四川省绵阳市男男性行为者进入MSM社区相关特征及其进入年龄的关联因素  

Characteristics of men who have sex with men entering the MSM community and the related factors of entering age in Mianyang, Sichuan

作　　者：王毅[1] 李六林[1] 樊静[2] 何静[1] 周力[2] 张晓军 王思源[2] WANG Yi;LI Liu-lin;FAN Jing;HE Jing;ZHOU Li;ZHANG Xiao-jun;WANG Si-yuan(Mianyang Center for Disease Control and 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》2022年第3期253-257,278,共6页China Tropical Medicine

基　　金：社会组织参与艾滋病防治基金项目(2019-2020510701PYDMSM003121)。

摘　　要：目的 了解男男性行为者(men who have sex with men,MSM)进入MSM社区相关特征,分析其进入MSM社区(简称进入社区)年龄的关联因素。方法 采用“滚雪球”抽样法,开展四川省绵阳市MSM进入社区相关特征等问卷调查和血清学检测,采用χ^(2)检验、Logistics回归模型分析进入社区年龄关联因素的单因素及多因素分析。结果 有效问卷1 119份,进入社区年龄中位数19.0(17.0,21.0)岁,87.9%在婚前、12.1%在婚后。自认进入社区原因76.7%为先天性、12.7%为好奇。不同进入社区时间其进入原因有差异(P<0.001),婚前进入者83.9%为先天性,婚后进入者56.3%因好奇。进入社区年龄较大(≥中位数)MSM其梅毒阳性率高于其进入社区年龄较小(<中位数)的MSM(P=0.044)。多因素分析结果显示,随年龄增加、已婚、干部职员、工人及其他、不知晓艾滋病知识、未接受预防服务、近1年未诊断过性病、近6个月无偶遇性伴、近6个月肛交行为无保护者更可能进入社区的年龄较大,寻找性伴方式主要是互联网者更可能进入社区的年龄较小(P<0.05)。结论 绵阳市MSM进入社区年龄较小,其进入社区年龄与人口学特征、预防服务及性行为等相关,进入社区不同年龄对艾滋病防治的正负影响并存,要针对性开展行为干预。Objective To understand the characteristics of men who have sex with men(MSM)entering the community,we analyze the related factors of their age of entering MSM community(hereinafter referred to as community).Methods The"snowball"sampling method was used to carry out questionnaires and serological tests on the correlated characteristics of MSM entering community in Mianyang City,Sichuan Province,χ^(2) test and Logistic regression model were used to analyze the univariate and multivariate analysis of age-related factors of community entry.Results There were 1119 valid questionnaires,the median age of entering the community was 19.0(17.0,21.0)years,87.9%before marriage and 12.1%after marriage.The reason for entering the community was congenital 76.7%and curiosity 12.7%.The reasons for entering the community were different at different times(P<0.001),before marriage,83.9%were born,and after marriage,56.3%were born out of curiosity.In MSM,positive rate of syphilis in the older age group(≥median)was higher than that in the younger age group(<median)(P=0.044).Multivariate analysis showed that the older,married,cadre,workers and others,those who not aware of AIDS knowledge,not receiving prevention services,not diagnosed with STDS in the last 1 year,no encountered sexual partners in past 6 months,and had unprotected anal sex behavior in past 6 months entered the community at a older age.And those who seek sexual partners mainly by the Internet entered the community at a younger age(P<0.05).Conclusions MSM in Mianyang City enters the community at a younger age,which is related to demographic characteristics,prevention services and sexual behavior.Different ages of entering the community have both positive and negative impacts on AIDS prevention and treatment.Behavioral intervention should be targeted.

关 键 词：男男性行为者 进入MSM社区 年龄 关联因素 艾滋病 

分 类 号：R512.91[医药卫生—内科学]