16-24岁男男性行为人群多性伴的影响因素研究  

Factors affecting multiple sexual partner behaviors among men who have sex with men at ages of 16 to 24 years in Zhejiang Province

作　　者：姜婷婷[1] 马瞧勤[1] 陈琳[1] 何林[1] 陈婉君 陈卫永[1] 王憓[1] 郑锦雷[1] JIANG Tingting;MA Qiaoqin;CHEN Lin;HE Lin;CHEN Wanjun;CHEN Weiyong;WANG Hui;ZHENG Jinlei(Department of HIV/AIDS and STDS Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China)

机构地区：[1]浙江省疾病预防控制中心艾滋病性病预防控制所,浙江杭州310051

出　　处：《预防医学》2022年第11期1091-1095,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省卫生健康科技计划项目(2021RC048)。

摘　　要：目的了解浙江省16~24岁男男性行为人群(MSM)多性伴行为及其影响因素,为制定青少年MSM综合干预措施提供依据。方法于2021年通过社会组织参与艾滋病防治基金项目(CAFNGO)管理信息系统收集浙江省16~24岁MSM的人口学信息、性行为和HIV检测资料;采用多因素logistic回归模型分析16~24岁MSM多性伴行为的影响因素。结果调查1253人,年龄为(21.16±2.06)岁;未婚1219人,占97.29%;大专及以上学历807人,占64.61%。近3个月有多性伴250人,占19.95%;近3个月有无保护性行为344人,占27.45%;使用过助兴剂或新型毒品71人,占5.67%;不了解性伴HIV感染状况511人,占40.78%;有性病感染症状或诊断为性病28人,占2.23%;检出HIV阳性35例,占2.79%。多因素logistic回归分析结果显示,年龄(19岁~,OR=2.563,95%CI:1.404~4.679;22~24岁,OR=2.149,95%CI:1.180~3.913)、近3个月有无保护性行为(OR=5.338,95%CI:3.938~7.237)、近3个月使用过助兴剂或新型毒品(OR=3.669,95%CI:2.142~6.286)、不了解性伴HIV感染状况(OR=1.402,95%CI:1.032~1.903)和HIV检测阳性(OR=2.763,95%CI:1.298~5.880)是16~24岁MSM多性伴的影响因素。结论16~24岁MSM多性伴与年龄、无保护性行为、助兴剂或新型毒品使用、不了解性伴HIV感染状况等因素有关。Objective To investigate the factors affecting multiple sexual partner behaviors among men who have sex with men(MSM)at ages of 16 to 24 years in Zhejiang Province,so as to provide the evidence for formulating the inte⁃grated interventions for HIV/AIDS among adolescents.Methods The demographic features,sexual behaviors and HIV testing were collected from MSM at ages of 16 to 24 years in Zhejiang Province through the Management Information System of China AIDS Fund for Non-governmental Organizations(CAFNGO)in 2021.The factors affecting multiple sexu⁃al partner behaviors were identified among MSM at ages of 16 to 24 years using a multivariable logistic regression mod⁃el.Results A total of 1253 participants were enrolled,with a mean age of(21.16±2.06)years.There were 1219 un⁃married respondents(97.29%),807(64.61%)with diploma and above,250(19.95%)with multiple sexual partners dur⁃ing the past 3 months,344(27.45%)with unprotected sexual behaviors in the past 3 months,71(5.67%)that had used rush or new drugs,511(40.78%)that were unaware of their sexual partners'HIV infections,28(2.23%)with symptoms or diagnosis of sexually transmitted diseases,and 35(2.79%)with positive HIV testing.Multivariable logistic regression analysis identified age(19 years-,OR=2.563,95%CI:1.404-4.679;22 to 24 years,OR=2.149,95%CI:1.180-3.913),having unprotected sexual behaviors in the past 3 months(OR=5.338,95%CI:3.938-7.237),having used rush or new drugs in the past 3 months(OR=3.669,95%CI:2.142-6.286),unaware of sexual partners'HIV infections(OR=1.402,95%CI:1.032-1.903),and positive HIV tests(OR=2.763,95%CI:1.298-5.880)as factors affecting multiple sexu⁃al behaviors among MSM at ages of 16 to 24 years.Conclusions The multiple sexual behaviors correlate with age,un⁃protected sexual behaviors,use of rush or new drugs and unawareness of sexual partners'HIV infections among MSM at ages of 16 to 24 years.

关 键 词：男男性行为人群 多性伴 艾滋病 青少年 

分 类 号：R512.91[医药卫生—内科学]