2013-2016年浙江省台州市男男性行为人群同性偶遇性行为调查
|
摘要
目的了解浙江省台州市男男性行为人群(MSM)同性偶遇性行为特征及其相关影响因素。方法 2013年3月至2016年10月,经场所及网络形式招募MSM,通过问卷调查收集人口学、性行为等信息,并进行艾滋病病毒(HIV)检测。使用logistic回归模型分析偶遇性行为相关因素。结果共调查1 499名MSM,44.23%(663/1 499)报告最近6个月发生过同性偶遇性行为,其HIV抗体阳性率为14.78%(98/663)。近6个月有无同性偶遇性行为的MSM比较,年龄<25岁(27.15%比20.93%,χ~2=7.906,P=0.005)、双性恋(44.80%比32.54%,χ~2=23.602,P<0.001)、既往同性性伴数≥2位(96.53%比86.84%,χ~2=42.930,P<0.001)、既往异性性伴数≥2位(60.94%比51.20%,χ~2=14.200,P<0.001)的比例更高。多因素logistic回归模型分析显示,与MSM偶遇性行为相关因素包括年龄、性取向、既往性伴数、近6个月同性肛交安全套使用频率、近6个月同性商业性行为。结论台州市MSM偶遇性行为比例高、性行为关系复杂,HIV感染传播风险大,应有针对性地加强该人群的干预。
Objective To understand the prevalence of casual sex behavior and related factors in men who have sex with men(MSM) in Taizhou,Zhejiang province.Methods From March 2013 to October 2016,MSM were recruited from MSM venues and through internet call.The information about the demography and sex behaviors of the MSM were collected by using questionnaire and HIV test was conducted for them.Results A total of 1 499 MSM were recruited,in whom 663(44.23%) reported casual sex in past 6 years,their HIV positive rate was 14.78%.Compared with MSM reporting no casual sex,more MSM reporting casual sex were aged <25 years(27.15% vs.20.93%,χ~2=7.906,P=0.005),had both heterosexual and homosexual behaviors(44.80% vs.32.54%,χ~2=23.602,P<0.001),had more than two homosexual partners(96.53% vs.86.84%,χ~2=42.930,P<0.001),had more than two heterosexual partners(60.94% vs.51.20%,χ~2=14.200,P<0.001).Logistic regression analysis indicated that factors associated with casual sex behavior included age,sexual orientation,number of male sexual partners,frequency of condoms use in anal sex in recent 6 months,commercial sexual behavior.Conclusion The prevalence of casual sex in MSM was high in Taizhou,and their complex behaviors would result in higher HIV infection and transmission risk.It is necessary to strengthen the intervention in MSM.
Objective To understand the prevalence of casual sex behavior and related factors in men who have sex with men(MSM) in Taizhou,Zhejiang province.Methods From March 2013 to October 2016,MSM were recruited from MSM venues and through internet call.The information about the demography and sex behaviors of the MSM were collected by using questionnaire and HIV test was conducted for them.Results A total of 1 499 MSM were recruited,in whom 663(44.23%) reported casual sex in past 6 years,their HIV positive rate was 14.78%.Compared with MSM reporting no casual sex,more MSM reporting casual sex were aged <25 years(27.15% vs.20.93%,χ~2=7.906,P=0.005),had both heterosexual and homosexual behaviors(44.80% vs.32.54%,χ~2=23.602,P<0.001),had more than two homosexual partners(96.53% vs.86.84%,χ~2=42.930,P<0.001),had more than two heterosexual partners(60.94% vs.51.20%,χ~2=14.200,P<0.001).Logistic regression analysis indicated that factors associated with casual sex behavior included age,sexual orientation,number of male sexual partners,frequency of condoms use in anal sex in recent 6 months,commercial sexual behavior.Conclusion The prevalence of casual sex in MSM was high in Taizhou,and their complex behaviors would result in higher HIV infection and transmission risk.It is necessary to strengthen the intervention in MSM.
引文
[1]The Joint Programme on AIDS.2012 China AIDS response progress report[R].Geneva:UNAIDS,2012.
[2]中国疾病预防控制中心性病艾滋病预防控制中心,性病控制中心.2016年第2季度全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2016,22(8):585.DOI:10.13419/j.cnki.aids.2016.08.01.China Centers for Disease Control and Prevention Sexually Transmitted Diseases and AIDS Prevention and Control Center,National Center for STD Control.Update on the AIDS/STDepidemic in China and main response in control and prevention the second quarter of,2016[J].Chin J AIDS STD,2016,22(8):585.DOI:10.13419/j.cnki.aids.2016.08.01.
