新疆男男性行为人群高危行为安全套使用状况及其影响因素分析  

Analysis on the condom use status of high-risk behavior and its influence factors among MSM in Xinjiang

作　　者：倪明健[1] 马媛媛[1] 陈学玲[1] 胡晓远[1] NI Ming-iian MA Yuan-yuan CHEN Xue-ling HU Xiao-yuan(Xinjiang Center for Disease Control and Prevention, Urumqi , Xinjiang 830002, Chin)

机构地区：[1]新疆维吾尔自治区疾病预防控制中心,新疆乌鲁木齐830002

出　　处：《中国预防医学杂志》2016年第9期663-668,共6页Chinese Preventive Medicine

基　　金：国家科技重大专项"艾滋病和病毒性肝炎等重大传染病防治"(2013ZX10004907)

摘　　要：目的了解新疆男男性行为人群(MSM)发生高危行为时安全套使用状况,分析其主要影响因素,为MSM人群干预策略的制定和效果评价提供科学依据。方法以新疆乌鲁木齐市和伊犁哈萨克自治州16个区/县/市MSM作为研究对象,获得其知情同意后进行问卷调查,并采集其静脉血5ml进行艾滋病病毒(HIV)抗体血清学检测。结果最近6个月与同性发生过肛交性行为的1 160名MSM中,安全套每次坚持使用率为46.81%(543/1 160);与同性发生过商业性行为的100名MSM中,安全套每次坚持使用率占53.00%(53/100);与异性发生过性行为的120名MSM中,安全套每次坚持使用率为41.67%(50/120)。通过单因素和多因素logistic回归分析结果表明,新疆MSM人群发生同性性行为时未坚持使用安全套的风险样本来源于网络招募、浴池/桑拿/足疗/按摩、酒吧/歌舞厅/茶室/会所等均高于公园/公厕/草地(OR=5.151、1.989、1.512);文化程度为小学、初中、高中或中专者均高于文盲(OR=2.362、1.140、1.628);艾滋病防治知识知晓率部分知晓者高于全部知晓者(OR=1.490);HIV感染状况阳性者高于阴性者(OR=1.611),MSM人群未坚持使用安全套的主要影响因素分别为:调查对象样本来源、文化程度、艾滋病防治知识知晓率、HIV感染状况等。结论大力开展预防艾滋病及正确使用安全套的相关知识宣传,扩大干预覆盖面,尤其针对同时具有同性和异性性行为的MSM人群,以遏制HIV和性病在该人群中的蔓延和传播。Objective To investigate the condom usage status of high-risk behavior among men who have sex with men（MSM）in Xinjiang,analyze the main influencing factors,provide the scientific basis for evaluation of AIDS prevention and treatment. Methods With MSM from 16district/county/city of Urumqi and Yili Kazakh Autonomous Prefecture in Xinjiang as the object of research,questionnaire survey and HIV serological detection were conducted. Results Among the 1 160 MSM who had sex with men in the last six months,the condom use rates were 46.81%（543/1 160）;Among the 100 MSM who had commercial sex with men in the last six months,the condom use rates were 53.00%（53/100）;Among the 120 MSM who had sexual intercourse with the opposite sex,the condom use rates were 41.67%（50/120）.By univariate and multivariate logistic regression analysis showed that the samples were collected from the Internet to recruit,bathroom/sauna/pedicure/massage,bar/dance hall/tearoom/clubs were higher than those in the park/toilet/lawn（OR=5.151,1.989,1.512）,the education level of primary school,junior high school,senior high school or technical secondary school were higher than illiteracy（OR=2.362,1.140,1.628）,the knowledge of AIDS prevention and control among part knower were higher than all knower（OR=1.490）,the HIV infection status of positive were higher than the negative（OR=1.611）,all those were the risk of did not insist on using condom among MSM in Xinjiang.The single factor analysis and logistic regression analysis showed that the sample source of the survey,education,the knowledge of AIDS prevention and control,HIV infection status were the main influencing factors that did not insist on condom use among MSM in Xinjiang. ConclusionsVigorously carry out publicity the related knowledge about AIDS prevention and correct use of condoms,expand the coverage of interventions,especially for both have homosexual and heterosexual sex,to curb the spread and propagation of HIV and sexually transmitted diseases in this population.

关 键 词：获得性免疫缺陷综合征/艾滋病 男男性行为人群 安全套 影响因素 新疆 

分 类 号：R512.91[医药卫生—内科学]