绵阳市471例感染人类免疫缺陷病毒的男男同性性行为者的人口学及性行为特征分析  

Demographic and sexual behavior characteristics of 471 human immunodeficiency virus positive men who have sex with men in Mianyang city

作　　者：王毅[1] 樊静[2] 何静[1] 舒亚[1] 杨红[1] 李川 罗成瑞 WANG Yi;FAN Jing;HE Jing;SHU Ya;YANG Hong;LI Chuan;LUO Chengrui(不详;Institute for AIDS/TB Control and Prevention,Mianyang Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China)

机构地区：[1]绵阳市疾病预防控制中心艾滋病与结核病防制所,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000

出　　处：《中国病毒病杂志》2024年第1期31-36,共6页Chinese Journal of Viral Diseases

基　　金：社会组织参与艾滋病防治基金项目(2021-2022510700PYDMSM440418C);四川省财政补助艾滋病防治项目(SCWJWZC2016013)。

摘　　要：目的了解感染人类免疫缺陷病毒(human immunodeficiency virus,HIV)的男男同性性行为(men who have sex with men,MSM)人群的人口学及性行为特征。方法收集2007—2022年绵阳市疾病预防控制中心在MSM HIV检测中发现的新确证及实施结果告知的HIV感染者和艾滋病(acquired immunodeficiency syndrome,AIDS)患者的首次流行病学调查资料,采用描述性流行病学方法对其人口学、性行为特征进行统计学分析,对计数资料用率/构成比(%)进行统计学描述,不符合正态分布的计量资料用中位数M(Q_(25),Q_(75))描述。结果2007—2022年共收集绵阳市471例MSM HIV感染者和AIDS患者资料,年龄为26(21,36)岁,40.8%(192/471)为大专及以上学历、70.1%(330/471)为未婚、21.9%(103/471)为工人/农民、66.9%(315/471)为本市户籍。性角色被插入方占37.3%(160/429),插入方占13.3%(57/429),均可占49.4%(212/429)。85.6%(398/465)有固定性伴,固定性伴数量、维持时间中位数分别为3(1,3)人和7(3,15)个月。86.9%(397/457)有偶遇性伴,偶遇性伴数量中位数为5(2,10)人。有固定性伴的MSM中,每次使用安全套者占11.7%(46/394)。有偶遇性伴的MSM中,24.4%(97/397)每次使用安全套,自认安全是MSM固定性伴和偶遇性伴不使用安全套的主要原因。有7.9%(33/416)的MSM有同性商业性伴,有48.2%(209/434)的MSM有异性性伴;43.3%(13/30)的MSM同性商业性伴和12.3%(22/179)的MSM异性性伴每次使用安全套。98.3%(463/471)的MSM口交从不使用安全套,口交HIV感染率为5.5%(26/471)。15.5%(73/471)的MSM的固定性伴为HIV阳性。结论绵阳市MSM中,HIV感染者和AIDS患者年龄较小,以中高文化和未婚的本地人员为主,多性伴、无保护肛交等多种风险性行为共存。不使用安全套口交具有切实的感染风险,要有针对性地强化MSM健康教育和行为干预。Objective To investigate the demographic and sexual behavior characteristics of human immunodeficiency virus(HIV)positive men who have sex with men(MSM).Methods The first epidemiological survey data were collected among HIV infected persons and patients with acquired immune deficiency syndrome(hereinafter referred to as patients with HIV/AIDS)from 2007 to 2022 in Mianyang Center for Disease Control and Prevention who were newly confirmed in HIV testing of MSM and informed of the implementation results.Descriptive epidemiological method was used for statistical analysis of demographic and sexual behavior characteristics,and the ratio of enumeration data was statistically described,and M(Q_(25),Q_(75))was used for measurement data inconsistent with normal distribution.Results Data of 471 HIV/AIDS positive patients were collected.The age was 26(21,36)years old,40.8%(192/471)were college students or above,70.1%(330/471)were unmarried,21.9%(103/471)were workers/farmers,66.9%(315/471)were registered residents of the city.The receptive sex role was 37.3%(160/429),the inserter was 13.3%(57/429),and both were 49.4%(212/429).A total of 85.6%(398/465)had fixed sexual partners,whose median number and duration were 3(1,3),and 7(3,15)months,respectively.A total of 86.9%(397/457)had encounter partners with a median number of 5(2,10).A total of 11.7%(46/394)with regulan sex partnners and 24.4%(97/397)with casual sex partners consistently used condoms,and self-perceived safety was the main reason for not using condoms.A total of 7.9%(33/416)had same-sex commercial partners,48.2%(209/434)had heterosexual partners,43.3%(13/30)of MSM same-sex commercial partners/12.3%(22/179)of MSM heterosexual partnersused condoms every time.A total of 98.3%(463/471)never used condoms in oral sex,with an oral sex HIV prevalence of 5.5%(26/471).A total of 15.5%(73/471)fixed partners were HIV positive.Conclusions The MSM positive patients with HIV/AIDS in Mianyang city were young,mostly middle-high educated and unmarried local people.Multiple sexual

关 键 词：男男同性性行为 人类免疫缺陷病毒 艾滋病 人口学 性行为 特征 

分 类 号：R512.91[医药卫生—内科学]