遼寧省男男性接觸者同性身份認(rèn)同與內(nèi)在感受的關(guān)系研究
發(fā)布時(shí)間：2019-05-07 11:54
【摘要】：目的:了解男男性接觸者(Men who has sex with men, MSM)對同性戀身份的認(rèn)同(對同性戀的態(tài)度和適應(yīng))與其內(nèi)在感受(社會(huì)歧視感、經(jīng)濟(jì)不確定性、內(nèi)在恥感和社會(huì)隔離感)的水平與分布特征,并分析其相互關(guān)系。 方法:1.研究對象:2008年5月1日～2008年7月31日,在沈陽、丹東、鞍山、本溪抽取807名MSM。選擇的對象必須符合以下標(biāo)準(zhǔn):(1)在過去12個(gè)月內(nèi)與其他男性有過插入性口交或肛交同性性行為的男性;(2)年齡在18-65歲;(3)同意參加問卷調(diào)查;(4)有招募卡片;(5)通過每天更新的指紋識(shí)別系統(tǒng)對重復(fù)參加者進(jìn)行辨別。2.抽樣方法:采用同伴驅(qū)動(dòng)抽樣方法(Respondent-Driven Sampling, RDS),通過關(guān)鍵知情人每市分別招募5-10名MSM作為“種子”,然后每名“種子”招募3名MSM伙伴參與調(diào)查活動(dòng),被招募來的MSM再招募3人,依次推動(dòng)招募鏈的延伸。3.調(diào)查內(nèi)容:對所有調(diào)查對象進(jìn)行面對面訪談。應(yīng)用結(jié)構(gòu)式調(diào)查問卷記錄訪談內(nèi)容,包括年齡、性取向、受教育程度、是否公開身份、HIV/AIDS感染情況以及精神疾病的患病情況等。4.研究工具:應(yīng)用同性戀態(tài)度問卷以及社會(huì)影響量表對MSM自我身份的認(rèn)同與內(nèi)在感受進(jìn)行全面的測量。5.統(tǒng)計(jì)分析:采用RDS專用軟件分析樣本的平衡性。應(yīng)用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行分析,對態(tài)度問卷和社會(huì)影響量表的分布水平進(jìn)行描述,采用單因素方差分析和t檢驗(yàn)分析各維度得分的差異。 結(jié)果:應(yīng)用RDS方法抽取的樣本具有良好代表性;47%-79% MSM表示認(rèn)同同性戀,但也有51%-65%MSM不能適應(yīng)同性身份,84%MSM認(rèn)為有必要向大多數(shù)人隱藏自己的同性身份,顯示MSM人群多存在對同性身份認(rèn)同的困惑。70%MSM曾有社會(huì)拒絕感,60%MSM感到經(jīng)濟(jì)不確定,88%MSM存在內(nèi)在恥感,84%MSM有社會(huì)隔離感,提示MSM存在較高的內(nèi)心不良感受。MSM中同性戀者的身份認(rèn)同與適應(yīng)水平顯著高于雙性戀、不確定性取向者以及異性戀者,反映了生物學(xué)因素的重要影響。MSM社會(huì)拒絕感、經(jīng)濟(jì)不確定、內(nèi)在恥感以及社會(huì)隔離感的水平均與其對同性身份的態(tài)度與適應(yīng)性水平呈顯著負(fù)相關(guān)。MSM對同性身份的態(tài)度和適應(yīng)均差時(shí)社會(huì)拒絕感、經(jīng)濟(jì)不確定、內(nèi)在恥感以及社會(huì)隔離感的感受最強(qiáng),反之MSM對同性身份的態(tài)度和適應(yīng)均好時(shí)社會(huì)拒絕感、經(jīng)濟(jì)不確定、內(nèi)在恥感以及社會(huì)隔離感的感受最低。 結(jié)論: (1)MSM人群多存在對同性身份的認(rèn)同困惑以及較高水平的社會(huì)拒絕感、經(jīng)濟(jì)不確定、內(nèi)在恥感、社會(huì)隔離感。 (2)MSM人群中,同性戀者對同性戀的態(tài)度更積極,適應(yīng)性更好;但社會(huì)拒絕感和社會(huì)隔離感顯著高于其他性取向者。雙性戀者的內(nèi)在恥感較同性戀更強(qiáng)。異性戀者最不能認(rèn)同同性戀身份。 (3)年齡較大、文化程度低、離異或是隱藏性取向的MSM,其對同我的身份認(rèn)同度較低,而內(nèi)在感受的水平較高。 (4)MSM對同性身份的態(tài)度、適應(yīng)性與社會(huì)拒絕感、經(jīng)濟(jì)不確定、內(nèi)在恥感以及社會(huì)隔離感呈中等強(qiáng)度顯著負(fù)相關(guān)。
[Abstract]:Objective: to understand (Men who has sex with men, MSM) 's identity towards homosexuality (attitude and adaptation to homosexuality) and his inner feelings (social discrimination, economic uncertainty) among men who have sex with men. The level and distribution of the sense of internal shame and social isolation, and the relationship between them. Methods: 1. Participants: from May 1, 2008 to July 31, 2008, 807 MSM. were selected from Shenyang, Dandong, Anshan and Benxi. The following criteria must be met: (1) men who have had sex with other men in oral or anal sex in the past 12 months; (2) aged 18 to 65; (3) who have agreed to participate in the questionnaire; (3) who have had sexual intercourse with other men in the past 12 months; (2) aged 18 to 65; (3) agreed to participate in the questionnaire; (IV) recruitment cards; (v) Identification of repeat participants through a daily updated fingerprint identification system. Sampling methods: peer-driven sampling (Respondent-Driven Sampling, RDS), recruited 5 to 10 MSM each city as "seed" through key informants, and then 3 MSM partners per "seed" to participate in the survey; MSM was recruited to recruit another three people, in turn promoting the extension of the recruitment chain. 3. Survey contents: face-to-face interviews with all subjects. A structured questionnaire was used to record interviews, including age, sexual orientation, education, public identity, HIV/AIDS infection and mental illness. 