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

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。

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

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.