山西省男男性行为者新精神活性物质使用现况与艾滋病性病感染相关因素分析  

Current status of novel psychoactive substance use and factors related to HIV and sexually transmitted diseases among men who have sex with men in Shanxi

作　　者：赵田 王静[2] 黄钰 李慧咏 秦玉明 傅更锋 ZHAO Tian;WANG Jing;HUANG Yu;LI Huiyong;QIN Yuming;FU Gengfeng(School of Public Health,Nanjing Medical University,Nanjing 211166,Jiangsu,China;Jincheng Center for Disease Prevention and Control,Jincheng 048000,Shanxi,China;Jiangsu Provincial Center for Disease Prevention and Control,Nanjing 210009,Jiangsu,China)

机构地区：[1]南京医科大学公共卫生学院,南京211166 [2]晋城市疾病预防控制中心,山西晋城048000 [3]江苏省疾病预防控制中心,南京210009

出　　处：《中国艾滋病性病》2024年第3期275-281,共7页Chinese Journal of Aids & STD

摘　　要：目的了解山西省MSM新精神活性物质使用状况与艾滋病性病感染的相关影响因素,为MSM艾滋病精准防控提供依据。方法2022年9月至2023年10月,在山西省晋城、临汾和长治市通过面对面访谈、网络调查的形式收集MSM相关信息。采用SPSS 23.0统计软件分析数据,分别使用Pearsonχ^(2)检验和Logistic回归分析进行单因素和多因素分析。结果共收取724份有效问卷,MSM新精神活性物质使用率为27.49%(199人),HIV感染率为7.73%(56人);性病检测阳性126人(17.40%),不同性病阳性率分别为:梅毒6.49%(47人),生殖道沙眼衣原体8.43%(61人),淋球菌4.56%(33人)。校正年龄、婚姻状况、文化程度后,多因素Logistic回归分析结果显示,MSM最近6个月内发生同性商业性性行为、最近6个月内发生同性无保护性肛交、最近6个月内使用新精神活性物质、既往进行HIV检测者HIV感染风险高,文化程度为大专/本科及以上人群的HIV感染风险低;最近6个月内发生同性无保护性肛交、最近6个月内发生同性商业性性行为、使用新精神活性物质的MSM感染性病的风险高。结论山西省研究地区MSM新精神活性物质的使用率较高,是感染艾滋病性病的高风险人群,应加强该人群的艾滋病宣传教育、干预以及HIV/STD检测工作,通过MSM同伴教育来引导该人群坚持正确使用安全套从而减少高危性行为的发生。Objective To determine the use of novel psychoactive substances by men who have sex with men(MSM)in Shanxi and to explore the association between substance use and HIV and sexually transmitted disease(STD)infection,so as to provide references for HIV/AIDS prevention and control policy making.Methods From September 2022 to October 2023,participants were recruited through face-to-face interviews and online surveys in Jincheng,Linfen,and Changzhi of Shanxi Province.Data analysis was conducted using SPSS 23.0.Univariate analysis was performed using the Pearson chi-square test,while multivariate analysis was conducted using logistic regression.Results A total of 724 valid questionnaires were collected.Out of the total number of respondents,199(27.49%)reported novel psychoactive use,while 56 were HIV positive(7.73%).A total of 126 individuals(17.40%)tested positive for STD,with the following positivity rates for different sexually transmitted infections:syphilis at 6.49%(47 individuals),Chlamydia trachomatis in the genital tract at 8.43%(61 individuals),and Neisseria gonorrhoeae at 4.56%(33 individuals).After adjusting for age,marital status,and educational level,the results of the multivariate logistic regression analysis indicated that MSM who had engaged in commercial homosexual activities,unprotected anal intercourse with same-sex partners,or who had used novel psychoactive substances in the past six months,as well as those who had previously been tested for HIV,had a higher risk of HIV infection.Individuals with educational levels of junior college/bachelor's degree or higher education levels were associated with a lower risk of HIV infection.MSM who engaged in unprotected anal intercourse with same-sex partners,commercial homosexual activities,or used novel psychoactive substances in the past six months were at a higher risk of contracting sexually transmitted infections.Conclusions The prevalence of novel psychoactive substance use among MSM in Shanxi was relatively high,identifying them as a high-risk group for

关 键 词：男男性行为者 新精神活性物质 艾滋病病毒感染 性病感染 相关危险因素 

分 类 号：R512.91[医药卫生—内科学]