成都市男男性行为人群安全套使用影响因素分析  

Analysis on influencing factors associated with condom use among MSM in Chengdu city

作　　者：黄玉玲[1] 陈怀良[1] 戴映雪[1] 王晓冬 张建新[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]成都市同乐健康服务咨询中心

出　　处：《现代预防医学》2013年第21期3987-3990,3994,共5页Modern Preventive Medicine

摘　　要：目的了解成都市男男性行为(Men Who Have Sex With Men,MSM)人群性行为情况,探索成都市MSM人群安全套使用影响因素。方法采用立意抽样和"滚雪球"抽样的方法对成都市291名MSM进行一对一问卷调查,采用非条件Logistic回归对该人群安全套使用的影响因素进行分析。结果调查对象中,51.6%在最近6个月性行为中不能坚持使用安全套;90.2%有肛交行为;48.5%在近6个月性伴数量在1人以上。Logistic回归显示,"月收入"和"国家为艾滋病病人提供免费的抗病毒治疗药物"等3个条目是MSM人群安全套使用的影响因素。结论成都市MSM人群普遍存在高危行为,可采取针对性的干预措施,进一步提高MSM人群安全套使用,以降低其艾滋病感染风险。OBJECTIVE To understand the situation of sexual behavior among men who have sex with men （MSM）, and to explore the influencing factors associated with condom use among MSM in Chengdu. METHODS A sample of 291 MSM was selected to conduct one-to-one questionnaire investigation through purposive sampling and snowball sampling together, and the influencing factors associated with condom use were analyzed by non-conditional Logistic regression model. RESULTS In the past six months, 51.6% did not use condoms every time in the anal sex, 90.2% of them had anal sex with men and 48.5% of the responders had more than one sex partner. Logistic regression showed ＂Monthly income＂, ＂Free anti-virus treatment drugs provided by the government for HIV/AIDS patients＂ and other AIDS related knowledge/information were the influencing factors associated with condom use among MSM. CONCLUSION Most MSM in Chengdu city have high-risk behavior, and intervention targeted to improve condom use might be helpful to reduce the risk of being infected.

关 键 词：男男性行为者 安全套使用 影响因素 

分 类 号：R195[医药卫生—卫生统计学]