏
  • 刘惠
  • 卢红艳
  • 张洪波
  • 曹宁校
  • 吴尊友
  • 周建波
  • 孙燕鸣
  • 期刊论文
  • 专利文献

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    • 靳娟; 张艳; 高津菁; 马赟; 张蔚鹏; 靖新艳; 李莉; 陈洁; 王怡莹; 李刚刚
    • 摘要: 目的 分析艾滋病患者中男男同性性传播人群的心理健康状况及其影响因素.方法 采用症状自评量表(SCL-90)对西安市第八医院2015年11月至2016年5月收治的269例艾滋病感染者男男同性性传播人群进行调查.结果 269例男男同性性传播艾滋病患者中,以20 ~40岁年龄人群为主,文化程度较高,未婚居多,独生子女比例较低.SCL-90各因子得分显著高于常模,其中以饮食和睡眠、人际关系、焦虑、抑郁最为突出;回归分析显示,影响艾滋病患者各因子分的主要原因是低生活质量,高学历患者更容易产生抑郁与焦虑两种心理情绪.结论 艾滋病患者中男男同性性传播人群存在着一定的心理问题,应给予必要的心理干预措施.
    • 鄢芳; 李现红; 张椰
    • 摘要: 背景随着人们受教育水平的广泛提高,家庭冷暴力的发生率也逐渐增高.家庭冷暴力危害十分严重,不仅摧残着受害者精神、心理健康,还危害着婚姻家庭的幸福和谐,同时对社会团结造成一定影响.然而,目前我国尚无有效的工具对家庭冷暴力进行测量.目的 编制家庭冷暴力量表,以评估家庭成员中家庭冷暴力情况.方法 2015年10月,根据家庭冷暴力的操作性定义,初步发展了包含20个条目的条目池,经过分析讨论之后,共保留了10个条目,形成预调查家庭冷暴力量表.借助网络公益平台"浪漫转身同妻QQ群",于2015年12月招募满足纳入标准的20名在婚或离异的同妻为预调查对象,采用预调查家庭冷暴力量表对其进行预调查.共发放问卷20份,回收有效问卷20份,有效回收率为100.0%.调查对象作答时间≤2 min,均表示条目通俗易懂,语言无歧义,从而形成测试版家庭冷暴力量表,仍包含以上10个条目.2016年2月—2017年3月采用同伴驱动的抽样方法,最初在"浪漫转身同妻QQ群"中选定15名同伴"种子",然后通过其共招募195名同妻为大样本调查对象,采用大样本调查问卷﹝包括一般人口学资料问卷、测试版家庭冷暴力量表和修订版冲突策略量表(CTS-2S)中针对被虐方的分量表﹞对其进行调查.4周后,采用简单随机抽样法抽取20名在婚或离异同妻,对其采用测试版家庭冷暴力量表进行第2次测量.采用相关系数法和极端组法进行条目分析和筛选,采用随机平均分组法将大样本调查回收的有效问卷分为两份,其中一份进行探索性因子分析(形成家庭冷暴力量表),另一份进行验证性因子分析(评价家庭冷暴力量表结构效度).采用CTS-2S中针对被虐方的分量表得分与家庭冷暴力量表总分的相关系数评价家庭冷暴力量表效标效度,采用专家判断法评价其内容效度,采用同质性信度、分半信度、重测信度评价其信度.结果 大样本调查共发放问卷195份,回收有效问卷178份,有效回收率为91.3%.第2次调查共发放问卷20份,回收有效问卷15份,有效回收率为75.0%.测试版家庭冷暴力量表各条目得分与其总分的相关系数为0.515~0.793(P1.000的原则共提取2个公因子,累积方差贡献率为59.916%,由于公因子1中3个条目的载荷值较低(0.400.验证性因子分析结果显示,χ2/df=1.726,RMSEA=0.091,GFI=0.932,CFI=0.950,NFI=0.892,IFI=0.951,TLI=0.925.CTS-2S中针对被虐方的分量表得分与家庭冷暴力量表总分呈正相关(r=0.431,P<0.001).家庭冷暴力量表的总体内容效度指数(CVI)为0.97.家庭冷暴力量表的Cronbach'sα 系数、分半信度系数、重测信度系数分别为0.848、0.820、0.714.结论 本研究组编制的家庭冷暴力量表包含7个条目,其信效度良好,可用于评测个体在婚姻中遭受家庭冷暴力的情况.
