浙江省发生无保护性行为的男男性行为人群使用精神活性物质情况及相关因素分析  

Prevalence of psychoactive substance use and related factors in men who have unprotected sex with men in Zhejiang Province

作　　者：姜婷婷[1] 聂传春[2] 何林[1] 马瞧勤[1] 陈婉君 王憓[1] 陈卫永[1] 郑锦雷[1] 柴程良[1] Jiang Tingting;Nie Chuanchun;He Lin;Ma Qiaoqin;Chen Wanjun;Wang Hui;Chen Weiyong;Zheng Jinlei;Chai Chengliang(Department of AIDS/STD Prevention and Control,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,China;Division of AIDS/STD/TB Prevention and Control,Jiashan County Center for Disease Control and Prevention,Jiashan 314100,China)

机构地区：[1]浙江省疾病预防控制中心艾滋病与性病预防控制所,杭州310051 [2]嘉善县疾病预防控制中心艾滋病性病结核病防控科,嘉善314100

出　　处：《中华流行病学杂志》2025年第4期695-699,共5页Chinese Journal of Epidemiology

基　　金：浙江省卫生健康科技计划(2021RC048)。

摘　　要：目的了解浙江省发生无保护性行为的MSM使用精神活性物质情况及相关因素。方法2022年1月至2023年12月通过浙江省MSM社会组织采用滚雪球抽样方法招募发生无保护性行为的MSM开展横断面调查,样本量估计为1169人。问卷调查收集研究对象社会人口学特征、性行为特征、精神活性物质使用和HIV检测等信息。采用logistic回归模型分析调查对象使用精神活性物质的相关因素。结果共招募发生无保护性行为的MSM 1914人,年龄(31.43±10.46)岁,以≤35岁(70.8%,1356/1914)、高中及以下文化程度(50.1%,960/1914)、未婚(63.5%,1216/1914)为主。最近3个月使用精神活性物质的比例为19.7%(377/1914)。多因素logistic回归分析结果显示,发生无保护性行为的MSM最近3个月使用精神活性物质的相关因素包括26~35岁(aOR=1.65,95%CI:1.24~2.19)、最近3个月性伴数≥2人(aOR=2.33,95%CI:1.82~2.97)、最近3个月被诊断为性病(aOR=2.62,95%CI:1.45~4.74)、知晓性伴HIV感染状况(aOR=2.83,95%CI:2.12~3.78)。结论浙江省发生无保护性行为的MSM精神活性物质使用比例较高,应加强该类人群的干预力度。Objective To understand the prevalence of psychoactive substance use and related factors in men who have unprotected sex with men in Zhejiang Province.Methods Men who have unprotected sex with men were recruited by snowball sampling through men who have sex with men(MSM)social organization in Zhejiang to conduct a cross-sectional investigation from January 2022 to December 2023.The sample size was estimated to be 1169 individuals.The information about their socio-demographic information,sexual behaviors,psychoactive substance use,and HIV testing were collected through on-site questionnaire survey.Logistic regression analysis model was used to analyze related factors about psychoactive substance use in this population.Results A total of 1914 men who have unprotected sex with men were included in the study,the average age of the study subjects was(31.43±10.46)years,and most of them were aged≤35 years(70.8%,1356/1914).Those with education level of high school or below accounted for 50.1%(960/1914)and those who were not married accounted for 63.5%(1216/1914).Psychoactive substance use in the past 3 months was reported in 19.7%(377/1914)of the subjects.Multivariate logistic regression analysis showed that the factors associated with psychoactive substance use in the past 3 months included age 26-35 years(aOR=1.65,95%CI:1.24-2.19),≥2 sexual partners in the past 3 months(aOR=2.33,95%CI:1.82-2.97),STD diagnosed in the past 3 months(aOR=2.62,95%CI:1.45-4.74),and awareness of the HIV infection status of sexual partners(aOR=2.83,95%CI:2.12-3.78).Conclusions The prevalence of psychoactive substance use in men who have unprotected sex with men was high in Zhejiang.It is necessary to strengthen the intervention in this population.

关 键 词：男男性行为人群 艾滋病病毒 精神活性物质 无保护性行为 

分 类 号：R512.91[医药卫生—内科学]