新型毒品滥用对男男性行为人群高危性行为的影响  

Relationship between new-type drug use and high risk sex behavior in men who have sex with men

作　　者：廖玫珍[1] 王玫[1] 李金海[1] 朱晓艳[1] 王霖 黄鹏翔[1] 王国永[1] 马伟[2] 康殿民[1] Liao Meizhen;Wang Mei;Li Jinhai;Zhu Xiaoyan;Wang Lin;Huang Pengxiang;Wang Guoyong;Ma Wei;Kang Dianmin(Department of AIDS/STD Control and Prevention,Shandong Center for Disease Control and Prevention,Ji’nan 250014,China;School of Public Health,Shandong University,Ji’nan 250012,China)

机构地区：[1]山东省疾病预防控制中心艾滋病防制所,济南250014 [2]山东大学公共卫生学院,济南250012

出　　处：《中华流行病学杂志》2020年第11期1882-1887,共6页Chinese Journal of Epidemiology

基　　金：国家重点研发计划(2017YFE0103800);山东省医药卫生科技发展计划(2019WS430)。

摘　　要：目的了解新型毒品滥用对MSM高危性行为及HIV感染的影响,为制订有针对性的艾滋病防治对策和干预措施提供依据。方法2019年4-7月在山东省3个MSM监测哨点,收集当地MSM人口学特征、相关行为信息,采集血样做HIV和梅毒检测。结果共调查MSM 1203人,年龄(30.2±8.9)岁,未婚815人(67.7%),大专及以上文化程度805人(66.9%);曾经使用过新型毒品的比例为54.2%(652/1203);最近6个月发生过无保护肛交和群交行为的比例分别为62.2%(721/1160)和16.3%(189/1160);HIV和梅毒抗体阳性率分别为3.1%(37/1203)和4.7%(56/1203)。多因素logistic回归分析结果显示,MSM最近6个月发生无保护性肛交的影响因素中,来自青岛市是济南市的1.59倍(95%CI:1.13~2.23)、高中及以下文化程度是大专及以上文化程度的1.61倍(95%CI:1.20~2.16)、从酒吧/歌舞厅等场所寻找男性性伴的是互联网/交友软件的1.69倍(95%CI:1.06~2.69)、艾滋病知识得分<6分是≥6分的1.55倍(95%CI:1.01~2.37)、最近1周同性性伴数≥2人是<2人的1.48倍(95%CI:1.12~1.95)、最近6个月发生群交行为是无群交行为的2.43倍(95%CI:1.61~3.67),曾使用新型毒品是未使用毒品的1.46倍(95%CI:1.11~1.91)。MSM最近6个月发生群交行为的影响因素中,来自青岛市是济南市的2.21倍(95%CI:1.45~3.38)、外省户籍是本省户籍的2.13倍(95%CI:1.28~3.55)、艾滋病知识得分≥6分是<6分的3.11倍(95%CI:1.55~6.25)、最近6个月肛交未坚持使用安全套是坚持使用安全套的2.60倍(95%CI:1.71~3.96)、最近6个月有同性商业性行为是无同性商业性行为的3.38倍(95%CI:1.92~5.95)、曾经使用过新型毒品是未使用毒品的2.71倍(95%CI:1.82~4.04)、最近1年未检测HIV是检测HIV的2.66倍(95%CI:1.59~4.43)。结论山东省MSM人群中使用新型毒品现象普遍,新型毒品滥用促进该人群无保护性行为和群交行为的发生,应重点加强对吸毒MSM监测和干预力度。Objective To understand the relationship between new-type drug use and high risk behavior in men who have sex with men(MSM)in Shandong province.Methods Cross-sectional surveys was conducted to collect the information about demographics,sexual and drug use behaviors of MSM and HIV-related services in MSM in three sentinel surveillance sites in Shandong from April to July in 2019.Blood samples were taken from the MSM for serological tests of HIV antibody and syphilis antibody.Results A total of 1203 MSM were included in this study.The average age of the MSM was 30.2±8.9 years.Among these MSM,67.7%(815)were unmarried;66.9%(805)had education level of college or above;62.2%(721/1160)had unprotected sex behaviors and 16.3%(189/1160)had group sex behavior in the past six months and 54.2%(652/1203)ever used new-type drugs.HIV infection and syphilis prevalence rates were 3.1%(37/1203)and 4.7%(56/1203),respectively.Multivariable logistic analysis indicated that MSM who had unprotected anal sex in the past six months were more likely to be from Qingdao(aOR=1.59,95%CI:1.13-2.23),with education level of high school or below(aOR=1.61,95%CI:1.20-2.16),with male sex partners from bars/dance halls or other venues(aOR=1.69,95%CI:1.06-2.69),with HIV knowledge awareness score<6(aOR=1.55,95%CI:1.01-2.37),with≥2 sex partner in the past week(aOR=1.48,95%CI:1.12-1.95),to have group sex behaviors in the past six months(aOR=2.43,95%CI:1.61-3.67)and to use new-type drugs(aOR=1.46,95%CI:1.11-1.91).MSM who had group sex were more likely to have following features:being from Qingdao(aOR=2.21,95%CI:1.45-3.38),non-Shandong residents(aOR=2.13,95%CI:1.28-3.55),HIV knowledge awareness score≥6(aOR=3.11,95%CI:1.55-6.25),ever having unprotected anal sex behaviors(aOR=2.60,95%CI:1.71-3.96)and ever having male commercial sex(aOR=3.38,95%CI:1.92-5.95)in the past six months,ever using new-type drugs(aOR=2.71,95%CI:1.82-4.04),and never having HIV testing in the past year(aOR=2.66,95%CI:1.59-4.43).Conclusion New-type drug use is common in MSM in Shand

关 键 词：HIV 男男性行为人群 高危行为 新型毒品 

分 类 号：R512.91[医药卫生—内科学] R749.64[医药卫生—临床医学]