自我効力、自覺愛滋病威脅及其性行爲之相關－南台灣108例男同性戀之分析

The Relationship between Self-Efficacy, Perceived AIDS Threat, and Sexual Behaviors: Analysis of 108 Male Homosexuals in Southern Taiwan

柯乃熒(Nai-Ying Ko) ； 鍾信心(Hsin-Hsin Chung) ； 章順仁(Shun-Jen Chang) ； 葛應欽(Ying-Chin Ko)

《護理研究》 4卷3期 (1996/09) Pp. 285-297

https://doi.org/10.7081/NR.199609.0285

摘要

本研究爲探討影響台灣男同性戀者之自我効力、自覺愛滋病威脅與其性行爲之相關因素，以作爲防治愛滋病在男同性戀羣體流行之參攷依據。採立意取樣之橫斷面樣本調查法，以結構式問卷及抽血檢查HIV-1血清抗體收集108位男同性戀者之資料，84位接受HIV-1血清抗體篩檢，8位HIV-1抗體呈陽性反應，整體陽性率爲9.5%。研究結果如下：(1)台灣男同性戀的性行爲，約74.1%(80/10)的男同性戀者曾採取肛交行爲，使用保險套的比率偏低，約10.2%-12.0%的人在肛交時每次都用保險套。性伴侶人數差異很大，一生性伴侶從1位到999位不等，一年性伴侶數從1位到120位不等。(2)男同性戀者之自我効力與其性伴侶人數及性行爲有顯著的相關。(3)男同性戀者其自覺愛滋病威脅程度與其性行爲無關。(4)「與性伴侶維持月數」、「一年同性伴侶人數」、「教育年數」、「有無固定性伴侶」、「是否做過愛滋病檢查」、「第一次性交年齡」、「性交前喝酒頻率」七個因素可有效預測男同性戀一生之同性性伴侶人數，解釋力達48.4%。(5)「自我効力」、「第一次性交時有無肛交」、「一年同性性伴侶人數」、「有無固定性伴侶」四因素可有效預測男同性戀者之危險性行爲，解釋力達27.51%。

關鍵字

自我効力 ； 自覺愛滋病威脅 ； 性行爲

並列摘要

The purposes of this study were to investigate the relationship between the self-efficacy, perceived AIDS threat, and sexual behaviors among the male homosexuals in Taiwan. A cross-sectional survey was conducted between Octorber 1994 and March 1995 among 108 male homosexuals. Data were collected by self-administered, anonymous questionnaire, and whole blood. The mean age of all respondents was 25.8 ± 6.0 years, of 84 (77.8%) subjects who had been HIV-1 serum antibody tested, 8 (9.5%) were HIV-1 antibody positive. The following results were obtained: (1) 74% (80/108) of respondents reported engaging in anal intercourse within the past year. 10.2%-12.0% of the men reported that they always used condoms during anal intercourse. The mean number of partners over the subjects’ lifetimes was 53.26 (range, 1-999) and the mean number of years of homosexual partners was 12.80 (range, 1-120). (2) Self-efficacy of subjects was strongly associated with the number of sexual partners and sexual behaviors. (3) Perceived AIDS threat was not associated with the sexual behaviors of the subjects. (4) Multiple regression analysis explained 48.48% of the following variables in the number of lifetime partners: the number of months of with the same sexual partner, the number of partners per year, years of education, monogamous or not, having ever been HIV tested, age of first sexual activities, and alcohol consumption before sexual activities. (6) Multiple regression analysis explained 27.51% of the following variables in risky sexual behaviors: self-efficacy, anal intercourse of the first sexual behaviors, the number of partners per year, and monogamous or not.

並列關鍵字

self-efficacy ； perceived AIDS threat ； sexual behavior