绵阳市男男性行为者性感觉寻求与危险行为的关系  

Relationship between sexual sensation seeking and risky behaviors among men who have sex with men in Mianyang City

作　　者：何静[1] 王毅[1] 樊静[2] 熊军[3] 杜婵娟 黄丽 贾修伟 李伟 刘晓琴 任延飞 HE Jing;WANG Yi;FAN Jing;XIONG Jun;DU Chanjuan;HUANG Li;JIA Xiuwei;LI Wei;LIU Xiaoqin;REN Yanfei(Mianyang Municipal Center for Disease Control and Prevention,Mianyang 621000,Sichuan,China;Mianyang Gay Care Group,Mianyang 621000,Sichuan,China;Mianyang City Fucheng District Center for Disease Control and Prevention,Mianyang 621000,Sichuan,China;Mianyang City Youxian District Center for Disease Control and Prevention,Mianyang 621000,Sichuan,China;Santai County Center for Disease Control and Prevention,Santai 621100,Sichuan,China;Beichuan Qiang Minority Autonomous County Center for Disease Control and Prevention,Beichuan 622750,Sichuan,China;Mianyang City Anzhou District Center for Disease Control and Prevention,Mianyang 622650,Sichuan,China;Zitong County Center for Disease Control and Prevention,Zitong 622150,Sichuan,China;Yanting County Center for Disease Control and Prevention,Yanting 621600,Sichuan,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 [3]绵阳市涪城区疾病预防控制中心,四川绵阳621000 [4]绵阳市游仙区疾病预防控制中心,四川绵阳621000 [5]三台县疾病预防控制中心,四川三台621100 [6]北川羌族自治县疾病预防控制中心,四川北川622750 [7]绵阳市安州区疾病预防控制中心,四川绵阳622650 [8]梓潼县疾病预防控制中心,四川梓潼622150 [9]盐亭县疾病预防控制中心,四川盐亭621600

出　　处：《中国艾滋病性病》2023年第9期972-975,共4页Chinese Journal of Aids & STD

基　　金：社会组织参与艾滋病防治基金项目(2021-2022510700PYDMSM440418)。

摘　　要：目的了解MSM性感觉寻求与危险行为的关系。方法2022年1-12月,用“滚雪球”抽样法,对四川省绵阳市MSM进行性感觉寻求和危险行为等的问卷调查。用Pearson相关、偏相关、多因素Logistic回归模型分析性感觉寻求与危险行为的关系。结果共计收到有效问卷963份,性感觉寻求得分平均(25.2±3.909)分。性感觉寻求在HIV感染者与非感染者得分差异无统计学意义(P>0.05),梅毒感染者高于非梅毒感染者(t=-2.038,P=0.042)。多因素分析结果显示,在控制一般人口学特征后,随性感觉寻求得分增加,MSM使用rush poppers(a OR=1.068)、遭遇暴力(a OR=1.206)和发生多性伴(a OR=1.041)、高频率肛交(a OR=1.087)、无保护肛交(a OR=1.081)的可能增大。结论MSM性感觉寻求与危险行为有关,高水平性感觉寻求者更趋于发生危险行为,增大HIV感染风险,要针对性开展健康教育和行为干预。Objective To understand the relationship between sexual sensation seeking and risky behaviors among men who have sex with men(MSM).Methods From January to December,2022,sexual sensation seeking and risk behavior questionnaire investigation was conducted among MSM in Mianyang City,Sichuan Province,with the"snowball"sampling method.Pearson correlation,partial correlation,and multivariate logistic regression model were used to analyze the relationship between sexual sensation seeking and risky behaviors.Results A total of 963 valid questionnaires and the average score of sexual sensation seeking was 25.2±3.909.The difference in the sexual sensation seeking scores was not statistically significant between HIV-infected and non-infected respondents(P>0.05),and was higher in the syphilis-infected respondents than in the non-syphilis-infected ones(t=-2.038,P=0.042).Multivariate analysis showed that after controlling for demographic characteristics,the possibility of rush poppers abuse(aOR=1.068),experiencing violence(aOR=1.206),having multiple sexual partners(aOR=1.041),anal intercourse with high frequency(aOR=1.087),and unprotected anal intercourse(aOR=1.081)increased with the increasing of sexual sensation seeking scores.Conclusions Sexual sensation seeking among MSM is related with risky behaviors.Those with high scores of sexual sensation seeking are more likely to engage in risky behaviors,which increase the risk of HIV infection.Targeted health education and behavior intervention should be carried out.

关 键 词：男男性行为者 性感觉寻求 危险行为 艾滋病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R512.91[医药卫生—临床医学]