北京市男男性行为者固定性伴情况及影响因素分析  

Analysis of the regular sexual partners of men who have sex with men and related factors in Beijing

作　　者：李东亮 毕若萌 张浩然 焦薇[3] LI Dong-liang;BI Ruo-meng;ZHANG Hao-ran;JIAO Wei(Daxing District Center for Disease Prevention and Control,Beijing 102699,China)

机构地区：[1]北京市大兴区疾病预防控制中心,102699 [2]厦门大学公共卫生学院 [3]北京市朝阳区疾病预防控制中心

出　　处：《首都公共卫生》2023年第2期104-108,共5页Capital Journal of Public Health

基　　金：科技部十三五项目国家科技重大专项(编号:2018ZX10715-005-002-003)。

摘　　要：目的了解男男性行为者固定性伴的情况,分析固定性伴的影响因素。方法通过互联网以及社群组织发布问卷调查,运用χ^(2)检验进行单因素分析,logistics回归进行多因素分析。结果共招募男男性行为者(MSM)405人,59.75%有固定性伴;第一次发生插入性性行为时平均年龄为(21.3±3.4)岁;第一个性伴为男性占76.79%;最近3个月,与男性发生过肛交性行为占77.28%,发生过无保护肛交行为占27.90%,有临时性伴占49.38%,发生性行为时使用过Rush占19.01%。多因素分析结果显示,近3个月是否与男性发生肛交性行为、是否有无保护肛交行为、是否有临时性伴和是否发生性行为时使用过Rush是固定性伴的影响因素(P<0.05)。近3个月与男性发生过肛交性行为、无保护肛交行为(OR=3.445,95%CI:1.762~6.738)和发生性行为时使用Rush(OR=2.195,95%CI:1.118~4.312)的MSM人群更容易有固定性伴;而有临时性伴人群以及学生人群(相较于全职人员)则倾向于没有固定性伴。结论北京市MSM人群中有固定性伴者占比较大,且固定性伴受多种因素影响。应针对MSM人群特征开展行为干预和健康教育,减少Rush的使用和无保护肛交行为,控制HIV传播。Objective To understand the state of regular sexual partners of men who have sex with men(MSM),and to analyze the influencing factors.Methods Questionnaire surveys were carried out via internet and social organizations.Univariate analysis was performed byχ^(2) test and multivariate analysis was performed by logistic regression.Results A total of 405 MSM were recruited.Among them,59.75%had regular sexual partners,the average age when they had first penetrative sex was 21.3±3.4 years.The proportion of the respondents whose first sexual partners was male was 76.79%.In past three months,77.28%had a history of anal intercourse with men,27.90%had a history of unprotected anal intercourse(UAI),49.38%had temporary sexual partners and 19.01%used“Rush”during sex.Multivariate analysis showed having anal sex with men,having UAI,using“Rush”during sex and having temporary sexual partners in past three months were the influencing factors of regular sexual partners(P<0.05).Those who had a history of anal sex with men,those who had a history of UAI(OR=3.445,95%CI:1.762-6.738)and those who used“Rush”during sex(OR=2.195,95%CI:1.118-4.312)in past three months were more likely to have regular sexual partners,while those who had temporary sexual partners and students(compared to full-time workers)were less likely to have regular sexual partners.Conclusions In Beijing,the percentage of having regular sexual partners in MSM is high and affected by multiple factors.Behavior intervention and health education should be implemented according to the characteristics of MSM to cut down the use of“Rush”and UAI to control HIV transmission.

关 键 词：艾滋病 男男性行为者 固定性伴 影响因素 

分 类 号：R512.91[医药卫生—内科学]