    • 孙丽; 周建波; 王金塔
    • 摘要: 目的 分析江苏省常州市各自愿咨询检测(VCT)门诊学生男男性行为者(MSM)HIV感染状况及相关因素.方法 于2014年1月至2017年12月,在常州市各VCT门诊招募既往有过男男性行为史、年龄为16~25岁、HIV阳性感染者的确证时间≤3个月的在校学生MSM,共纳入236例研究对象.开展问卷调查并采集静脉血,检测血浆硒和HIV抗体.采用分类回归树模型筛选学生MSM感染艾滋病的相关因素,采用交叉验证法和受试者工作特征曲线进行模型评价.结果 研究对象年龄为(20.76±1.97)岁,首次发生同性性行为的年龄为(19.14±1.85)岁,血浆硒含量为(82.59±11.99)ng/ml;文化程度为大专或本科者占74.58%(176例),最近1年诊断性病者占8.90%(21例),最近1年接受健康服务者占80.93%(191例),HIV抗体阳性率为25.0%(59例).分类树回归模型筛选出4个相关因素,分别为最近1年诊断性病、最近1年接受健康服务、血浆硒水平和文化程度,其中最近1年是否诊断性病为最主要的相关因素.分类回归树重替代估计量与交叉验证估计量分别为0.186和0.195,标准误差分别为0.025和0.026;利用预测值绘制的受试者工作特征曲线下面积为0.706(P<0.001).结论 江苏省常州市VCT学生MSM HIV抗体阳性率为25.0%,最近1年诊断性病、最近1年接受健康服务、血浆硒水平和文化程度是艾滋病感染的相关因素.%Objective To analysis the status of HIV infection and the related factors among students of men who have sex with men (MSM) from voluntary counseling and testing (VCT) clinics in Changzhoucity Jiangsu province. Methods A total of 236 subjects with previous male sexual history, 16-25 years of age and less than 3 months of confirmation time of HIV positive infection were recruited in Changzhou from January 2014 to December 2017. Questionnaires were conducted and plasma samples were collected for selenium and HIV antibody testing. The relevant factors of HIV infection among MSM were screened by classification tree model. The model was evaluated using cross validation and receiver operating characteristic (ROC) curve. Results The age of subjects was (20.76±1.97) years old. The age of the first sex with men was (19.14±1.85) years old and the plasma selenium content was (82.59±11.99) ng/ml. Of the 236 subjects, 74.58% (176 cases) were college students or undergraduates; 8.90% (21 cases) were diagnosed with venereal diseases in the last year;80.93%(191 cases) received health services in the last year, and the positive rate of HIV antibody was 25.00% (59 cases). Four relevant factors were screened by the classification tree model, including the diagnosis of sexual transmitted diseases (STDs) in the last year, health services in the last year, plasma selenium level and education level. The most important factor was whether STDs were diagnosed in the last year. The estimate of re-substitution and cross-validation of the classification tree model was 0.186 and 0.195, and the standard error was 0.025 and 0.026, respectively. The area under the ROC was 0.706 (P<0.001). Conclusion The MSM HIV antibody positive rate of VCT students in Changzhou City, Jiangsu Province was 25.0%. The diagnosis of STDs in the last year, receiving health services in the last year, plasma selenium level and education level were relevant factors of HIV infection.