[3]刘中一.偶遇性性行为中是否使用安全套的影响因素分析[J].中国预防医学杂志,2014,15(5):507-509.DOI:10.16506/j.1009-6639.2014.05.034.Liu ZY.Analysis of influencing factors of condom use during casual sex[J].Chin Prev Med,2014,15(5):507-509.DOI:10.16506/j.1009-6639.2014.05.034.
[4]中国疾病预防控制中心.全国艾滋病检测技术规范(2015年修订版)[J].中国病毒病杂志,2016,6(6):401-427.DOI:10.16505/j.2095-0136.2016.06.001.China Centers for Disease Control and Prevention.National guideline for detection of HIV/AIDS[J].Chin J Viral Dis,2016,6(6):401-427.DOI:10.16505/j.2095-0136.2016.06.001.
[5]王毅,张洪波,张光贵,等.绵阳市MSM人群行为及生物学监测结果分析[J].现代预防医学,2008,35(19):3780-3783,3789.DOI:10.3969/j.issn.1003-8507.2008.19.045.Wang Y,Zhang HB,Zhang GG,et al.Analysis of behavior of MSM population and the biological monitoring result in Mianyang city[J].Mod Prev Med,2008,35(19):3780-3783,3789.DOI:10.3969/j.issn.1003-8507.2008.19.045.
[6]杨义,吴春霖,刘鹏,等.四川省凉山州某县彝族村民偶遇性行为调查[J].医学与社会,2011,24(1):41-44.DOI:10.3870/YXYSH.2011.01.015.Yang Y,Wu CL,Liu P,et al.Analysis of an investigation of casual sexual behaviors among Yi ethnic villagers in one county in Liangshan of Sichuan province[J].Med Soc,2011,24(1):41-44.DOI:10.3870/YXYSH.2011.01.015.
[7]张万宏,石萍,石卫东,等.男性双性性行为者性取向及群体性行为特征分析[J].华中科技大学学报:医学版,2012,41(3):375-378,383.DOI:10.3870/j.issn.1672-0741.2012.03.029.Zhang WH,Shi P,Shi WD,et al.Characteristics of sexual orientation and sexual behavior among men who have sex both with men and women[J].J Huazhong Univ Sci Technol Health Sci,2012,41(3):375-378,383.DOI:10.3870/j.issn.1672-0741.2012.03.029.
[8]毛云霞,肖琛嫦,王棠,等.武汉市年轻男男性行为者偶遇性行为及相关因素分析[J].中华流行病学杂志,2017,38(6):746-749.DOI:10.3760/cma.j.issn.0254-6450.2017.06.011.Mao YX,Xiao CC,Wang T,et al.One-night-stand behavior and associated factors among young men who have sex with men in Wuhan,China[J].Chin J Epidemiol,2017,38(6):746-749.DOI:10.3760/cma.j.issn.0254-6450.2017.06.011.
[9]李玲玲,张玉成,吴琼海,等.台州市不同性取向男男性行为人群特征比较分析[J].中国初级卫生保健,2017,31(8):53-55.DOI:10.3969/j.issn.1001-568X.2017.08.0021.Li LL,Zhang YC,Wu QH,et al.Comparative analysis on the characteristics of men who have sex with men with different sexual orientations in Taizhou prefecture of Zhejiang province[J].Chin Prim Health Care,2017,31(8):53-55.DOI:10.3969/j.issn.1001-568X.2017.08.0021.
[10]Wu ZY,Xu J,Liu EW,et al.HIV and syphilis prevalence among men who have sex with men:a cross-sectional survey of 61 cities in China[J].Clin Infect Dis,2013,57(2):298-309.DOI:10.1093/cid/cit210.
[11]Stoneburner RL,Low-Beer D.Population-level HIV declines and behavioral risk avoidance in Uganda[J].Science,2004,304(5671):714-718.DOI:10.1126/science.1093166.
[12]Pinkerton SD,Abramson PR.Effectiveness of condoms in preventing HIV transmission[J].Soc Sci Med,1997,44(9):1303-1312.DOI:10.1016/S0277-9536(96)00258-4.
