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題名:臺灣女同志之指險套使用盛行率與相關因素探討
書刊名:臺灣公共衛生雜誌
作者:梁曉藍黃俊豪
作者(外文):Leung, Hio-lamHuang, Jiun-hau
出版日期:2013
卷期:32:1
頁次:頁31-41
主題關鍵詞:女同志性健康指險套性傳染病性別平等Women who have sex with womenWSWSexual healthFindomSexually transmitted infectionsSTIsGender equality
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:5
  • 點閱點閱:35
目標:探討台灣女同志在最近一年內進行陰道指交時使用指險套之盛行率,及其使用之相關因素,以提供實證資料作為女同志性健康之衛生教育介入參考。方法:以現居台灣、年滿18歲以上、最近一年內曾與女性進行陰道指交之女同志為研究對象,利用網路問卷的方式,於各大女同志BBS網站進行量性資料收集,有效樣本為397位。結果:本研究發現,僅18.9%女同志在過去一年進行陰道指交時會使用指險套。平均每月收入超過四萬元、過去一年曾在陰道指交行為上有多重女性性伴侶、認為指險套會降低快感、認為其使用很麻煩及對其購買管道不熟悉者,較不可能在過去一年陰道指交時使用指險套;而對於性傳染病自覺罹患性高者,則較可能在過去一年陰道指交時使用指險套。此外,10.8%(43位)女同志曾罹患性傳染病,其中以細菌性陰道炎之盛行率最高(5.3%)。在曾罹患性傳染病之女同志中,44.2%未曾與男性發生過性行為。結論:過去台灣女同志常被認為是性病的低危險群,因此其性健康亦較常被忽視。然而本研究結果顯示,即使從未與男性發生性行為之女同志,仍有罹患性傳染病之風險。再者,女同志之性行為非常多元,其與男同志以及異性戀之性行為亦有差異。在政府大力倡導性別平等之趨勢下,不應忽視性少數族群的健康,並宜儘速制訂相關政策,以促進健康上的性別平等。
Objectives: To explore the prevalence of and factors associated with Findom use during vaginal fingering in the previous year among women who have sex with women (WSW) in Taiwan, and to provide empirical data that help inform future educational interventions to improve the sexual health of WSW. Methods: Self-administered survey data from 397 WSW were collected via the Bulletin Board System in several forums frequented by most Taiwanese WSW. WSW who were living in Taiwan and at least 18 years old at the time of the survey, and who had vaginal fingering in previous year, were included in the present study. Results: Only 18.9% of the study participants reported Findom use during vaginal fingering in the previous year. Those who had a monthly income of more than NT$40.000, who had multiple female vaginal fingering partners in the previous year, who believed that Findom use would reduce sexual pleasure and was inconvenient, and who were unfamiliar with its venue for purchase, were less likely to have reported fandom use. Those who perceived greater susceptibility to sexually transmitted infections (STIs) were more likely to have reported Findom use. Forty-three participants (10.8%) had contracted STIs, and bacterial vaginosis was the most common STI, with a prevalence estimate of 5.3%. Of those who had contracted STIs, 44.2% never had sex with men. Conclusions: WSW in Taiwan have often been regarded as a low-risk group for STIs, and hence, their sexual health has often been neglected; however, findings of this study showed that even WSW who never had sex with men were still at risk for STIs. In addition, the sexual practices among WSW are diverse and different from those among gays and heterosexuals. Therefore, as the Taiwan government strives for gender equality, the health of sexual minorities should not be ignored, and related policies are urgently needed to promote gender equality in health.
