深圳市男男性行为者药物滥用的影响因素  

Factors associated with drug abuse among men who have sex with men in Shenzhen

作　　者：蔡于茂[1] 宋亚娟[1] 刘惠[2] 洪福昌[1] 

机构地区：[1]深圳市慢性病防治中心,广东深圳518020 [2]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050

出　　处：《中国艾滋病性病》2016年第5期361-364,共4页Chinese Journal of Aids & STD

基　　金：深圳市科技计划项目(201203114)

摘　　要：目的了解深圳市男男性行为者(MSM)药物滥用情况及影响因素。方法于2010-2014年,采用滚雪球法和同伴推动抽样法,在深圳市招募3318名MSM为调查对象。采用一对一问卷调查的方法,收集其社会人口学特征、艾滋病病毒(HIV)检测史、献血史、滥用药物史、性取向、性角色、做过男性性工作者、曾购买性服务等情况。采集静脉血5mL进行梅毒螺旋体抗体检测和抗-HIV检测。采用单因素和多因素非条件Logistic回归分析MSM滥用药物的影响因素。结果3318名调查对象的梅毒感染率为18.90%(627人),HIV感染率为9.01%(299人),梅毒合并HIV感染率为4.70%(156人)。多因素Logistic回归分析结果显示,年龄≥30岁会降低MSM滥用药物的风险;职业为男性性工作者、无业/待业、自由职业、服务行业、月收入≥5000元,做过男性性工作者,曾购买性服务等,会增加MSM滥用药物的风险。结论应有针对性的对MSM滥用药物进行干预,加强健康教育,有效降低HIV感染风险。Objective To investigate the status and factors associated with drug abuse among men who have sex with men（MSM）in Shenzhen.Methods Snowball sampling and respondent driven sampling were used to recruit MSM from 2010 to 2014in Shenzhen.Questionnaire-based interviews were conducted on a one-on-one basis to collect data of socio-demographic information,human immunodeficiency virus（HIV）testing history,history of blood donation and drug abuse in the recent two years,self-identified sexual orientation,role in homosexual behavior,ever being money boys（MB）and clients of MBs.5ml blood samples were taken and tested for treponema pallidum and HIV antibodies.Factors associated with drug abuse were analyzed by the univariate logistic regression and multivariate unconditional logistic regression.Results Among the total of 3318 MSM recruited,the prevalence of syphilis,HIV,and syphilis-HIV co-infection were 18.90%（627/3318）,9.01%（299/3318）,and 4.70%（156/3318）respectively.The multivariate logistic regression analysis showed that the people of age≥30decreased the risks of drug abuse in comparison with those at the age〈30.Those of currently being MB,jobless,having liberal professions and working in service industry,average monthly income≥5000Yuan,ever being MB and clients of MBs had higher risks of drug abuse.Conclusion Intervention and health education on drug abuse should be targeted to MSM to decrease the risks of HIV infection effectively.

关 键 词：男男性行为者 药物滥用 梅毒 艾滋病病毒 

分 类 号：R512.91[医药卫生—内科学] R759[医药卫生—临床医学]