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Sexual health status of women who have regular sexual relations with men who have sex with men in mainland China

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成果类型:
期刊论文
作者:
Li, Xiufang*;Zhang, Beichuan;Wang, Juan;Li, Yang;Li, Xianhong;Yu, Peiheng;Liu, Minghua;Liu, Xinqiao
通讯作者:
Li, Xiufang
作者机构:
[Li, Xiufang; Zhang, Beichuan; Liu, Xinqiao] Qingdao Univ, Dept Sex, Ctr Hlth, Affiliated Hosp, 16 Jiangsu St, Qingdao 266003, Shandong, Peoples R China.
[Wang, Juan] Jiaozhou Cent Hosp Qingdao, Dept Dermatol, 29 Xuzhou St, Jiaozhou 266300, Shandong, Peoples R China.
[Li, Yang] Chinese Acad Med Sci, Dept Dermatol, Natl Ctr STD Control, Nanjing 210042, Jiangsu, Peoples R China.
[Li, Yang] Peking Union Med Coll, Nanjing 210042, Jiangsu, Peoples R China.
[Li, Xianhong] Cent S Univ, Sch Law, Xiang Ya Nursing Sch, Changsha 410013, Hunan, Peoples R China.
通讯机构:
[Li, Xiufang] Qingdao Univ, Dept Sex, Ctr Hlth, Affiliated Hosp, 16 Jiangsu St, Qingdao 266003, Shandong, Peoples R China.
语种:
英文
关键词:
Mainland China;Men who have sex with men;Regular sex partner;Sexual health status;Women
期刊:
BMC Public Health
ISSN:
1471-2458
年:
2017
卷:
17
期:
1
页码:
168
文献类别:
WOS:Article
所属学科:
ESI学科类别:社会科学,概论;WOS学科类别:Public, Environmental & Occupational Health
入藏号:
基金类别:
ford foundation
机构署名:
本校为其他机构
院系归属:
法学院
湘雅护理学院
摘要:
Background: Men who have sex with men (MSM) are a high-risk group for sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV) infection. In China, the vast majority of MSM feel forced to marry or plan to marry women, according to traditional Chinese culture. Women who have regular sexual relations with MSM, called tongqi in mainland China, live with a high risk of STDs or HIV infection, but these risks are often ignored. Our investigation of this group of the women is a preliminary study that aims to understand the sexual health problems of tongqi and related factors. Methods: This study relied on website mobilization and was funded by tongqi. Participants were limited to women who had sex with MSM to whom they were married (in-GWs), whom they had divorced (ex-GWs), or with whom they were friends (GGFs). The data were collected using questionnaire software. Results: A total 144 valid surveys were returned from 100 in-GWs, 33 ex-GWs, and 11 GGFs. Average respondent age was 32.8 ± 6.4 years (range 22 to 58 years). Among in-GWs and ex-GWs, over 95% learned that their husbands were MSM after marriage. More than half of respondents had had sex before marriage, and one-third of those women had sex partners other than their husbands. In addition, 35.3% of tongqi had STDs symptoms. About 50% participants had had oral sex with sex partners of MSM and 10% had had passive anal sex, with low condom use during both oral (9.7%) and anal sex (23.1%). Most tongqi had misunderstandings about STDs and HIV and less than 30% had undergone HIV screening. Among participants tested, 5.6% were HIV positive. A total 93.5% of respondents believed that laws should be established to protect the sexual rights of women. Conclusions: Women who have regular sexual relations with MSM face adverse sexual health issues and are susceptible to STDs and HIV infection. Measures must be taken to protect the rights and interests of tongqi in mainland China. © 2017 The Author(s).
参考文献:
Catania JA, Osmond D, Stall RD, Pollack L, Paul JP, Blower S, et al. The continuing HIV epidemic among men who have sex with men. Am J Public Health. 2001,91(6):907–14.
Dubois-Arber F, Masur JB, Hausser D, Zimmemann E, Paccaud F. Evaluation of AIDS prevention among homosexual and bisexual men in Switzerland. Soc Sci Med. 1993,37(12):1539–44.
Buxton AP. Paths and Pitfalls: How Heterosexual Spouses Cope When Their Husbands or Wives Come Out. In: Wetchler JL, Binger JJ, editors. Relationship Therapy with Same-Sex Couples. New York: Haworth, 2004. p. 95–109.
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