    • 妥小青; 王辉; 叶勒丹·马汉; 张占林; 龚政; 田恬; 陈珍; 古丽斯亚·海力力; 戴江红
    • 摘要: 目的 了解乌鲁木齐市男男同性性行为人群(MSM)rush poppers使用情况,分析高危性行为在rush poppers使用与人乳头瘤病毒感染之间的中介效应.方法 2018年1—6月在乌鲁木齐市,通过网络、现场宣传等方式招募MSM 651名,使用在线问卷收集数据,并采集肛周脱落细胞进行HPV分型检测.根据Baron和Kenny的判定标准,采用多因素logistic回归分析高危性行为(多性伴、肛交安全套使用)在rush poppers使用与HPV感染之间的中介效应.结果 651名研究对象年龄为(32.0±8.0)岁,近6个月用过rush poppers 174名(26.7%),近6个月性伴数≥2的MSM 350名(46.9%),肛交未使用安全套者188名(28.9%),rush poppers使用者HPV感染率为60.3%(150/174).调整年龄、婚姻状况后,rush使用与HPV的感染有关联[OR(95%CI)值为2.34(1.63~3.36),P<0.05],rush使用与近6个月性伴数有关联[OR(95%CI)值为2.72(1.89~3.93),P<0.05];调整年龄、婚姻状况、近6个月性伴数、肛交安全套的使用后,rush poppers使用与HPV的感染仍有关联[OR(95%CI)值为2.21(1.53~3.19),P<0.05];调整年龄、婚姻状况、rush poppers使用、肛交安全套使用后,近6个月性伴数与HPV的感染仍有关联[OR(95%CI)值为1.46(1.05~2.04),P<0.05].结论 近6个月性伴数在乌鲁木齐MSM rush poppers使用和HPV感染之间存在中介效应,rush poppers使用应成为HPV防控工作关注的重点.%Objective To study the prevalence of rush poppers use among men who have sex with men (MSM) in Urumqi and to analyze the mediating effect of high-risk sexual behavior between the use of rush poppers and human papillomavirus (HPV) infection. Methods From January to June 2018, 651 MSM were recruited through network and publicity. Data was collected by using online questionnaire and anal swab were collected from them for HPV genotyping. According to Baron and Kenny's criterion, multivariate logistic regression models was used to analyze the mediation effect of high-risks sexual behaviors (multiple sexual partners, anal intercourse condom use) between rush poppers use and HPV infection. Results A total of 651 subjects were (32.0 ± 8.0) years old, and 174 subjects (26.7%)had ever used rush poppers in the past 6 months, while 350 subjects (46.9%) had more than 2 sexual partners and 188 subjects (28.9%) did not use anal condom. After adjusting age and marital status, rush poppers use was associated with HPV infection ( OR (95%CI ) was 2.34 (1.63-3.36), P<0.05), and sexual partners in the past 6 months (OR (95%CI) was 2.72 (1.89-3.93), P<0.05).After adjustment for age, marital status, sexual partners in the past 6 months, and anal condom use, rush poppers use was still associated with HPV infection (OR (95%CI) was 2.21 (1.53-3.19), P<0.05).After adjustment and adjustment of age, marital status, rush poppers use and anal sex condom use, the number of sexual partners at nearly 6 months was still associated with HPV infection ( OR (95%CI ) was 1.46 (1.05-2.04), P<0.05). Conclusion Sexual partners in the past 6 months have a mediation effect between rush poppers use and HPV infection in Urumqi. For the prevention of sexually transmitted diseases, we should focus on rush poppers use.
    • 黄冰雪; 桑国耀; 妥小青; 田恬; 阿比旦·艾尼瓦尔; 戴江红
    • 摘要: 目的:探索应用轨迹分析模型拟合HIV阴性男男性行为(MSM)人群肛周人乳头瘤病毒(HPV)感染状态变化趋势的可行性.方法:2016年9月1日至2017年9月30日于乌鲁木齐市采用滚雪球法招募HIV阴性MSM者,以调查对象入组时间为基准,每6个月随访一次,采集肛管内脱落细胞并进行HPV DNA分型鉴定.纳入完成基线、6个月、12个月随访的研究对象,以感染不同型别HPV的累加数量为因变量,随访次数为自变量构建轨迹分析模型,分别探索将受试者分为一个、二个、三个及四个亚组时的HPV感染状态变化轨迹,并运用贝叶斯信息标准值(BIC)、贝叶斯因子对数值和平均验后分组概率(AvePP)评价模型拟合效果.结果:共招募400名HIV阴性MSM者,其中187名MSM者纳入模型分析.结果发现,将HPV感染状态变化趋势按两组轨迹模型拟合效果最优.该模型中,第一亚组占54.5%(102/187),HPV感染状态变化曲线呈下降趋势;第二亚组占45.5%(85/187),HPV感染状态变化曲线呈上升趋势.结论:应用轨迹分析模型能有效区分HIV阴性MSM人群HPV感染状态的变化趋势,有助于探寻HPV感染的高危人群.