期刊論文
1.McNair, R. P.(2009)。Lesbian and bisexual women’s sexual health。Aust Fam Physician,38,388-393。  new window
2.Schick, V.、Rosenberger, J. G.、Herbenick, D.、Reece, M.(2012)。Sexual behaviour and risk reduction strategies among a multinational sample of women who have sex with women。Sex Transm Infect,88,407-412。  new window
3.Bailey, J. V.、Farquhar, C.、Owen, C.、Mangtani, P.(2004)。Sexually transmitted infections in women who have sex with women。Sex Transm Infect,80,244-246。  new window
4.Marrazzo, J. M.(2000)。Sexually transmitted infections in women who have sex with women: who cares?。Sex Transm Infect,76,330-332。  new window
5.Marrazzo, J. M.(2004)。Barriers to infectious disease care among lesbians。Emerg Infect Dis,10,1974-1978。  new window
6.Marrazzo, J. M.(2000)。Genital human papillomavirus infection in women who have sex with women: a concern for patients and providers。AIDS Patient Care STDS,14,447-451。  new window
7.Kwakwa, H. A.、Ghobrial, M. W.(2003)。Female-to-female transmission of human immunodeficiency virus。Clin Infect Dis,36,40-41。  new window
8.McNair, R. P.(2003)。Lesbian health inequalities: a cultural minority issue for health professionals。Med J Aust,178,643-645。  new window
9.Bailey, J. V.、Farquhar, C.、Owen, C.、Whittaker, D.(2003)。Sexual behaviour of lesbians and bisexual women。Sex Transm Infect,79,147-150。  new window
10.Brown, J. P.、Tracy, J. K.(2008)。Lesbians and cancer: an overlooked health disparity。Cancer Causes Control,19,1009-1020。  new window
11.Gorgos, L. M.、Marrazzo, J. M.(2011)。Sexually transmitted infections among women who have sex with women。Clin Infect Dis,53(Suppl 3),84-91。  new window
12.Hiltabiddle, S. J.(1996)。Adolescent condom use, the health belief model, and the prevention of sexually transmitted disease。J Obstet Gynecol Neonatal Nurs,25,61-66。  new window
13.Rosenberger, J. G.、Reece, M.、Schick, V.(2011)。Sexual behaviors and situational characteristics of most recent male-partnered sexual event among gay and bisexually identified men in the United States。J Sex Med,8,3040-3050。  new window
14.Mercer, C. H.、Bailey, J. V.、Johnson, A. M.(2007)。Women who report having sex with women: British national probability data on prevalence, sexual behaviors, and health outcomes。Am J Public Health,97,1126-1133。  new window
15.Saewyc, E. M.、Bearinger, L. H.、Blum, R. W.、Resnick, M. D.(1999)。Sexual intercourse, abuse and pregnancy among adolescent women: does sexual orientation make a difference?。Fam Plann Perspect,31,127-131。  new window
16.Bailey, J. V.、Farquhar, C.、Owen, C.(2004)。Bacterial vaginosis in lesbians and bisexual women。Sex Transm Infect,31,691-694。  new window
17.Weinstein, Neil D.(1989)。Optimistic Biases about Personal Risks。Science,246(4935),1232-1233。  new window
18.陳品儒、晏涵文(20050300)。民眾對愛滋病及保險套態度、使用保險套行為意向及其相關因素探討。臺灣性學學刊,11(1),19-35。new window  延伸查詢new window
19.Weinstein, N. D.(1982)。Unrealistic optimism about susceptibility to health problems。Journal of Behavioral Medicine,5(4),441-460。  new window
學位論文
1.楊雅棠(2008)。女同志性健康--安全性行為之初探(碩士論文)。臺灣大學。  延伸查詢new window
圖書
1.Dolan, K. A.(2005)。Lesbian Women and Sexual Health: The Social Construction of Risk and Susceptibility。New York:Haworth Press。  new window
2.Eliason, M. J.(1996)。Who Cares? Institutional Barriers to Health Care for Lesbian, Gay, and Bisexual Persons。New York:NLN Press。  new window
3.Gruskin, E. P.(1999)。Treating Lesbians and Bisexual Women: Challenges and Strategies for Health Professionals。Thousand Oaks:Sage Publications。  new window
4.Institute of Medicine(1999)。Lesbian Health: Current Assessment and Directions for the Future。Washington, DC:National Academies Press。  new window
5.同志諮詢熱線協會親密關係小組(2010)。拉子性愛寶典:女同志開心玩好健康。台北:基本書坊。  延伸查詢new window
其他
1.Centers for Disease Control and Prevention。Lesbian an bisexual women,http://www.cdc.gov/lgbthealth/women.htm, 2012/02/28。  new window
2.鈞達股份有限公司。指險套的發明,http://www.findom.com.tw/2_2.htm, 2012/03/03。  延伸查詢new window
3.行政院衛生署疾病管制局(1429)。安全性行為,http://www2.cdc.gov.tw/ct.asp?xItem=14295&ctNode=1078&mp=220, 2012/03/03。  延伸查詢new window
4.行政院衛生署(2008)。婦女健康政策-970305核定版,http://www.bhp.doh.gov.tw/BHPnet/Portal/file/ThemeDocFile/200803261030520781/婦女健康政策-970305核定版.pdf, 2012/03/03。  延伸查詢new window
5.行政院衛生署疾病管制局(2012)。首創同志健康中心,營造健康友善之環境,http://www.cdc.gov.tw/info.aspx?treeid=45da8e73a81 d495d&nowtreeid=1BD193ED6DABAEE6&tid=7318E5D30A3CE743, 2012/03/03。  延伸查詢new window
6.The European MSM Internet Survey(2012)。Project,http://www.emis-project.eu/project, 2012/02/28。  new window
7.American Cancer Society(2012)。Cancer facts and figures,http://www.cancer.org/Research/CancerFactsFigures/CancerFactsFigures/cancer-factsfigures-2012, 2012/06/30。  new window
 
 
 
 
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