HIV感染男男性行为人群商业性行为特征及影响因素分析  

Analysis on the characteristics and influencing factors of commercial sexual behavior among men who have sex with men infected with HIV

作　　者：陈怀良 石波 江灿 马萍 高春梅 陈瑾 CHEN Huai-liang;SHI Bo;JIANG Can;MA Ping;GAO Chun-mei;CHEN Jin(People’s Hospital of Tianfu New District,Chengdu,Sichuan 610213,China)

机构地区：[1]四川天府新区人民医院,四川成都610213 [2]重庆市铜梁区人民医院,重庆402560

出　　处：《现代预防医学》2024年第5期925-929,942,共6页Modern Preventive Medicine

基　　金：重庆市科学技术委员会/重庆市卫生健康委员会科卫联合项目(2022QNXM052);成都市卫生健康委员会医学科研课题(2020-49);重庆市铜梁区科学技术局项目(TL2020-51)。

摘　　要：目的 描述HIV感染男男性行为人群(men who have sex with men, MSM)商业性行为特征,分析其影响因素。方法 通过重庆地区2个社会组织招募HIV感染MSM进行匿名问卷调查,采用χ^(2)检验对不同社会人口学特征、心理健康状态及行为特征的HIV感染MSM商业性行为情况进行比较,使用多因素logistic回归模型进行商业性行为影响因素分析。结果本研究共对1 501例HIV感染MSM进行调查。12.50%的调查对象报告近6个月有同性商业性行为,其中28.34%报告有无保护商业性行为。多因素logistic回归结果显示,婚姻状态为在婚/同居(OR=2.345, 95%CI:1.442~3.814)、工作状态为兼职及其他(OR=6.522, 95%CI:3.575~11.900)、月收入>5 000元(OR=7.890, 95%CI:4.254~14.634)、首次性行为年龄<18岁(OR=1.818, 95%CI:1.014~3.260)、使用同性交友软件(使用1种:OR=2.984, 95%CI:1.477~6.030;使用2种:OR=3.683, 95%CI:1.650~8.221;使用3种及以上:OR=21.777, 95%CI:8.349~56.804)、饮酒(OR=2.528, 95%CI:1.568~4.074)及使用Rush(OR=3.114, 95%CI:1.988~4.877)的HIV感染MSM更可能发生商业性行为(P<0.05)。结论 重庆市HIV感染MSM商业性行为普遍,且商业性行为中未使用安全套比例较高,应采取综合性措施,对该人群饮酒、Rush使用及商业性行为进行干预,以减少HIV、性传播疾病(sexually transmitted infections, STIs)进一步传播。Objective To describe the characteristics of commercial sexual behavior of HIV-infected men who have sex with men(MSM)and analyze its influencing factors.Methods An anonymous questionnaire survey was conducted through the recruitment of HIV-infected MSM by two social organizations in Chongqing.Theχ^(2) test was used to compare the commercial sexual behavior of HIV infected with MSM with different social demographic characteristics,mental health status,and sexual behavioral characteristics.Multivariate Logistic regression model was used to analyze the influencing factors of commercial behavior.Results A total of 1501 cases of HIV infection with MSM were investigated in this study.In total 12.50%of the respondents reported same-sex commercial sex in the past six months,of which 28.34%reported unprotected commercial sex behavior.The results of multivariate Logistic regression showed HIV-infected MSM with marital status as marriage/cohabitation(OR=2.345,95%CI:1.442-3.814),working status as part-time and others(OR=6.522,95%CI:3.575-11.900),monthly income exceeding 5000 yuan(OR=7.890,95%CI:4.254-14.634),age of first sexual intercourse less than 18 years old(OR=1.818,95%CI:1.014-3.260),using same-sex dating software(using one:OR=2.984,95%CI:1.477-6.030;using two:OR=3.683,95%CI:1.650-8.221;using 3 and above:OR=21.777,95%CI:8.349-56.804),drinking(OR=2.528,95%CI:1.568-4.074),and using Rush(OR=3.114,95%CI:1.988-4.877)were more likely to have commercial sexual behavior(P<0.05).Conclusion The commercial sexual behavior of HIV infection with MSM is common in Chongqing,and the proportion of commercial sexual behavior without condom is high.Comprehensive measures should be taken to intervene the drinking,Rush use,and commercial sexual behavior of this population in order to reduce the further spread of HIV/STIs.

关 键 词：男男性行为人群 商业性行为 HIV感染 影响因素 

分 类 号：R512.91[医药卫生—内科学] R195[医药卫生—临床医学]