挪威同性恋行为的流行程度和趋势。

M B Veierød, A Eskild, H Stigum, J Thorvaldsen, P Magnus
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引用次数: 0

摘要

本研究的三个主要目的是估计挪威人口中有同性恋行为经历的比例,研究5年期间男同性恋者性行为的变化程度,以及研究艾滋病毒阳性的男同性恋者在意识到艾滋病毒阳性之前和之后报告的性行为的变化程度。数据来自挪威普通人群性行为的两次问卷调查(1987年和1992年),以及1988年开始的一项队列研究(奥斯陆艾滋病毒队列研究)中艾滋病毒阳性的同性恋男性在意识到艾滋病毒阳性之前和之后的性行为问卷研究。对有同性恋经历的研究对象的比例进行了估计,并对每年男性性伴侣的数量、每月性交的次数、避孕套的使用和肛交进行了趋势分析。在普通人群中18至60岁的男性中,3.8%的人一生中有过同性恋行为,1.2%的人在过去三年中有过同性恋行为。在女性中,同样的比例是3.1和1.0。在调查中,目前有同性恋经历的男性每年的男性伴侣数量显著下降,从1987年的每年中位数1.0下降到1992年的0.3 (p = 0.02)。在艾滋病毒阳性人群中,男性伴侣的数量从意识到艾滋病毒血清阳性之前的年中位数4.3下降到1.6 (p < 0.01)。在艾滋病毒阳性者中,使用避孕套的人数显著增加,性交次数减少,肛交频率减少。结果表明,在1987年至1992年期间,同性恋男性的性行为可能发生了一些变化,而艾滋病毒阳性男性的性行为可能发生了更显著的变化。目前的数据并不支持其他关于不安全性行为复发的发现,但表明仍然有必要不断改变行为,以阻止艾滋病毒在与其他男性发生性行为的男性中传播。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence and trends in homosexual behaviour in Norway.

The three main objectives of this study were to estimate the proportion of the Norwegian population with experience of homosexual behaviour, to study the degree of change in sexual practices among homosexual men during a 5-year period and to study the degree of change in sexual practices reported by HIV positive homosexual men from before to after awareness of HIV-positivity. The data comes from two questionnaire surveys (in 1987 and 1992) of sexual behaviour in the general population of Norway and a questionnaire study of sexual behaviour before and after awareness of HIV-positivity among HIV-positive homosexual men taking part in a cohort study starting in 1988 (the Oslo HIV cohort study). Estimation of the proportion of subjects with homosexual experience was made as well as a trend analysis of the number of male sexual partners per year, number of intercourses per month, condom use and anal sex. Among men aged 18 to 60 from the general population, 3.8% reported homosexual practice during lifetime and 1.2% during the past 3 years. Among women, the same percentages were 3.1 and 1.0. In the surveys, the number of male partners per year decreased significantly for men with current homosexual experience from a yearly median of 1.0 in 1987 to 0.3 in 1992 (p = 0.02). Among HIV-positives, the number of male partners decreased from a yearly median of 4.3 before to 1.6 after awareness of HIV-seropositivity (p < 0.01). Among HIV-positives, a significant increase in the use of condoms, a decrease in the number of intercourses and a decrease in the frequency of anal sex was found. The results show that some changes in sexual practice may have occurred among homosexual men in general in the period from 1987 to 1992, and that more significant changes may have occurred for HIV-positive men. The present data do not support other findings of a relapse to more unsafe sex, but suggest that there is still a need to keep modifying behaviour in order to stop the spread of HIV among men who have sex with other men.

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