福州市男同性恋者/男双性恋者行为特征及HIV感染相关因素分析  

Behavioral characteristics and factors relate to HIV infection among Gay/Bisexual Men in Fuzhou

作　　者：陈文丽 陈剑惠[1,2] 张宏 薛洪洪[3] CHEN Wenli;CHEN Jianhui;ZHANG Hong;XUE Honghong(Fuzhou ciy Center for Disease Control and Prevention,Fuzhou 350004,China;Fuzhou city Center for Disease Control and Prevention of Fujian Medical University,Fuzhou 350004;Fujian Volunteers Association of STD&AIDS Prevention and Control,Fuzhou350004)

机构地区：[1]福州市疾病预防控制中心,福州350004 [2]福建医科大学附属福州市疾病预防控制中心,福州350004 [3]福建省性病艾滋病防治志愿者协会,福州350004

出　　处：《中国艾滋病性病》2022年第8期910-914,共5页Chinese Journal of Aids & STD

基　　金：福建省卫生健康委员会科技计划项目-医学创新课题(2021CXA044);福建省卫生健康委员会科技计划项目-医学创新课题(2019-cx-9);福州科技局社会发展项目-医疗项目(AFZ2020WS01010126)。

摘　　要：目的针对MSM中男同性恋(简称男同)和男双性恋(简称男双)开展研究,为MSM艾滋病防治提供指导。方法通过MSM社区组织网络动员招募MSM,按照自认性向分为男同组和男双组,开展现场调查和检测。HIV检测采用快速检测和实验室筛查结合方式。采用SPSS 25.0软件包进行数据分析,应用二元Logistic逐步回归比较分析男同和男双HIV感染与不同人口学及行为学特征之间的关系。结果共计调查目标MSM 7129名,男同占83.41%,男双占16.59%。男同和男双在年龄、婚姻、文化程度、艾滋病知识知晓率、寻找性伴方式、肛交比例、肛交使用安全套比例、异性性行为比例、与异性性行为安全套使用频率、既往艾滋病抗体检测比例差异均有统计学意义(P均<0.05)。7129人中HIV阳性率4.01%(286/7129),多因素Logistic逐步回归分析显示,学历大专及以上、本地居住时间2年以上、最近6个月肛交坚持使用安全套、知晓艾滋病知识等为男同HIV感染的保护因素;最近一年曾患性病是男同HIV感染的危险因素。年龄小于等于25岁、最近6个月与异性发生性行为等为男双HIV感染的保护因素。结论男同和男双具有不同的人口学和行为学特征,存在同性性行为比例高,安全套使用率低等高危行为,应根据不同性向MSM的特点采取针对性的干预策略。Objective To evaluate HIV infection status and its associated factors among gay and bisexual men to provide guidance for HIV prevention and treatment strategy development in MSM.Methods We conducted a questionnaire survey and HIV testing among MSM through the community-based organization network to recruit MSM.MSM were divided into two groups of gay and bisexual men according to their self-recognition.HIV testing was conducted using the rapid and laboratory combination screening method.SPSS 25.0 software package was used for data analysis.Binary logistic regression was used to explore the relationship between HIV infection and demographic and behavioral characteristics.Results A total of 7129 MSM were recruited with 83.41%as gays and 16.59%as bisexual men.There were statistically significant differences in age,marriage,education level,awareness rate of AIDS,ways of seeking sexual partners,proportion of anal sex,proportion of condom use in anal sex,proportion of heterosexual sex,frequency of condom use with heterosexual sex,and proportion of previous HIV antibody detection between gays and bisexual men(all P<0.05).Among 7129 study population,the HIV positive rate was 4.01%.Multivariate logistic regression analysis showed people in the gay group with an education level of college degree or above,being local residence more than 2 years,adherence to condom use during anal sex in the last 6 months,with a well knowledge of AIDS were less likely to be HIV positive.Having a sexually transmitted disease in the recent one year was a risk factor to HIV infection in the gay group.The protective factors for HIV infection among bisexual men were younger than 25 and having sexual intercourse with a woman in the last 6 months.Conclusions Gays and bisexual men had different demographic and behavioral characteristics.There was a high risk of homosexual activities and low condom use among the study population,so tailored interventions should be adopted according to the characteristics of MSM with different sexual preference.

关 键 词：男同性恋者 男双性恋者 行为特征 艾滋病病毒 

分 类 号：R373.9[医药卫生—病原生物学]