广东省825名学生男男性行为人群rush poppers使用情况及其影响因素  

Predictors of rush popper use among 825 men who have sex with men in education in Guangdong Province

作　　者：陈梦清[1] 程伟彬[2] 徐慧芳[2] 蔡衍珊[2] 樊莉蕊[2] 钟斐[2] 陈希[2] 靳伟[1] 陈晓滨[1] 李婧妍 

机构地区：[1]广东药科大学公共卫生学院,广州510310 [2]广州市疾病预防控制中心艾滋病预防控制部 [3]广州市越秀区康源社区支持中心

出　　处：《中华预防医学杂志》2016年第11期949-953,共5页Chinese Journal of Preventive Medicine

基　　金：广州市科技计划（2012Y2-00021、201507020071）;广州市医药卫生科技（20141A011061）

摘　　要：目的分析广东省部分学生男男性行为人群（MSM）msh poppers使用流行特征及其影响因素。方法于2014年3—8月通过华南地区某男男同性恋网站招募调查对象，纳人男性、16岁以上、与男性发生过肛交性行为、广东省内在校学生者，共833名，对其进行问卷调查，问卷有效率为93．4％（825名）。调查内容包括一般人口学特征、HIV检测、最近3个月的性行为情况、rush poppers等物质使用情况及进入同性恋圈子的时间（人圈时间）等。采用x。检验比较不同性行为调查对象rush poppers使用情况的差异，采用多因素非条件二分类logistic回归分析rush poppers使用的相关因素。结果825名MSM的年龄为（24．3±3．3）岁，其中14．8％（122名）的MSM最近3个月使用过rush poppers。做过HIV检测的MSM rush poppers使用率为16．7％（92／551），高于未检测者[10．9％（30／274）1（x2=4．80，P=0．028）；最近3个月有肛交的MSM rush poppers使用率为16．8％（93／553），高于未肛交者[10．7％（29／272）]（x2=5．48，P=0．019）；最近3个月有多性伴（性伴数≥2）的MSM rush poppers使用率为19．3％（45/233），高于无多性伴者[13．1％（77／589）]（X2=5．14，P=0．023）；最近3个月有临时性伴的MSM rush poppers使用率为18．0％（68／378），高于无临时性伴者[12．1％（54／447）]（X2=5．68，P=0．017）；曾感染过性病的MSM rushpoppers使用率为23．4％（18／77），高于未曾感染性病者[14．0％（104／743）]（x2=4．85，P=0．028）；入圈时间≥5年的MSM rush poppers使用率为18．0％（71／395），高于入圈时间≤1年和2—4年者[10．7％（19／178）和12．5％（26／208）]（X2=6．41，P=0．041）。做过HIV检测、最近3个月有临时性伴或人圈时间≥5年的MSM使用rush poppers的可能性较高，其DR（95％CI）值分别为1．70（1.07—2.70）、1．67（1．12—2．50）及1．87（1�Objective To explore prevalence and predictors of the use of Rush poppers among men who have sex with men in education in Guangdong Province. Methods An internet survey was conducted via a gay website from March to August 2014 and a sample of 833 male respondents over 16 years who had ever had anal sex with a male, studied in Guangdong Province and who had completed an online questionnaire was identified-of which 93.4% （n=825） provided valid responses and were included in the study. Respondents provided information on their socio-demographic characteristics, HIV testing history, sexual activity in last 3 months, Rush poppers use and time since first sexual encounter with a male. We used the Chi-squared test and multivariate logistic regression modeling to identify the predictors of Rush poppers use in this population group. Results Among our sample of 825 MSM, whose ages ranged from 21-27 years, 14.8% （n=122） reported having used Rush poppers in the past 3 months. Rates of use were higher among those who had ever been tested for HIV （16.7% vs. 10.9%, X2=4.80, P=0.028）, had anal intercourse in the last 3 months （16.8% vs. 10.7%, X2=5.48, P=0.019）, had multiple sexual partners in the past 3 months （19.3% vs. 13.1%, X2=5.14, P=0.023）, had a casual partner （18.0% vs. 12.1%, X2=5.68, P= 0.017） or had a sexually transmitted infection （23.4% vs. 14.0%, X2=4.85, P=0.028）. Those who reported having had their first sexual encounter with another male over 5 years prior had higher rates of use （18.0%） than for those who had been sexually active ≤1 year （10.7%） or 2-4 years （12.5%, X2=6.41, P=0.041）. HIV testing （OR： 1.70, 95%Ch 1.07-2.70）, having a casual partner （OR： 1.67, 95%CI： 1.12-2.50） and being sexually active with other males for over 5 years （OR： 1.87, 95%CI： 1.05-3.31） were significantly associated with Rush poppers use. Conclusion A large proportion of student MSM in Guangdong Province used Rush poppers. Proxy measures of sexual activity such as HIV t

关 键 词：同性恋 男性 学生 横断面研究 Rushpoppers 影响因素 

分 类 号：R512.91[医药卫生—内科学]