男男性行为者不同类型性伴性行为的关系及HIV感染影响因素  

Relationship between sexual behaviors in different types of sexual partners and the influencing factors of HIV infection among men who have sex with men

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 621000,Sichuan Province,China;Mianyang Gay Care Group,Mianyang 621000,Sichuan Province,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：《预防医学情报杂志》2022年第8期1099-1104,1109,共7页Journal of Preventive Medicine Information

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

摘　　要：目的了解男男性行为者(MSM)不同类型性伴性行为的关系,分析HIV感染的影响因素。方法采用“滚雪球”抽样法,开展四川省绵阳市MSM性伴类型、性行为等问卷调查和血清学检测,采用SPSS 19.0统计软件,用列联系数(C)分析不同性伴类型及其性行为保护的关系,用χ^(2)检验、Logistic回归模型分析HIV感染的影响因素。结果有效问卷1141份,近6个月有同性、商业、固定、偶遇及异性性伴分别为91.6%、2.0%、61.3%、55.0%和10.4%,每次使用安全套分别为71.1%、61.9%、71.1%、79.4%和27.7%。拥有商业性伴、异性性伴者更多拥有偶遇性伴,拥有异性性伴者更多拥有商业性伴;拥有商业性伴者更少拥有固定性伴,拥有固定性伴者更少拥有偶遇性伴(P均<0.05)。近6个月性行为在固定性伴无保护者更多偶遇性伴无保护,在同性性伴无保护者更多异性性伴为无保护(P均<0.05)。艾滋病病毒(HIV)阳性率3.2%,近6个月使用rush popper(OR=3.397)、无保护肛交(OR=9.461)是HIV感染的危险因素,近1年接受同伴教育(OR=0.263)、生活满意度评分(OR=0.909)是保护因素。结论绵阳市MSM不同性伴类型性行为存在关联,rush poppers使用、肛交保护、生活满意度等与HIV感染相关,应针对性开展行为干预。Objective To understand the relationship between sexual behaviors of different types of sexual partners of men who have sex with men(MSM),and to analyze the influencing factors of HIV(human immunodeficiency virus) infection.Methods The so-called ‘snowball’ sampling method was adopted to carry out questionnaire surveys and serological tests on the sexual partner types and sexual behaviors of MSM in Mianyang City,Sichuan Province.SPSS 19.0 statistical software was used.The column connection number(C) was used to analyze the relationship between different sexual partner types and their sexual behavior protection.The influencing factors of HIV infection were analyzed by χ^(2)test and logistic regression model.Results There were 1 141valid questionnaires.In the recent 6 months,there were 91.6%,2.0%,61.3%,55.0% and 10.4%had homosexual,commercial,fixed,occasional and heterosexual partners,respectively.The number of people who used condom each time was 71.1%,61.9%,71.1%,79.4% and 27.7%,respectively.People with commercial and heterosexual partners were more likely to have occasional sexual partners.Those with heterosexual partners were more likely to have commercial sexual partners.Those who had commercial sexual partners were less likely to have fixed sexual partners,and those with fixed sexual partners were less likely to have occasional sexual partner(all P<0.05).In the recent 6 months,more occasional sexual partners were unprotected in those who had sex with fixed sexual partners without protection,and more heterosexual partners were unprotected in those who had homosexual behaviors without protection(all P<0.05).The HIV positive rate was3.2%.Using rush poppers in the recent 6 months(odds ratio(OR) =3.397) and unprotected anal sex(OR=9.461) were risk factors for HIV infection.While peer education in the recent 1 year(OR=0.263) and life satisfaction score(OR=0.909) were protective factors.Conclusions There is a correlation between the sexual behaviors of different types of sexual partners of MSM in Mianyang City.R

关 键 词：男男性行为者 性行为 关系 HIV 影响因素 

分 类 号：R512.91[医药卫生—内科学]