4. Research tools: the self-identity and internal feelings of MSM were measured by Gay attitude questionnaire and Social impact scale. 5. Statistical analysis: RDS software is used to analyze the balance of samples. SPSS17.0 statistical software was used to analyze the distribution level of attitude questionnaire and social impact scale. One-way ANOVA and t-test were used to analyze the difference of each dimension score. Results: the samples extracted by RDS method had good representativeness. 47% / 79% of MSM said they agreed with homosexuality, but there are also 51%-65%MSM who can't adapt to the same-sex identity, and 84%MSM believes it is necessary to hide their same-sex identity from most people. 70% of MSM had a sense of social rejection, 60%MSM felt economic uncertainty, 88%MSM had inherent shame, and 84%MSM had a sense of social isolation. It is suggested that there is a high level of negative feelings in the heart of MSM. The level of identity and adaptation of homosexuals is significantly higher than that of bisexuals, uncertain orientators and heterosexuals, which reflects the important influence of biological factors. The level of economic uncertainty, internal shame and social isolation were all negatively correlated with their attitude and adaptability to same-sex identity. When the attitude and adaptation to same-sex identity were poor, MSM had a sense of social rejection and economic uncertainty. The sense of internal shame and social isolation was the strongest, whereas MSM had the lowest feeling of social rejection, economic uncertainty, internal shame and social isolation when both attitudes and adaptations to same-sex identity were good. Conclusion: (1) there are more confusion about identity of same sex and higher level of social rejection, economic uncertainty, inner shame and social isolation in MSM population. (2) in MSM, homosexuals had more positive attitude towards homosexuality and better adaptability, but social rejection and social isolation were significantly higher than those of other sexual orientations. Bisexuals have a stronger sense of shame than homosexuality. Heterosexuals are the least able to identify themselves with homosexuality. (3) MSM, with older age, lower education level, divorce or hidden sexual orientation, had lower identity and higher level of inner feeling. (4) the attitude and adaptability of MSM to same-sex identity were negatively correlated with social rejection, economic uncertainty, inner shame and social isolation.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：B846
本文編號：2471055
[Abstract]:Objective: to understand (Men who has sex with men, MSM) 's identity towards homosexuality (attitude and adaptation to homosexuality) and his inner feelings (social discrimination, economic uncertainty) among men who have sex with men. The level and distribution of the sense of internal shame and social isolation, and the relationship between them. Methods: 1. Participants: from May 1, 2008 to July 31, 2008, 807 MSM. were selected from Shenyang, Dandong, Anshan and Benxi. The following criteria must be met: (1) men who have had sex with other men in oral or anal sex in the past 12 months; (2) aged 18 to 65; (3) who have agreed to participate in the questionnaire; (3) who have had sexual intercourse with other men in the