四川省绵阳市男男性行为者不同本地居住时间其社会行为特征  

Social behavior characteristics of different local residence time among men who have sex with men in Mianyang

作　　者：王毅[1] 李六林[1] 樊静[2] 赵西和[1] 王晓丽[3] 刘江[4] 杨干金 李伟 贾修伟 刘晓琴 杜婵娟 谭琴 任延飞 廖平 WANG Yi;LI Liulin;FAN Jing;ZHAO Xihe;WANG Xiaoli;LIU Jiang;YANG Ganjin;LI Wei;JIA Xiuwei;LIU Xiaoqi;DU Chanjuan;TAN Qin;REN Yanfei;LIAO Ping(Mianyang Center for Disease Control&Prevention,Mianyang,Sichuan 621000,China;Mianyang Gay Love Group,Mianyang,Sichuan 621000,China;Fucheng District Center for Disease Control&Prevention,Mianyang,Sichuan 621000,China;Jiangyou City Center for Disease Control&Prevention,Jiangyou,Sichuan 621700,China;Santai County Center for Disease Control&Prevention,Santai,Sichuan 621100,China;Anzhou District Center for Disease Control&Prevention,Anxian,Sichuan 622650,China;Beichuan County Center for Disease Control&Prevention,Beichuan,Sichuan 622750,China;Zitong County Center for Disease Control&Prevention,Zitong,Sichua 622150,Chinan;Youxian District Center for Disease Control&Prevention,Youxian,Sichua 621000,Chinan;High-tech District Center for Disease Control&Prevention,Mianyang,Sichuan 621000,China;Yanting County Center for Disease Control&Prevention,Yanting,Sichuan 621600,China;Pingwu County Center for Disease Control&Prevention,Pingwu,Sichuan 622500,China)

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000 [3]绵阳市涪城区疾病预防控制中心,四川绵阳621000 [4]江油市疾病预防控制中心,四川江油621700 [5]三台县疾病预防控制中心,四川三台621100 [6]绵阳市安州区疾病预防控制中心,四川绵阳622650 [7]北川羌族自治县疾病预防控制中心,四川北川622750 [8]梓潼县疾病预防控制中心,四川梓潼622150 [9]绵阳市游仙区疾病预防控制中心,四川绵阳621600 [10]绵阳市高新区疾病预防控制中心,四川绵阳621000 [11]盐亭县疾病预防控制中心,四川盐亭621600 [12]平武县疾病预防控制中心,四川平武622500

出　　处：《中国热带医学》2020年第5期434-438,共5页China Tropical Medicine

基　　金：社会组织参与艾滋病防治基金项目(No.2016-2017510701PYDMSM001442-2018)。

摘　　要：目的了解男男性行为者(MSM)本地居住时间现状,分析不同本地居住时间者的社会行为特征。方法2018年2-10月采用滚雪球抽样,对四川省绵阳市MSM进行本地居住时间、社会行为等问卷调查和血清学检测。运用χ^2检验、Logistic回归模型进行不同本地居住时间其社会行为特征的单因素及多因素分析。结果回收合格问卷1132份,本地居住时间≤6个月占4.7%,>6个月占95.3%。在本地居住时间≤6个月者HIV阳性率为9.4%、>6个月为3.4%(P=0.059)。多因素分析,相对于本地居住时间≤6个月,本地居住时间>6个月的社区朋友≥5人(aOR=2.089)、参加社区活动(aOR=2.232)、中/高安全感(aOR=3.447)、互联网及其他方式寻找性伴(aOR=3.014)、近6个月肛交有保护(aOR=2.915)的可能大,近6个月有商业性行为(aOR=0.206)、肛交数≥2人(aOR=0.428)可能小。结论当地MSM以本地长期居住者为主,不同本地居住时间其社会行为存在差异,居住时间短的HIV感染风险大,应针对性加强行为干预。Objective To understand the current situation of local living time of men who have sex with men(MSM),andwe analyze of the characteristics of social behaviors among people with different local residence time.MethodsFromFebruary to October 2018,snowball sampling was used to investigate the local living time and social behavior of MSM inMianyang City,Sichuan Province.Chi-squared test and logistic regression model were used to understand single factor and multifactor analysis of the relationship between local living time and social behavior.ResultsTotally 1132 qualifiedquestionnaires were collected,the local living time≤6 months was 4.7%,>6 months was 95.3%.The positive rate of HIV inlocal living time≤6 months was 9.4%,>6 months was 3.4%(P=0.059).Multifactor analysis showed that compared with local living time≤6 months,the number(≥5)of community friends with local residence time>6 months(a OR=2.089),participatingin community activities(a OR=2.232),medium/high sense of security(a OR=3.447),Internet and other ways to find sexualpartners(a OR=3.014),anal intercourse protected in recent 6 months were more likely(a OR=2.915),commercial sex in recent6 months(a OR=0.206),and the number of anal intercourse≥2(a OR=0.428)were likely to be small.ConclusionThe localMSM is mainly local long-term residents,differences in social behavior between different local residence times,the risk of HIVinfection with short living time is high and behavioral intervention should be strengthened.

关 键 词：男男性行为者 本地居住时间 艾滋病 因素分析 

分 类 号：R512.91[医药卫生—内科学]