上海市男男性行为人群亚硝酸盐吸入剂使用情况及其影响因素  

Analysis on use of rush popper and related factors among men who have sex with men in Shanghai,China

作　　者：张星灿[1] 赵琬[1] 郑煌 毕辰辰 苏华林[1] 杨瑛[1] ZHANG Xing-can;ZHAO Wan;ZHENG Huang;BI Chen-chen;SU Hua-lin;YANG Ying(Center for Disease Control and Prevention of Minhang District,Shanghai 201101,China;Shanghai Piaoxue Cultural Media Limited,Shanghai 200023,China)

机构地区：[1]上海市闵行区疾病预防控制中心,上海201101 [2]上海飘雪文化传播有限公司,上海200023

出　　处：《复旦学报（医学版）》2021年第5期611-617,共7页Fudan University Journal of Medical Sciences

基　　金：复旦-闵行康联体项目(2019FM10)。

摘　　要：目的了解上海市男男性行为人群(men who have sex with men,MSM)亚硝酸盐吸入剂(rush popper)使用情况及其相关因素,为制定和实施MSM相关的干预措施提供理论依据。方法于2019—2020年实施横断面调查,对招募的MSM进行面对面的无记名调查。收集调查对象的年龄、民族、文化程度、婚姻状况等社会人口学信息,最近6个月的rush popper使用情况及性行为特征,并进行HIV和梅毒血清学检测。采用χ^(2)经验或Fisher确切概率法比较rush popper使用和非使用者人口学和性行为特征的差异。多因素Logistic回归分析影响rush popper使用的因素。结果共调查479名MSM,最近半年rush popper使用率为45.3%(217/479),HIV阳性率为13.4%,梅毒阳性率为6.1%。多因素Logistic分析显示,与rush popper使用相关的因素包括:月收入6000~9999元(aOR=2.379,95%CI:1.056~5.356);外地户籍(aOR=1.968,95%CI:1.267~3.050);通过网络或交友软件寻找男性性伴(aOR=2.583,95%CI:1.067~6.254);同性性行为方式为肛交(aOR=3.426,95%CI:1.486~7.895);肛交角色为被动方(aOR=1.879,95%CI:1.092~3.232);半年内与7人及以上发生性行为(aOR=3.161,95%CI:1.532~6.519);与配偶发生性行为时从未使用安全套(aOR=2.747,95%CI:1.101~6.856);有时使用安全套(aOR=2.846,95%CI:1.171~6.917);HIV阳性(aOR=2.310,95%CI:1.247~4.279)。结论上海市MSM rush popper使用率较高,其使用与导致HIV感染的高危性行为有较强的相关性。制定有针对性的干预措施,减少rush popper在MSM中的使用对于防治艾滋病具有重要的意义。Objective To investigate the prevalence of rush popper use and its related factors among men who have sex with men(MSM)in Shanghai,and to provide theoretical basis for making and implementing intervention measures for MSM.Methods From 2019 to 2020,a cross-sectional survey was conducted.A face-to-face anonymous survey was conducted among MSM to collect demographic information(such as age,nationality,educational level,marital status,etc.),the use of rush popper in the last six months,and the characteristics of sexual behavior.HIV and syphilis serological tests were carried out.χ^(2)test or Fisher exact probability method was used to compare the differences of rush popper use among different characteristics and sexual behaviors.Multivariate Logistic regression was used to analyze the influencing factors of rush popper usage.Results A total of 479 of MSM were investigated,45.3%(217/479)of them had used rush popper in the past 6 months.The prevalence rates of HIV or syphilis among the MSM were 13.4%(64/479)and 6.1%(29/479),respectively.Multivariate Logistic regression showed that factors related to rush popper use include:monthly income level of 6000-9999 yuan(aOR=2.379,95%CI:1.056-5.356);registered residence in other provinces(aOR=1.968,95%CI:1.267-3.050);had used Internet or dating software to find male sexual partners(aOR=2.583,95%CI:1.067-6.254);had anal intercourse(aOR=3.426,95%CI:1.486-7.895);receptive role in anal intercourse(aOR=1.879,95%CI:1.092-3.232);had sex with 7 or more people in the past 6 months(aOR=3.161,95%CI:1.532-6.519);never used condom when having sex with their spouse(aOR=2.747,95%CI:1.101-6.856);sometimes used condom when having sex with their spouse(aOR=2.846,95%CI:1.171-6.917);HIV positive(aOR=2.310,95%CI:1.247-4.279).Conclusion Use of rush popper was high among MSM in Shanghai.A strong correlation between MSM rush popper use and high-risk sexual behaviors of HIV positive was observed.Measures should be taken to reduce the abuse of rush popper in MSM is of great significance for the preventi

关 键 词：男男性行为人群(MSM) 亚硝酸盐吸入剂 性行为 艾滋病病毒(HIV) 

分 类 号：R512.91[医药卫生—内科学]