绵阳市男男性行为者近6月性行为特征及其影响因素分析  

Features and the influencing factors of the sexual behaviors in last 6 months among MSM in Mianyang City

作　　者：王毅[1] 徐杰[2] 李志军 张光贵 李六林[1] 樊静[5] 

机构地区：[1]绵阳市疾病预防控制中心,绵阳621000 [2]中国疾病预防控制中心性病艾滋病控制中心 [3]美国CDC全球艾滋病项目中国办事处 [4]绵阳市卫生局 [5]绵阳同志关爱小组

出　　处：《现代预防医学》2013年第1期64-69,共6页Modern Preventive Medicine

基　　金：中美艾滋病防治合作项目(6.3.3A);中国疾病预防控制中心性艾中心的支持;四川省疾病预防控制中心的支持;绵阳同志关爱小组的支持

摘　　要：目的了解绵阳市男男性行为者(MSM)近6月性行为特征,分析影响因素。方法采用同伴推动抽样法(RDS),在MSM活动场所定时、定点进行性行为特征及相关因素的招募和寻问式匿名现场调查,多因素分析采用Logis-tic回归。结果共调查400人,近6个月性伴数为1～5人占89.0%,性伴是男朋友(BF)占48.0%、男性商业性伴(MB)占4.5%、一夜情(419)占40.3%、妻子占3.3%、女朋友占7.3%、女性商业性伴和其他各占0.8%。认识性伴场所为酒吧等占16.3%、浴室等占1.5%、公园等占16.0%、互联网占64.3%、家里占6.3%、其他占9.3%。近6月发生肛交做"1"、做"0"、口交、阴道交安全套使用率差异有统计学意义(P﹤0.01),安全套坚持使用率依次分别为47.8%、41.5%、9.9%、22.1%。近6月做"1"肛交安全套使用与公园认识性伴、性伴主要来自"一夜情"、不知道性伴健康状况呈负关联(OR分别为0.278、0.440、0.015,P﹤0.01),近6月阴道交安全套使用与双向性取向、近6月性伴数﹥5、近6月男男肛交安全套使用率呈正关联(OR分别为3.577、4.739、19.976,P﹤0.05),与高中及以上文化呈负关联(OR为0.320,P﹥0.05)。近6月发生过群交占3.3%,与近6月男男肛交数、浴室认识性伴呈正关联(OR分别为2.864、9.866,P﹤0.05)。结论绵阳市MSM人群大多性关系复杂,性伴认识以网络、公园等高危场所为主,安全套使用率较低,艾滋病传播高危因素普遍存在,因此应针对性加大干预力度。OBJECTIVE To find out the current situation of the sexual act among MSM （men who have sex with men） in the last 6 months, and to analyze the influencing factors. METHODS Adopted the Respondent-driven Sampling （RDS）, surveyed MSM about the features of their sexual act periodically and anonymously. RESULTS Within the 400 people surveyed, 89% of them had a number of sex partners of 1 to 5, and 48.0% of the sex partners were their boyfriends, 4.5% were male prostitutes, 40.3% were for one night stands, 3.3% were wives, 7.3% were girlfriends, 0.8% female prostitutes and other people. Ways of how to find a sex partners： 16.3%t in bars, 1.5% in base houses, 16% in parks, 64.3% on the Internet, 6.3% at home, and 9.3% with other ways. Differences of the use of condoms in anal sex （top and bottom）, oral sex, vagina sex had a statistical significance （P〈 0.01）. The use of condoms in anal sex （top）, anal sex （bottom）, oral sex, vagina sex was at the percentage of 47.8, 41.5, 9.9, and 22.1 respectively. Logistic multiple-factor analysis： having anal sex （top） had a negative correlation with the factors of finding sex partners in parks, having one night stands, unaware of the healthy situation of sex partners （OR 0.278, 0.440, 0.015, and P 〈 0.01 ） ; use of condoms in the last six months had a positive correlation with the factors of bisex- ual, numbers of sex partners more than 5, the use of condoms in anal sex （OR = 3.577, 4.739, 19.976, and P〈 0.05）, and had a negative correlation with the factor that having the educational level of higher than senior middle school （OR = 0.320, P 〉 0.05 ）. Having group sex had a positive correlation with the factors of numbers of having anal sex, finding sex partners in bath houses （OR = 2.864, 9.866, P 〈 0.05）. CONCLUSION The men who have sex with men in Mianyang tend to have complex sex partners, main of them are found on the Internet and in the parks. The uses of condoms are not constantly, the high risks factors of infecting HIV

关 键 词：男男性行为者 性行为特征 影响因素 

分 类 号：R195[医药卫生—卫生统计学]