    • 杨娟; 徐慧芳; 邢辉; 俞秋嫣; 孔浩南; 吕繁
    • 摘要: Objective This study aimed to analyze the association between the characteristics of egocentric network and HIV prevalence among men who have sex with men (MSM) through social network analysis. Methods The study was conducted in Guangzhou city from November 2016 to June 2017 using convenient sampling method. Participants were recruited from 13 voluntary counseling and testing (VCT) locations. Data were collected by using nomination generation and nomination interpretation methods. Questionnaire includes two parts, the first part about the social tie, and the second one about social demography and behavioral characteristics of respondents and their nominees. The multivariate logistic regression was applied to quantify the association. Results 8.67%(93/1 073) HIV antibody positive MSM had been detected in 1 073 respondents who nominated 4 301 partners in total. Compared to egocentric sexual network with a size of 1-2, the size of sexual network larger than 3 ( OR=1.68, 95%CI : 1.07-2.65) were associated with HIV infection. Compared to egocentric risk sexual network with a size of 1-2, the size of risk sexual networks larger than 3 (OR=1.87, 95%CI: 1.06-3.31) were associated with HIV infection. There were no significant association between marital similarity of respondents and their nominees, the type of the relationship of sexual partners and HIV prevalence (P>0.05). Conclusion The composition of social network in MSM is related to their susceptibility of HIV infection. MSM population with a large sexual network is more susceptible to HIV infection.%目的 利用社会网络分析方法,结合流行病学特征分析男男性行为人群(MSM)个体中心社会网络特征与HIV流行的关系.方法 于2016年11月至2017年6月采用方便抽样方法,招募点覆盖广州市13个艾滋病自愿咨询检测门诊,对前来参加艾滋病相关知识咨询以及HIV初筛的MSM进行个体社会网络问卷调查,采用提名生成法和提名诠释法采集数据.问卷包含两个部分,一部分是针对社会连带强弱问题,另一部分是针对调查对象以及被提名者社会人口学及行为特征问题.共获得1 073份有效问卷.采用多因素logistic回归模型分析个体中心社会网络特征与HIV流行的关联.结果 1 073名受访者HIV阳性检出率为8.67%(93例),共提名4 301名同伴.相比性关系网络大小为1~2的MSM,性关系网络≥3的MSM感染HIV的OR(95%CI)值为1.68(1.07~2.65);相比危险性关系网络大小为1~2的受访者,危险性关系网络≥3的MSM感染HIV的OR(95%CI)值为1.87(1.06~3.31).受访者性伴圈婚姻状态相似性、性伴圈关系类型与HIV流行关联无统计学意义(P>0.05).结论 MSM个人所在的社会网络成员组成与其是否容易感染HIV有关,拥有较大性关系网络的MSM人群较易感染HIV.
    • 郭静; 郭巍; 杨洪玲; 陈方方; 付淋林; 刘凌琳; 崔岩; 戴颖
    • 摘要: Objective To analyze the influencing factors and mechanism for unprotected sexual behavior of men who have sex with men (MSM) in China. Methods MSM who are more than 16 years old and have had homosexual sexual behaviors in recent years were recruited from five cities (Tianjin, Harbin, Nanjing, Chongqing and Xi 'an) with active MSM population during 2013-2014 through network, site recruitment and peer recommendation using convenient sampling method. 3 519 subjects were included in this study. The sexual behavior related information of MSM in five cities was investigated using questionnaires. The confirmatory factor analysis was used to construct the measurement model by using the robust estimation method based on the weighted least square method to estimate parameters, and the final model was determined through evaluation and modification. Results A total of 3 519 subjects were (29.9± 8.76) years old, with a clear sexual orientation of 3 223 (91.6%), and 2 287 (65.0%) were aware of free HIV/AIDS treatment policies. The proportion of using condom last time was 77.2% (n=2 718), and the proportion of using condom every time was 36.9% (n=1 299) and 43.2% (n=1 521) respectively for the past six months with fixed and temporary partners. Structural equation model provided a good fit, the root mean square error of approximation, comparative fit index and non-normed fit index was 0.07, 0.97, 0.95, respectively. Knowing AIDS knowledge, educational level and sexual orientation had direct effects on unprotected sexual behavior, and the path coefficients were 0.179, -0.049 and -0.159, respectively. While the role of interventions was indirect, the path coefficient was 0.147. Conclusion Lower education and unclear sexual orientation are disadvantages for reducing unprotected sexual behavior. Interventions mainly affect the unprotected sexual behavior by improving the level of HIV/AIDS knowledge. Increasing the comprehensive knowledge of MSM through intervention should be highly valued.%目的 了解并分析男男性行为人群(MSM)无保护性行为的影响因素及作用机制.方法 于2013—2014年,采用方便抽样的方法在我国MSM较为活跃的5个城市(天津、哈尔滨、南京、重庆、西安),通过网络、场所招募及同伴推荐的方式招募≥16岁、最近一年发生过男男同性性行为的MSM,共纳入3 519名研究对象.利用问卷调查5个城市MSM性行为相关信息,采用验证性因子分析构建测量模型,采用加权最小二乘法为基础的稳健估计方法估计参数,通过评价修正确定最终模型.结果 3 519名研究对象年龄为(29.9±8.76)岁,具有明确性取向3 223名(91.6%),知晓免费艾滋病抗病毒治疗政策2 287名(65.0%),调查对象近一次安全套的使用率为77.2%(2 718名),近6个月与固定性伴和临时性伴每次都用安全套的比例分别为36.9%(1 299名)、43.2%(1 521名);结构方程模型拟合较好,模型的近似误差均方根、比较拟合指数、非规范拟合指数分别为0.07、0.97、0.95.知晓艾滋病知识、文化程度、性取向对无保护性行为具有直接作用,路径系数分别为0.179、-0.049、-0.159;接受干预对降低无保护性行为具有间接作用,路径系数为0.147.结论 较低的文化程度和性取向不明确是降低无保护性行为的不利因素;干预主要通过提高艾滋病知识水平对无保护性行为产生影响,通过干预提高MSM综合知识水平应受到高度重视.
