经济收入对男男性接触者艾滋病高危性行为的影响研究  

Study on the comparison of high risk behaviors related to AIDS among different status of income in men who have had sex with men

作　　者：史同新[1] 张北川[1] 李秀芳[1] 徐敬星[2] 汪宁[3] 周生建 管文辉[5] 张敬东[6] 

机构地区：[1]青岛大学医学院附属医院,266003 [2]山东省胶南市人民医院 [3]中国疾病预防控制中心 [4]重庆市渝中区人口与计划生育生殖健康中心 [5]江苏省疾病预防控制中心 [6]哈尔滨市疾病预防控制中心

出　　处：《中华流行病学杂志》2008年第5期426-429,共4页Chinese Journal of Epidemiology

基　　金：国家“十五”科技攻关资助项目（2004BA719A02）

摘　　要：目的探讨中国男男性接触者（MSM）中不同经济收入人群艾滋病高危性行为状况。方法采用定向抽样方法，对9个城市2250例MSM进行匿名问卷调查，比较高、中、低经济收入人群的高危性行为发生状况。结果高和中等收入组累计同性性伴数（平均分别为110．17个和71．97个）、同性口交性伴数（平均分别为62．45个和46．6个）、同性肛交性伴数（平均分别为52．21个和32．3个）均明显高于低收入组（P〈0．01），高收入组累计同性性伴数、同性口交性伴数及同性肛交性伴数均明显高于中等收入组（P〈0．05）。高和中等收入组最近一次肛交安全套使用率（分别为79．03％和77．29％）明显高于低收入组（P〈0．01）。高收入组最近一次与男性性工作者性交（3．81％）百分率明显高于中等及低收入组（P〈0．01）。高和中等收入组曾经向男性“买”性（分别为24．27％和14．7％）的百分率明显高于低收入组（P〈0．01），高收入组曾经向男性“买”性的百分率明显高于中等收入组（P〈0．01）。高和中等收入组是男性性工作者（分别为6．72％和11．05％）的百分率明显低于低收入组（P〈0．01），高收入组是男性性工作者的万分率明显低于中等收入组（P〈0．01）。结论MSM中不同经济状况人群具有某些不同的AIDS高危性行为，较好的经济状况并不能制约高危性行为，因此对不同的亚人群应制定和实施相应的AIDS干预措施。Objective To explore the risk sexual behaviors related to AIDS among different status of income among men who have had sex with men and to provide relevant interventions for AIDS control and prevention. Methods Study objectives were recruited through target sampling and anonymous questionnaires were adopted. Men＇s sexual behaviors were reported under the categories as high, mid or low-income. Results The total number of same-gender partners with high and mid-income was 110.17 with an average of 71.97. Among high and mid-income men, the number of partners for oral sex was 62.45, with an average of 46.6 respectively. The number of partners having anal intercourse was 52.21, with an average of 32.3, obviously more than in the low-income group （P 〈 0.01 ）. The rates of condom use among high-income and mid-income men were 79.03 % and 77.29 % respectively and were higher than that those among low-income men （P 〈 0.01 ）. The percentage of high income men who recently had had sex with male sex workers was 3.81%, higher than that of the mid-income and the low-income men （P 〈 0.01）. The rates of high-income and mid-income men who had paid for sex from men were 24.27% and 14.7% respectively and were all higher than that of the low-income men with the highest in the high- income group （P 〈 0.01 ）. The rates of high-income and mid-income men who were male sex workers were 6.72 % and 11.05 % respectively, which were all lower than that from the low income group （ P 〈 0.01 ）. Conclusion The characteristics of sexual behaviors related to AIDS were different in the three groups. In high-lncome group, risk sexual behaviors also existed, suggesting that different interventions for different people should be developed.

关 键 词：艾滋病 男男性接触者 高危性行为 经济收入 

分 类 号：R512.91[医药卫生—内科学] R197.322[医药卫生—临床医学]