青年学生男男性行为者性伴特征与性行为前物质使用的关联  

Association between the characteristics of sexual partners and substance use before sexual behavior in young male students who have sex with men

作　　者：郭雪儿 崔闻心 朱璠 刘思辰 李远骋 陈天麒 高迪思 马迎华[1] GUO Xueer;CUI Wenxin;ZHU Fan;LIU Sichen;LI Yuancheng;CHEN Tianqi;GAO Disi;MA Yinghua(Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing 100191,China)

机构地区：[1]北京大学公共卫生学院/儿童青少年卫生研究所,北京100191

出　　处：《中国学校卫生》2020年第12期1791-1794,共4页Chinese Journal of School Health

基　　金：国家自然科学基金项目(81673245)。

摘　　要：目的了解中国青年学生男男性行为人群(men who have sex with men,MSM)性伴特征和多性伴现象对性行为前使用物质行为的影响,为制定青年学生MSM艾滋病防控干预提供科学依据。方法2019年11—12月通过受试者推荐和滚雪球2种抽样方法进行抽样,以北京和天津为中心对220名青年MSM进行问卷调查,采用χ2检验和广义线性模型多因素Logistic回归分析性行为前物质使用的影响因素。结果研究对象平均年龄(22.39±2.57)岁,84.5%为在读学生,首次性行为年龄为(18.83±2.45)岁,44.1%有2个及以上性伴(包括固定性伴、临时性伴和商业性伴),22.7%有多个男性固定性伴。调整年龄和受教育水平的影响后,多性伴与性行为前饮酒(aOR=2.97)或滥用药物(aOR=2.39)呈正相关;有男性临时性伴与性行为前使用物质呈正相关(OR=4.10)。结论青年MSM的性伴特征复杂,多性伴比例较高,单一固定性伴可降低性行为前使用物质行为的风险,应进一步加强青年学生MSM的预防艾滋病教育。Objective To understand the characteristics of sexual partners and the influence of having multiple sexual partners on substance use among young male students man who have sex with men(MSM)in China,and to provide scientific basis for the prevention and control of HIV/AIDS among young MSM students.Methods A mixed recruitment method of snowball sampling and respondent driven sampling was used to recruit young MSM students in Beijing and Tianjin,and a questionnaire survey was conducted among 220 participants from November to December 2019.Chi-square test and generalized linear model multi-factor Logistic regression were used to analyze the influencing factors of substance use before sexual behavior.Results The average age of them was(22.39±2.57)years old,84.5%of them were students,the average age of first sexual behavior was(18.83±2.45)years old,44.1%of them had two or more sexual partners(including fixed sexual partners,temporary sexual partners and commercial sexual partners),22.7%had more than one male fixed partner.After adjusting for age and education,having multiple sexual partners was risk factor for drinking alcohol before sex(aOR=2.97)or substance abuse(aOR=2.39).Having male temporary sexual partner was an risk factor in substance use before sexual behavior(OR=4.10).Conclusion The characteristics of sexual partners among young MSM students are complex,and the proportion of multiple sexual partners is high.Having fixed single sexual partner can reduce the risk of substance use before sexual behavior.AIDS prevention education for young MSM students should be further strengthened.

关 键 词：同性恋 男性 性伴侣 饮酒 回归分析 学生 

分 类 号：G647.8[文化科学—高等教育学] R512.91[文化科学—教育学]