应用受访者驱动抽样估计青岛市男男性行为者人群特征  

Using respondent-driven sampling to estimate the population characteristics of MSM in Qingdao

作　　者：朱丽敏 黄贵花 宋鑫[2] 傅泳 葛琳[1] 李培龙[1] 李东民[1] ZHU Limin;HUANG Guihua;SONG Xin;FU Yong;GE Lin;LI Peilong;LI Dongmin(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Qingdao municipal Center for Disease Control&Prevention,Qingdao 266033,Shandong)

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [2]青岛市疾病预防控制中心,山东青岛266033

出　　处：《中国艾滋病性病》2023年第5期544-548,共5页Chinese Journal of Aids & STD

基　　金：国家科技重大专项(2017ZX10201101-002-005)。

摘　　要：目的 估计青岛市MSM人群特征,为青岛市制定关于MSM的艾滋病防治策略和控制措施提供参考。方法 采用受访者驱动抽样(RDS)招募青岛市MSM参与调查,运用RDSAnalyst0.72中的RDS-Ⅱ估计量估计青岛市MSM人群特征。结果 共招募到MSM 671人。青岛市MSM年龄≤30岁者占62.9%(95%CI:56.5%~69.2%);73.0%(95%CI:67.5%~78.4%)的MSM在青岛市居住≥2年;60.3%(95%CI:57.4%~63.1%)的MSM认为自己感染HIV的风险低。48.5%(95%CI:41.7%~55.3%)的MSM发生首次男男性行为的年龄≤20岁;30.4%(95%CI:25.3%~36.8%)的MSM最近6个月的性伴数量≥5个;44.5%(95%CI:37.9%~51.0%)的MSM使用过毒品。互联网和社交媒体是MSM寻找男性性伴的主要场所(89.2%,95%CI:86.5%~91.9%)和方式(95.1%,95%CI:91.6%~98.5%);青岛市MSM使用社交媒体结交圈内同伴的目的以交友(69.4%,95%CI:63.2%~75.6%)、聊天(64.1%,95%CI:57.7%~70.5%)及寻找性伴(59.5%,95%CI:53.6%~65.4%)为主。研究对象中97.5%(654/671)曾进行过HIV检测,最近1次检测场所为公益机构和社会小组的占57.8%(95%CI:51.9%~63.6%)。结论 青岛市MSM首次男男性行为低龄化问题较为严重,多性伴和使用毒品的问题较为突出,互联网和社交媒体为MSM寻求性伴提供了便利,公益机构和社会小组在MSM的艾滋病干预中发挥了重要作用,青岛市应针对以上问题加强该人群的艾滋病宣传和干预力度,制定针对性的防治策略和措施。Objective To estimate population characteristics of men who have sex with men(MSM)in Qingdao,and to provide evidence for formulating HIV/AIDS prevention&control strategies and control measures for MSM.Methods Respondent-driven sampling(RDS)was used to recruit MSM in Qingdao,and the RDS-I estimator in RDS Analyst 0.72 was used to estimate the population characteristics of MSM in Qingdao.Results A total of 671 MSM in Qingdao were recruited,of which,62.9%(95%CI:56.5%-69.2%)were aged≤30 years old,73.0%(95%CI:67.5%-78.4%)had resided in Qingdao for≥2 years,and 60.3%(95%CI:57.4%-63.1%)believed they were at low risk of HIV infection.Furthermore,48.5%(95%CI:41.7%-55.3%)of the respondents had their first homosexual activity at the age of≤20 years old,30.4%(95%CI:25.3%-36.8%)had sexual partners≥5 in the past 6 months,and 44.5%(95%CI:37.9%-51.0%)had used drugs.Internet and social media were the primary places(89.2%,95%CI:86.5%-91.9%)and ways(95.1%,95%CI:91.6%-98.5%)for MSM to search for male sexual partners.The main purposes of using social media were making friends(69.4%,95%CI:63.2%-75.6%),chating(64.1%,95%CI:57.7%-70.5%),and looking for sexual partners(59.5%,95%CI:53.6%-65.4%).Among the respondents,97.5%(654/671)had been tested HIV,57.8%(95%CI:51.9%-63.6%)had the most recently HIV testing in the public welfare institutions and social groups.Conclusions The problem of the first homosexual activity among MSM at the younger age is more serious in Qingdao,and the problem of polysexual partners and drug use remains prominently.The internet and social media make it easier for MSM to seek partners,and public welfare institutions can play an important role in HIV/AIDS interventions.The HIV/AIDS publicity and intervention among MSM should be strengthened,and targeted strategies and measures should be formulated.

关 键 词：受访者驱动抽样 男男性行为者 人群特征 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]