2250例男男性接触者安全套使用与性传播疾病的关系  

Relationship between condom use and sexually transmitted diseases in 2250 men who have sex with men

作　　者：李辉[1] 王茜茜[1] 李秀芳[2] 张北川[2] 

机构地区：[1]山东省日照市人民医院皮肤科,276826 [2]青岛大学医学院附属医院性健康中心

出　　处：《中华皮肤科杂志》2012年第5期312-314,共3页Chinese Journal of Dermatology

基　　金：国家十五攻关课题（2004BA719A02）

摘　　要：目的探讨9城市男男性接触者（MSM）安全套使用情况及与性传播感染（STI）患病率的关系。方法调查的对象是与哈尔滨、沈阳、西安、郑州、南京、上海、武汉、成都、重庆9城市MSM组织建立信任关系的MSM及其熟识的MSM，主要来自以上城市经常在酒吧消费的MSM。调查采用定向抽样（“滚雪球”）法同步开展横断面调查和采取血液样本，以匿名自填问卷方式对9个城市2250例MSM进行调查，数据采用SPSS13．0软件进行资料处理与统计。结果STI患者和非STI者在使用安全套是否可以预防STI的认知差异上无统计学意义（P〉0．05）。性交时用安全套者STI患病率（17．2％）低于未用者（24．5％），两组患病率差异有统计学意义（P〈0．05）。近6个月肛交时每次都用安全套者STI患病率（14．2％）显著低于非每次用或从不用者（19．3％），两组患病率差异有统计学意义（P〈0．01）。认为用安全套会让对方认为自己有STI者的患病率（34．0％）高于认为与对方是专一关系者（16．6％）、认为用安全套不利于双方亲密关系者（16．1％）和没必要使用者（11．5％），其患病率差异均有统计学意义（P〈0．05或0．01）。结论安全套对STI/艾滋病传播有确切防护作用，坚持每次使用安全套者STI患病率较低，怕对方认为自己有STI而不用安全套者有更高的STI患病率。Objective To study the relationship between condom use and sexually transmitted infection （STI） incidence among men who have sex with men （MSM） in 9 cities in China. Methods A sectional survey was carried out by using targeted sampling method （snowball sampling） in MSM who Often consumed at bars in 9 cities in China, including Harbin, Shenyang, Xi＇an, Zhengzhou, Nanjing, Shanghai, Wuhan, Chengdu and Chongqing. The survey respondents were required to complete an anonymous questionnaire, and blood samples were obtained from them. Data were analyzed by SPSS 13.0 software. Results Overall, 2250 respondents were included in this survey. Most MSM recognized that condom use could prevent STI, and no significant difference was observed in the percentage of MSM who had the recognition between MSM with STI and MSM without STI （P 〉 0.05）. The incidence of STI was statistically lower in MSM who used condom during sexual intercourse than those who never used （17.2% vs. 24.5%, P 〈 0.05）, lower in MSM who used condom at every time of anal intercourse in the last 6 months than those who used condom not at every time or never used condom （14.2% vs. 19.3%, P 〈 0.01 ）. The respondents who thought that the insistence on using condom would make the partner suspicious that they suffered from STI showed a higher incidence of STI （34.0%） compared with those who believed that they just had one partner （16.6%, P 〈 0.05）, those who thought that condom use was detrimental to their close relationship （16.1%, P 〈 0.05 ）, and those who thought condom use was unnecessary （11.5%, P 〈 0.01 ）. Conclusions Condom use is definitely beneficial to the prevention of transmission of STI/aequired immunodeficiency syndrome （AIDS）. MSM who use condom at every time are associated with a lower incidence of STI, while those who think that the insistence on using condom will make their partners suspicious that they suffer from STI are associated with a high incidence of STI.

关 键 词：性行为 同性恋 男性 性传播疾病 避孕套 

分 类 号：R512.91[医药卫生—内科学]