老年MSM非固定性伴性行为现状及影响因素分析  

Status and influencing factors of sexual behaviors among elderly MSM who have non-fixed sex partners

作　　者：唐程梦 崔帅 杨洪斌 杨诗凡 余彬 黄玉玲 刘巧兰[1] 韩佳禹 杨淑娟[1] TANG Cheng-meng;CUI Shuai;YANG Hong-bin;YANG Shi-fan;YU Bin;HUANG Yu-ling;LIU Qiao-lan;HAN Jia-yu;YANG Shu-juan(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,四川成都610041 [2]四川德阳同道健康互助家园,德阳618000 [3]郫都区绢绒健康互助家园,四川成都611730 [4]四川省疾病预防控制中心,四川成都610041

出　　处：《现代预防医学》2020年第17期3189-3192,共4页Modern Preventive Medicine

基　　金：四川省科技计划项目(2019YJ0148);四川省卫计委项目“老年人群感染艾滋病相关社会决定因素及机制研究”(2018卫计委-02);成都医学院四川应用心理学研究中心(CSXL-192A02);四川性社会学与性教育研究中心资助(SXJYC1806)

摘　　要：目的了解50岁及以上老年男男性行为者(MSM,men who have sex with men)与非固定性伴性行为现状,探讨发生高危性行为的影响因素。方法采用滚雪球方法招募50岁及以上男男性行为者作为调查对象,通过问卷调查收集社会人口学特征和性行为特征资料。采用χ^2检验和logistic回归进行统计学分析。结果调查对象中63.0%的老年MSM有非固定性伴,其中78.1%在最近6个月有2个及以上非固定性伴,安全套坚持使用率为38.0%。Logistic回归分析发现初中文化程度(OR=0.317,95%CI:0.112~0.894)是坚持安全套使用的保护因素,已婚且与配偶居住(OR=12.056,95%CI:1.542~94.288)和外出工作超过3年(3~5年组OR=10.779,95%CI:2.786~41.707;6~10年组OR=16.460,95%CI:3.288~82.408;超过10年组OR=3.490,95%CI:1.168~10.427)是坚持安全套使用的危险因素。结论老年MSM普遍存在多性伴性行为,安全套使用情况不理想。制定行为干预措施时应充分考虑老年MSM的社会人口学特征,重点关注文化程度较低、有婚姻经历、有外出工作经历者。Objective To understand the status of sexual behavior among MSM(men who have sex with men)aged 50 years and older who have non-fixed sex partners,and to explore the influencing factors of high-risk sexual behaviors.Methods MSM aged 50 years old or above were recruited through Snowball sampling method.Social demographic characteristics and sexual behavior related characteristics were collected through questionnaire survey.χ^2 test and logistic regression were used for statistical analysis.Results 63.0%of older MSM had non-fixed sexual partners,of which 78.1%had over two non-fixed partners in the last 6 months.The consistently condom use rate in the last 6 months was 38.0%.Logistic regression analysis found that junior high school education(OR=0.317,95%CI:0.112~0.894)was a protective factor for insisting on condom use,while married and living with spouse(OR=12.056,95%CI:1.542~94.288),and going out worked for more than 3 years(3-5 years:OR=10.779,95%CI:2.786~41.707;6~10 years:OR=16.460,95%CI:3.288~82.408;more than 10 years:OR=3.490,95%CI:1.168~10.427)were risk factors.Conclusion Multi-sex sexual behavior is common in older MSM,and the use of condoms is not ideal.When developing behavioral interventions,the sociodemographic characteristics of older MSM should be fully considered,with a focus on those with lower education,marriage experience,and work experience.

关 键 词：老年 男男性行为 非固定性伴 影响因素 

分 类 号：R167[医药卫生—公共卫生与预防医学]