玉溪市男男性接触者安全套使用及影响因素分析  

Condom Use Among Men Who Have Sex With Men in Yuxi City

作　　者：李连学[1] 马懿[1] 高良敏[2] 鲁建波[2] 张应留 田跃轩 卢蕊[1] 陈良[2] 

机构地区：[1]玉溪市红塔区疾病预防控制中心,云南玉溪653100 [2]玉溪市疾病预防控制中心,云南玉溪653100

出　　处：《预防医学情报杂志》2011年第10期800-804,共5页Journal of Preventive Medicine Information

摘　　要：目的掌握玉溪市男男性接触者(MSM)人群安全套使用情况及其相关影响因素,为制定有针对性的干预措施提供依据。方法采用横断面调查和追踪调查相结合的方式,对105名MSM人群进行问卷调查。结果共调查MSM 105人,其中未婚54.3%、在婚36.2%、离异或丧偶9.5%;最近1次肛交用安全套比例66.7%,其中未婚达78.9%、在婚55.3%、离异或丧偶40.0%,差异有统计学意义(P<0.05);MSM人群最近1次与异性发生性行为用安全套比例32.4%,其中在婚47.4%、未婚26.3%、离异或丧偶10.0%,差异有统计学意义(P<0.05);通过多因素Logistic回归分析,发现促进MSM使用安全套的影响因素包括高文化程度(OR=0.616),在婚、离异或丧偶的婚姻状态(OR=0.161、0.488),高艾滋病知识知晓(OR=0.444),接受过艾滋病咨询检测(OR=0.198),以及接受过同伴教育(OR=0.182)。结论玉溪市MSM人群安全套使用率偏低,影响因素较多。应进一步推广艾滋病咨询检测及同伴教育活动,注重完善MSM不同人群的干预措施。Objective To understand the factors and changes of condom use among men who have sex with men （MSM） in Yuxi, provide scientific reference for health education and behavioral interventions. Methods Ques- tionaire survey was conducted among 105 MSM in Yuxi by using cross - sectional survey combined with tracking nvestation. Results Among 105 investigated MSM, the proportion of unmarlried was 54. 3% , the marriecl 36.2%, and the divorced or widowed was 9.5%. The rate of condom use during the last anal sex with men recently was 66.7%, in which unmarried accounted for 78.9% , the married accounted for 55.3% , the divorced or widowed accounted for 40.0% , the differences were statistically significant （P 〈 0. 05 ）. The rate of condom use during the last sex with isomerism recently was 32. 4%, in which the married accounted for 47.4%, the unmarried accounted for 26.3% , the divorced or wid- owed accounted for 10. 0%, with the statistical differ- ences （P 〈 0. 05）. By using multivariate Logistic re- gression analysis, the factors associated with promoting condom use during the last anal sex with men in recent time were higher education （OR = 0. 616） , the married status （ OR = 0. 161 ）, widowed or devoiced status （ OR = 0. 488 ）, having had adequate HIV/AIDS knowl- edge （OR =0. 444） , having had HIV counseling and test （OR = 0. 198） , and experiencing peer education （OR =0. 182）. Conclusion The rate of condom use is low among MSM in Yuxi, and is affected by many factors. Further improvement of HIV counseling and testing and peer education should be maintained in the future, with an emphasis on improving interventions to different groups of MSM.

关 键 词：男男同性恋 安全套 影响因素 Logistics回归分析 

分 类 号：R512.91[医药卫生—内科学] R169.41[医药卫生—临床医学]