长沙市男男性行为者异性性行为特征及影响因素分析  

Characteristics and associated factors of heterosexual behavior among men who have sex with men in Changsha

作　　者：雷云霄[1] 肖雪玲[1] 王红红[1] 陈嘉[1] 李现红[1] 

机构地区：[1]中南大学湘雅护理学院,湖南长沙410013

出　　处：《护理学杂志》2016年第9期93-96,共4页Journal of Nursing Science

基　　金：国家社会科学基金青年项目(15CSH037);2013年美国中华医学基金会护理青年教师科研基金资助项目(10-020-201310)

摘　　要：目的了解长沙市男男性行为者(MSM)异性性行为的特征、影响因素及其HIV/梅毒感染状况,为制定阻断HIV/性传播疾病向妇女传播的干预措施提供参考。方法采取滚雪球和同伴推动抽样方法,对参加自愿咨询检测服务的MSM进行匿名问卷调查,同时抽取静脉血进行HIV和梅毒血清学检测。结果共调查MSM 604例,15.2%在最近6个月内与女性发生过性行为,其中28.0%发生异性性行为从未使用安全套,坚持每次使用安全套仅31.7%。84.8%MSM最近6个月也发生了同性性行为,6.4%从不使用安全套,56.4%有时使用安全套。最近6个月发生过异性性行为的MSM在异性性行为中安全套使用率低于同性性行为中的使用率(P<0.05)。MSM的HIV和梅毒感染率分别为12.9%和7.3%。多因素Logistic回归分析显示,婚姻状况、月收入、性取向、首次性交对象是MSM异性性行为的影响因素(P<0.05,P<0.01)。结论 MSM有异性性行为者比例较高,且发生异性性行为时安全套使用率较低。应重点加强对已婚、月收入高、性取向为双性恋或异性恋或不确定、首次性交对象为女性的MSM安全性行为干预,以降低HIV/性传播疾病向妇女传播的风险。Objective To explore the characteristics and associated factors of heterosexual behavior, as well as HIV and syphilis in- fection among men who have sex with men （MSM） in Changsha city, and to provide references for prevention of HIV and sexually transmitted diseases （STDs） transmission to women. Methods Snowball sampling and respondent driven sampling were employed to recruit participants. They were asked to answer several questions about heterosexual behavior, then blood samples were tested for syphilis and HIV infection. Results A total of 604 MSM completed the study. A small proportion of the study population （15.2%） had heterosexual behavior in the last 6 months, in which 28. 0% failed to use condoms when they had sex with female sexual part ners and 31.7% insisted on condom use. About 84.8% of MSM purchased sex from male partners in the past 6 months, in which 6.4% never used condoms and 56.4% seldom used condoms. The condom use rate in heterosexual behavior was significantly lower than that in homosexual behavior （P〈0.05）. The prevalence of HIV and syphilis was 12.9% and 7.3%, respectively. Multivariate logistic regression analysis showed that marital status, monthly income, sexual orientation, gender of the first sexual partner were predictors of heterosexual behavior among MSM （P〈0.05, P〈0.01）. Conclusion The prevalence of heterosexual behavior was relatively high in MSM, whereas the condom use rate was low. Those who were married, those who had high income, those who were bisexual or heterosexual or uncertain sexual orientation, and those who reported their first sexual partner was female, should he the target for sexual behavior intervention program, so as to prevent heterosexual transmission of HIV and STDs.

关 键 词：男男性行为 异性性行为 人类获得性免疫缺陷综合征 梅毒 安全套 

分 类 号：R473.2[医药卫生—护理学]