    • 于飞; 米国栋; 陈子煌; 姬广宇; 马跃; 马保力; 吕繁
    • 摘要: Objective To understand the cognition and attitudes of men who have sex with men (MSM) towards HIV testing and explore in-depth reasons preventing them from testing. Methods The function of"opinion"in Blued, a gay geo-social networking application (GSN), was adopted to collect qualitative data of ideas and attitudes towards HIV testing of the users between December 2017 and January 2018. The data was analyzed based on grounded theory approach. Results 28 269 Blued users participated in the activity and 1 977 posted comments. Four key themes were identified, i.e. no/low risk of contracting HIV, stigmatization of HIV testing, long-term relationship and conventional impediments of HIV testing. Conclusion The cognition and attitudes of the target population derived from the analysis of"opinion"function in Blued, such as the stigmatization of the behavior of HIV testing influencing the attitude of HIV testing, could help researchers build a more accurate detection and promotion strategy instead of a very general intervention on the public.%目的 运用定性研究的方法了解男男性行为人群(MSM)对HIV检测的认知和态度,探索不愿意进行检测背后深层次的原因.方法 2017年12月至2018年1月,通过MSM社交软件Blued内嵌的"观点"功能收集用户对HIV检测态度和看法的定性数据.运用扎根理论对用户的评论内容进行定性分析.结果 共计28 269人参与了活动,其中1 977人发表了文字评论.通过对文字评论分析,发现4个与不进行HIV检测相关的核心因素,分别是无风险或低风险、检测行为被污名化、固定伴侣关系和常规阻碍因素.结论 利用Blued"观点"功能定性分析目标人群的认知和态度,所获得的结果诸如HIV检测行为被污名化影响检测态度等研究发现有助于构建更为精准的检测促进干预策略,而不只是实施针对全人群的泛泛措施.
    • 胡桂林; 汪强; 李向东; 张臻
    • 摘要: 目的 了解与掌握该区场所型男男性接触者(MSM)人群艾滋病感染状况及相关影响因素,为后续干预提供依据和支持.方法 所有调查人群签署知情同意书后,在该区MSM人群主要活动场所内依托MSM人群社会组织志愿者对所有符合纳入标准的调查对象开展面对面问卷调查,了解其一般情况、艾滋病知识掌握情况、性行为特点等,并对每例被调查者开展艾滋病咨询与指尖血人类免疫获得性病毒(HIV)、梅毒快速检测.结果 不同场所型MSM人群年龄、再婚比例等方面比较,差异均有统计学意义(P<0.05),且普遍存在可导致感染HIV的高危行为.自认为感染HIV的风险、最近6个月内是否使用过助性剂为MSM人群是否感染HIV的危险因素;而最近1次肛交时是否使用安全套、艾滋病知识是否知晓与之前是否做过HIV检测则为MSM人群是否感染HIV的保护因素.结论 场所型MSM人群具有比较固定的活动交友场所、一般年龄偏大、再婚比例及与异性发生性行为的比例均较大等特点,是艾滋病由MSM人群传染给一般大众人群的桥梁人群,探讨开展适宜的防治干预措施十分重要.
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