四川省绵阳市年轻男男性行为者偶遇性伴及关联因素分析  

Encounter of sexual partners and associated factors in young men who have sex with men in Mianyang,Sichuan

作　　者：舒亚[1] 王毅[1] 李六林[1] 樊静[2] 赵西和[1] 杨红[1] 何静[1] 周力[2] 张晓军 SHU Ya;WANG Yi;LI Lu-lin;FAN Jin;ZHAO Xi-he;YANG Hong;HE Jin;ZHOU Li;ZHANG Xiao-jun(Mianyang Center for Disease Control&Prevention,Mianyang,Sichuan 621000,China;Mianyang Gay Love Group,Mianyang,Sichuan 621000,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

出　　处：《中国热带医学》2021年第11期1036-1040,共5页China Tropical Medicine

基　　金：四川省财政补助艾滋病防治项目(No.ZC2015007,No.SCWJWZC2016013);绵阳市应用技术研究与开发项目(No.15S-01-10)。

摘　　要：目的了解年轻男男性行为者(young men who have sex with men,YMSM)偶遇性伴现状,分析关联因素。方法2016年9月—2019年9月用“滚雪球”抽样法,对绵阳市YMSM偶遇性伴现状进行问卷调查和人类免疫缺陷病毒(HIV)、梅毒血清学检测,用χ^(2)检验,多因素二分类Logistics回归分析偶遇性伴的关联因素。结果共调查351人,最近6个月有肛交250人,其中有偶遇性伴者112人,占44.8%(112/250),平均性伴(1.9±1.6)人,每次使用安全套者92人。最近6个月有无偶遇性伴者HIV、梅毒阳性率差异均无统计学意义(P>0.05)。多因素分析发现,性角色均可(OR=2.921,95%CI:1.079~4.864)、最近6个月多性伴(OR=9.424,95%CI:4.494~19.762)、最近6个月群交(OR=25.537,95%CI:2.098~310.891)、自我接纳得分越高(OR=1.627,95%CI:1.104~2.398)者有偶遇性伴的可能更大,最近6个月有固定性伴者(OR=0.082,95%CI:0.035~0.188)有偶遇性伴的可能更小(P<0.05)。结论YMSM偶遇性伴普遍,其偶遇性伴与性角色、性行为和自我接纳相关联,行为风险较大,应针对性开展行为干预。Objective To investigate the status of accidental sexual partners among young men who have sex with men(YMSM),and analyze the related factors.Methods“Snowball”sampling method was used to conduct a questionnaire survey of encounter partners and serological detection of human immunodeficiency virus(HIV)and syphilis among YMSM of Mianyang city from September 2016 to September 2019.Chi-square test and Logistics regression model were used to analyze the associated factors of encounter partners.Results A total of 351 people were surveyed,250 cases had anal sex in the last 6 months,44.8%(112/250)had chance sexual partners,with an average of(1.9±1.6),and 92 cases used condoms every time.There was no statistically significant difference in the positive rates of HIV and syphilis between those with and without accidental partners in the last 6 months(all P>0.05).The multivariate analysis found that those who played both sexual roles(OR=2.921,95%CI:1.079-4.864),had multiple sexual partners in the last 6 months(OR=9.424,95%CI:4.494-19.762),had group sex in the last 6 months(OR=25.537,95%CI:2.098-310.891)and had the higher score of self-acceptance(OR=1.627,95%CI:1.104-2.398)were more likely to have a chance partner,and those with a fixed partner in the last 6 months(OR=0.082,95%CI:0.035-0.188)were less likely to have a chance partner(all P<0.05).Conclusions YMSM encounter partners are common,and their encounter partners are associated with sexual role,sexual behavior and self-acceptance.The risk of behavior is high,so behavioral intervention should be carried out accordingly.

关 键 词：年轻男男性行为者 偶遇性伴 关联因素 艾滋病 

分 类 号：R512.91[医药卫生—内科学]