男男性行为人群无保护肛交行为的影响因素分析  

Influencing factors for unprotected anal intercourse among men who have sex with men

作　　者：常恬悦 王丽娟 宋亮[2] 姜树林[2] 丁海峰[2] 高彦杰[2] 李欣格[2] 刘英杰 CHANG Tianyue;WANG Lijuan;SONG Liang;JIANG Shulin;DING Haifeng;GAO Yanjie;LI Xinge;LIU Yingjie(School of Public Health,Baotou Medical College,Inner Mongolia University of Science and Technology,Baotou,Inner Mongolia 014000,China;Chaoyang District Center for Disease Control and Prevention,Beijing 100020,China)

机构地区：[1]内蒙古科技大学包头医学院公共卫生学院,内蒙古包头014000 [2]北京市朝阳区疾病预防控制中心,北京100020

出　　处：《预防医学》2025年第3期233-236,242,共5页China Preventive Medicine Journal

摘　　要：目的了解男男性行为人群(MSM)无保护肛交行为的影响因素,为有针对性地开展MSM人群高危行为干预提供依据。方法2024年3—5月在北京市“淡蓝公益”组织的HIV抗体检测点,采用方便抽样方法抽取近6个月内发生过同性肛交行为的MSM人群为研究对象,采用问卷调查收集人口学信息、近6个月无保护肛交行为及接受艾滋病干预情况等资料;采用多因素logistic回归模型分析无保护肛交行为的影响因素。结果调查322人,年龄为(32.00±8.26)岁;大专及以上文化程度271人,占84.16%;职业为企事业单位或政府职员171人,占53.11%。恋爱/婚姻状况为单身189人,占58.70%;有同性伴侣90人,占27.95%;有异性伴侣或已婚43人,占13.35%。近6个月内有无保护肛交行为252人,占78.26%。多因素logistic回归分析结果显示,恋爱/婚姻状况为有同性伴侣(OR=1.995,95%CI:1.014~3.927)、有异性伴侣或已婚(OR=3.081,95%CI:1.087~8.731)和职业为一般体力劳动者(OR=2.954,95%CI:1.020~8.557)的MSM人群更可能有无保护肛交行为。结论MSM人群无保护肛交行为比例较高,主要影响因素为恋爱/婚姻状况和职业,需加强安全套使用宣传和干预。Objective To investigate the influencing factors for unprotected anal intercourse(UAI)among men who have sex with men(MSM),so as to provide the reference for formulating intervention strategies for high-risk behaviors among MSM.Methods The MSM who had engaged in anal intercourse with men in the past six months were recruited at a HIV testing site of the"Danlan Public Welfare"organization in Beijing Municipality using the convenient sampling method from March to May 2024.Demographic information,UAI in the past six months and the situation of receiving AIDS intervention were collected through questionnaire surveys.Factors affecting UAI were analyzed using a multivariable logistic regression model.Results A total of 322 MSM were surveyed,with an average age of(32.00±8.26)years.There were 271 MSM(84.16%)with an educational level of college or above,171 MSM(53.11%)employed in enterprises,institutions,or government sectors.In terms of the relationship/marital status,189 MSM were single(58.70%),90 had same-sex partners(27.95%),and 43 had opposite-sex partners or were married(13.35%).In the past six months,252 MSM had UAI(78.26%).Multivariable logistic regression analysis showed that the MSM with same-sex partners(OR=1.995,95%CI:1.014-3.927),with opposite-sex partners or who were married(OR=3.081,95%CI:1.087-8.731),and employed in physical labor(OR=2.954,95%CI:1.020-8.557)were more likely to have UAI.Conclusions The prevalence of UAI among MSM is relatively high.The main influencing factors are relationship/marital status and occupation.There is a need to strengthen the promotion and intervention of condom use.

关 键 词：男男性行为人群 无保护肛交行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]