321名男男同性HIV感染者性行为特征分析  

Sexual behavioral characters of 321 HIV-positive MSM in Wuhan Jingyingtan Hospital

作　　者：张敏[1] 曹琳[1] 胡荣[1] 罗莉[1] ZHANG Min;CAO Lin;HU Rong;LUO Li(Wuhan Centers for Disease Control and Prevention,Wuhan,Hubei 430015,China)

机构地区：[1]武汉市疾病预防控制中心,湖北武汉430015

出　　处：《公共卫生与预防医学》2022年第2期154-157,共4页Journal of Public Health and Preventive Medicine

基　　金：武汉市卫健委重点项目(WG16B02)。

摘　　要：目的了解不同年龄段和不同性取向男男同性HIV感染者的性行为特征。方法从2016年1月至2019年2月在武汉市金银潭医院就诊的新确证的HIV阳性MSM病例中通过方便抽样选择321名作为调查对象,由专业人员进行一对一面对面的调查。采用SPSS 23.0软件统计分析不同年龄组和性取向的性行为特征差别。结果调查的321名MSM病例中,年龄≤35岁占44.24%,36~59岁占33.02%,≥60岁占22.74%。同性恋占44.86%,双性恋占20.25%,异性恋占24.30%,其它性取向占10.59%。≤35岁年龄组寻找固定性伴的主要方式为互联网,而36~59岁和≥60岁年龄组固定性伴主要为朋友同事同学,在寻找固定性伴的方式上,不同年龄组差异有统计学意义(χ^(2)=136.50,P=0.00);≤35岁和36~59岁年龄组寻找临时性伴的主要方式均为互联网,≥60岁年龄组临时性伴主要为朋友同事同学,在寻找临时性伴的方式上,不同年龄组差异有统计学意义(χ^(2)=69.66,P=0.00)。首次男男性行为年龄以同性恋MSM病例的最低(37.57±18.22),其次为双性恋(42.08±16.36),异性恋MSM病例最高(55.40±12.54),不同性取向MSM病例的首次男男性行为年龄差异有统计学意义(F=32.52,P=0.00)。结论实施干预措施时应考虑不同年龄组、不同性取向的MSM性行为特征差异。Objective To study the sexual behavioral characters of HIV-positive men who have sex with men(MSM)with different age group and different sexual orientation.Mehtods A total of 321 newly-diagnosed HIV-positive MSM were selected by convenience sampling from January 2016 to February 2019 in Wuhan Jingyingtan Hospital.All the interviews were performed by doctors one by one and face by face.Spss 23.0 software was used to analyse the difference of sexual behavioral characters in different age groups and sexual orientations.Results Among 321 MSM patients,44.24%were≤35 years,33.02%were 36-59 years,22.74%were≥60 years.Homosexuality accounted for 44.86%,bisexuality 20.25%,heterosexuality were 24.30%,and other sexual orientation accounted for 10.59%.Internet was the main way for≤35 years old group to look for fixed partners,while friends,colleagues and classmates were the main way for 36-59 years old group and≥60 years old group.There was significant difference in the ways of looking for partners among different age groups(χ^(2)=136.50,P=0.00).The main way for≤35 years old and 36-59 years old group to find temporary partners was internet,and the main way for≥60 years old group to find temporary partners was from friends,colleagues and classmates,there was a significant difference in different age groups in the way to find temporary partners(χ^(2)=69.66,P=0.00).The age of first male sexual activity was the lowest in homosexual MSM cases,followed by bisexual MSM cases,and the highest in heterosexual MSM cases.The age of first male sexual activity was significantly different in different homosexual orientation MSM cases(F=32.52,P=0.00).Conclusion When taking intervention measures,the sexual behavior difference in different age groups and different sexual orientations should be considered.

关 键 词：HIV感染者 男男 性行为特征 新报告 

分 类 号：R181[医药卫生—流行病学]