[2]中国疾病预防控制中心性病艾滋病预防控制中心,性病控制中心.2016年第2季度全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2016,22(8):585.DOI:10.13419/j.cnki.aids.2016.08.01.China Centers for Disease Control and Prevention Sexually Transmitted Diseases and AIDS Prevention and Control Center,National Center for STD Control.Update on the AIDS/STDepidemic in China and main response in control and prevention the second quarter of,2016[J].Chin J AIDS STD,2016,22(8):585.DOI:10.13419/j.cnki.aids.2016.08.01.
[3]刘中一.偶遇性性行为中是否使用安全套的影响因素分析[J].中国预防医学杂志,2014,15(5):507-509.DOI:10.16506/j.1009-6639.2014.05.034.Liu ZY.Analysis of influencing factors of condom use during casual sex[J].Chin Prev Med,2014,15(5):507-509.DOI:10.16506/j.1009-6639.2014.05.034.
[4]中国疾病预防控制中心.全国艾滋病检测技术规范(2015年修订版)[J].中国病毒病杂志,2016,6(6):401-427.DOI:10.16505/j.2095-0136.2016.06.001.China Centers for Disease Control and Prevention.National guideline for detection of HIV/AIDS[J].Chin J Viral Dis,2016,6(6):401-427.DOI:10.16505/j.2095-0136.2016.06.001.
[5]王毅,张洪波,张光贵,等.绵阳市MSM人群行为及生物学监测结果分析[J].现代预防医学,2008,35(19):3780-3783,3789.DOI:10.3969/j.issn.1003-8507.2008.19.045.Wang Y,Zhang HB,Zhang GG,et al.Analysis of behavior of MSM population and the biological monitoring result in Mianyang city[J].Mod Prev Med,2008,35(19):3780-3783,3789.DOI:10.3969/j.issn.1003-8507.2008.19.045.
[6]杨义,吴春霖,刘鹏,等.四川省凉山州某县彝族村民偶遇性行为调查[J].医学与社会,2011,24(1):41-44.DOI:10.3870/YXYSH.2011.01.015.Yang Y,Wu CL,Liu P,et al.Analysis of an investigation of casual sexual behaviors among Yi ethnic villagers in one county in Liangshan of Sichuan province[J].Med Soc,2011,24(1):41-44.DOI:10.3870/YXYSH.2011.01.015.
[7]张万宏,石萍,石卫东,等.男性双性性行为者性取向及群体性行为特征分析[J].华中科技大学学报:医学版,2012,41(3):375-378,383.DOI:10.3870/j.issn.1672-0741.2012.03.029.Zhang WH,Shi P,Shi WD,et al.Characteristics of sexual orientation and sexual behavior among men who have sex both with men and women[J].J Huazhong Univ Sci Technol Health Sci,2012,41(3):375-378,383.DOI:10.3870/j.issn.1672-0741.2012.03.029.
[8]毛云霞,肖琛嫦,王棠,等.武汉市年轻男男性行为者偶遇性行为及相关因素分析[J].中华流行病学杂志,2017,38(6):746-749.DOI:10.3760/cma.j.issn.0254-6450.2017.06.011.Mao YX,Xiao CC,Wang T,et al.One-night-stand behavior and associated factors among young men who have sex with men in Wuhan,China[J].Chin J Epidemiol,2017,38(6):746-749.DOI:10.3760/cma.j.issn.0254-6450.2017.06.011.
[9]李玲玲,张玉成,吴琼海,等.台州市不同性取向男男性行为人群特征比较分析[J].中国初级卫生保健,2017,31(8):53-55.DOI:10.3969/j.issn.1001-568X.2017.08.0021.Li LL,Zhang YC,Wu QH,et al.Comparative analysis on the characteristics of men who have sex with men with different sexual orientations in Taizhou prefecture of Zhejiang province[J].Chin Prim Health Care,2017,31(8):53-55.DOI:10.3969/j.issn.1001-568X.2017.08.0021.
[10]Wu ZY,Xu J,Liu EW,et al.HIV and syphilis prevalence among men who have sex with men:a cross-sectional survey of 61 cities in China[J].Clin Infect Dis,2013,57(2):298-309.DOI:10.1093/cid/cit210.
[11]Stoneburner RL,Low-Beer D.Population-level HIV declines and behavioral risk avoidance in Uganda[J].Science,2004,304(5671):714-718.DOI:10.1126/science.1093166.
[12]Pinkerton SD,Abramson PR.Effectiveness of condoms in preventing HIV transmission[J].Soc Sci Med,1997,44(9):1303-1312.DOI:10.1016/S0277-9536(96)00258-4.