HIV阳性MSM的社会行为及首次同性性行为到阳性时间的影响因素分析  

Social behaviors of HIV positive MSM and influencing factors of time duration from their first homosexual intercourse to positive reportt

作　　者：王毅[1] 樊静[2] 何静[1] 舒亚[1] 杨红[1] 李川 WANG Yi;FAN Jing;HE Jing;SHU Ya;YANG Hong;LI Chuan(Mianyang Center for Disease Prevention and Control,Mianyang 621000,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6621000

出　　处：《中国健康教育》2024年第5期461-466,共6页Chinese Journal of Health Education

基　　金：中美艾滋病防治合作项目(6.3.3.3);四川省财政补助艾滋病防治项目(ZC2015007,SCWJWZC2016013)。

摘　　要：目的了解艾滋病病毒(HIV)阳性男男性行为者(MSM)的社会行为特征,分析首次同性性行为到阳性时间的影响因素。方法收集2007—2022年绵阳市疾病预防控制中心新确证并实施首次流行病学调查的阳性MSM资料,阳性时间的影响因素分析采用χ^(2)检验和Logistics回归模型。结果共收集有效资料457份,自认性取向成因属先天因素63.95%、后天因素36.05%,首次同性性行为性伴来源互联网60.54%、朋友等39.46%。首次同性性行为年龄平均23.95岁,发生阶段为在校学生44.64%、工作后55.36%。53.75%使用过rush poppers。阳性时间平均5.25年。多因素分析结果,职业学生/商业服务/无业(OR=1.868)、首次同性性行为发生在在校学生阶段(OR=1.555)者阳性时间短的可能更大,婚姻状况在婚及其他(OR=0.566)、固定性伴数≥3人(OR=0.553)、偶遇性伴数≥5人(OR=0.457)者阳性时间短的可能更小。结论阳性MSM多自认其性取向属先天因素,首次同性性行为的性伴来源互联网、发生在工作后和使用新型毒品较为普遍。阳性时间与婚姻状况、首次同性性行为发生阶段及性伴数量相关联。要针对性强化健康教育和行为干预。Objective To investigate the social behavior characteristics of HIV-positive(hereafter referred to as positive)men who have sex with men(MSM),and to analyze the factors associated with time duration from their first homosexual sexual behavior to HIV positive report.Methods Data were collected from positive MSM newly diagnosed and underwent their first epidemiological investigation for the first time at the Mianyang Center for Disease Control and Prevention from 2007 to 2022.x test and logistics regression model were used to analyze factors associated with time duration from their first homosexual sexual behavior to HIV positive report.Results A total of 457 valid data were collected,63.95% of them reported congenital sexual orientation and 36.05% reported acquired sexual orientation.64% of participants searched for their first homosexual sexual partner through the internet,and 39.46% through friends or others.The average age that participants engaged in their first homosexual sexual behavior was 23.95 years old,and 44.64% of them reported they were still as student while 55.36% of them as worker at that moment.Additionally,53.75% of participants reported rush poppers use.The average time duration was 5.25 years.Results from multivariate analysis revealed that students,individuals in business services,and unemployed individuals(OR=1.868)as well as individuals who experienced their first homosexual sexual behavior during their school years(OR=1.555)were more likely to have shorter time duration.On the other hand,individuals who were married or in other types of partnerships(OR=0.566),those with three or more steady sexual partners(OR=0.553),and those with five or more casual sexual partners(OR=0.457)were less likely to have shorter time duration.Conclusion Positive MSM often showed congenital sexual orientation.Finding sexual partners through the Internet for their first homosexual sexual behaviors,occurring after starting work,and using new drugs are common.Positive time duration is correlated with marital status,

关 键 词：男男性行为者 艾滋病病毒 社会行为 阳性时间 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]