past 12 months; (2) aged 18 to 65; (3) agreed to participate in the questionnaire; (IV) recruitment cards; (v) Identification of repeat participants through a daily updated fingerprint identification system. Sampling methods: peer-driven sampling (Respondent-Driven Sampling, RDS), recruited 5 to 10 MSM each city as "seed" through key informants, and then 3 MSM partners per "seed" to participate in the survey; MSM was recruited to recruit another three people, in turn promoting the extension of the recruitment chain. 3. Survey contents: face-to-face interviews with all subjects. A structured questionnaire was used to record interviews, including age, sexual orientation, education, public identity, HIV/AIDS infection and mental illness. 4. Research tools: the self-identity and internal feelings of MSM were measured by Gay attitude questionnaire and Social impact scale. 5. Statistical analysis: RDS software is used to analyze the balance of samples. SPSS17.0 statistical software was used to analyze the distribution level of attitude questionnaire and social impact scale. One-way ANOVA and t-test were used to analyze the difference of each dimension score. Results: the samples extracted by RDS method had good representativeness. 47% / 79% of MSM said they agreed with homosexuality, but there are also 51%-65%MSM who can't adapt to the same-sex identity, and 84%MSM believes it is necessary to hide their same-sex identity from most people. 70% of MSM had a sense of social rejection, 60%MSM felt economic uncertainty, 88%MSM had inherent shame, and 84%MSM had a sense of social isolation. It is suggested that there is a high level of negative feelings in the heart of MSM. The level of identity and adaptation of homosexuals is significantly higher than that of bisexuals, uncertain orientators and heterosexuals, which reflects the important influence of biological factors. The level of economic uncertainty, internal shame and social isolation were all negatively correlated with their attitude and adaptability to same-sex identity. When the attitude and adaptation to same-sex identity were poor, MSM had a sense of social rejection and economic uncertainty. The sense of internal shame and social isolation was the strongest, whereas MSM had the lowest feeling of social rejection, economic uncertainty, internal shame and social isolation when both attitudes and adaptations to same-sex identity were good. Conclusion: (1) there are more confusion about identity of same sex and higher level of social rejection, economic uncertainty, inner shame and social isolation in MSM population. (2) in MSM, homosexuals had more positive attitude towards homosexuality and better adaptability, but social rejection and social isolation were significantly higher than those of other sexual orientations. Bisexuals have a stronger sense of shame than homosexuality. Heterosexuals are the least able to identify themselves with homosexuality. (3) MSM, with older age, lower education level, divorce or hidden sexual orientation, had lower identity and higher level of inner feeling. (4) the attitude and adaptability of MSM to same-sex identity were negatively correlated with social rejection, economic uncertainty, inner shame and social isolation.
【學(xué)位授予單位】：大連醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2011
【分類號】：B846
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