杭州市某同性恋浴池男男性行为者首次前往的影响因素  

Influencing factors of the first visit of men who have sex with men at a gay bathhouse in Hangzhou

作　　者：陈卫永[1] 周欣[1] 陈婉君 郭志宏[1] 姜婷婷[1] 杨介者[1] 柴程良[1] Chen Weiyong;Zhou Xin;Chen Wanjun;Guo Zhihong;Jiang Tingting;Yang Jiezhe;Chai Chengliang(AIDS and STDs Prevention and Control Institute,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China)

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

出　　处：《国际流行病学传染病学杂志》2022年第6期386-392,共7页International Journal of Epidemiology and Infectious Disease

基　　金：浙江省医药卫生科技计划(2020RC051);浙江省卫生健康科技计划(2021KY617、2021KY623)。

摘　　要：目的了解影响杭州市某同性恋浴池活动的男男性行为者(men who have sex with men,MSM)首次前往的相关因素,为针对该人群开展有效的干预工作提供依据。方法2015年10月至2016年1月,在杭州市某同性恋浴池内对进行性活动的MSM开展横断面调查,招募近6个月内与男性发生口交性行为或肛交性行为的MSM,通过一对一调查收集其性行为以及其他相关信息。使用Logistic回归模型分析MSM首次前往同性恋浴池的影响因素。结果共调查465名MSM,其中首次前往同性恋浴池125人,占26.9%,年龄(38.68±12.48)岁。多因素Logistic分析结果表明,近6个月接受过宣传干预(OR=2.72,95%CI:1.39~5.30)、近6个月接受过HIV抗体检测(OR=2.86,95%CI:1.68~4.84)、与男性初次性交年龄>40岁组(OR=2.87,95%CI:1.04~7.94)、31~40岁组(OR=3.77,95%CI:1.52~9.38)、21~30岁组(OR=2.73,95%CI:1.31~5.67)均是首次前往某同性恋浴池MSM的危险因素。与仅通过同性恋浴池寻找性伴侣者比较,通过同性恋浴池+家中聚会/宾馆/酒吧/公园/其他途径(OR=0.46,95%CI:0.26~0.84)以及同性恋浴池+社交媒体寻找性伴侣(OR=0.37,95%CI:0.19~0.72)是首次前往某同性恋浴池MSM的保护因素。结论MSM首次前往杭州市某同性恋浴池的危险因素包括:近6个月接受过HIV宣传教育及抗体检测,以及与男性初次性行为年龄>20岁。多途径寻找男性性伴侣则是其保护因素。Objective To understand the factors related to the first visit of men who have sex with men(MSM)at a gay bathhouse in Hangzhou,so as to provide a basis for effective interventions targeting this population.Methods From October 2015 to January 2016,a cross-sectional survey was conducted among MSM who engaged in sex at a bathhouse in Hangzhou.MSM who had oral or anal sex with men in the last 6 months were recruited,and data on their sexual behavior and other information was collected through a one-on-one survey.Factors influencing the first visit to the bathhouse were analyzed using a Logistic regression model.Results A total of 465 MSM were surveyed,of whom 125(26.9%)were first-time visitors aged(38.68±12.48)years.Multivarial Logistic analysis showed that those who had received HIV education in the last 6 months(OR=2.72,95%CI:1.39-5.30),had received an HIV antibody test in the last 6 months(OR=2.86,95%CI:1.68-4.84),the age group of the first sex with men>40 years(OR=2.87,95%CI:1.04-7.94),31-40 years group(OR=3.77,95%CI:1.52-9.38),21-30 years group(OR=2.73,95%CI:1.31-5.67)were the risk factors for the first visit to a gay bathhouse.Sexual partner searching through bathhouse and other means such as family party/hotel/bar/park(OR=0.46,95%CI:0.26-0.84),as well as through bathhouse and social media(OR=0.37,95%CI:0.19-0.72),were protective factors compared with those who looked for sexual partner through bathhouse only.Conclusions The risk factors of the first visit of MSM at a gay bathhouse in Hangzhou include access to HIV education and antibody testing in the last 6 months,the age of the first sexual behavior with men over 20 years.Seeking male partners by multiple means is a protective factor.

关 键 词：HIV 男男性行为者 同性恋浴池 行为特征 危险因素 回归分析 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]