张震, 李静, 陈玲娟, 徐小慧, 汪剡灵, 许圆圆, 陈潇潇. 2018年浙江省台州市男男性行为人群发生异性性行为特征及其影响因素分析[J]. 疾病监测, 2019, 34(11): 1017-1021. DOI: 10.3784/j.issn.1003-9961.2019.11.014
引用本文: 张震, 李静, 陈玲娟, 徐小慧, 汪剡灵, 许圆圆, 陈潇潇. 2018年浙江省台州市男男性行为人群发生异性性行为特征及其影响因素分析[J]. 疾病监测, 2019, 34(11): 1017-1021. DOI: 10.3784/j.issn.1003-9961.2019.11.014
Zhen Zhang, Jing Li, Lingjuan Chen, Xiaohui Xu, Shanling Wang, Yuanyuan Xu, Xiaoxiao Chen. Characteristics of heterosexual behaviors and associated factors in men who have sex with men in Taizhou, Zhejiang, 2018[J]. Disease Surveillance, 2019, 34(11): 1017-1021. DOI: 10.3784/j.issn.1003-9961.2019.11.014
Citation: Zhen Zhang, Jing Li, Lingjuan Chen, Xiaohui Xu, Shanling Wang, Yuanyuan Xu, Xiaoxiao Chen. Characteristics of heterosexual behaviors and associated factors in men who have sex with men in Taizhou, Zhejiang, 2018[J]. Disease Surveillance, 2019, 34(11): 1017-1021. DOI: 10.3784/j.issn.1003-9961.2019.11.014

2018年浙江省台州市男男性行为人群发生异性性行为特征及其影响因素分析

Characteristics of heterosexual behaviors and associated factors in men who have sex with men in Taizhou, Zhejiang, 2018

  • 摘要:
    目的了解浙江省台州市男男性行为者(MSM)发生异性性行为的相关特征及其影响因素,为进一步开展针对MSM人群的艾滋病宣传教育工作提供参考依据。
    方法于2018年4 — 8月对台州市半年内有过男男同性肛交或口交性行为的MSM人群开展问卷调查,获得MSM人群发生异性性行为的人口学特征、性行为学特征以及艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)感染情况,应用多因素logistic回归探究MSM人群发生异性性行为的影响因素。
    结果400名MSM中,已婚者占45.0%(180/400),自认为性取向是非完全同性恋者占46.7%(187/400),半年内发生过异性性行为(MSMW)和未发生过异性性行为(MSMO)者分别占32.8%(131/400)和67.2%(269/400),HIV、梅毒和HCV的感染率分别为10.3%(41/400)、6.0%(24/400)和0.8%(3/400),且在MSMW和MSMO组间感染率差异均无统计学意义(均P>0.05)。 在半年内兼有异性性行为和同性肛交性行为者中,每次异性性行为从未使用安全套和最近一次与异性性行为时未使用安全套的比例均高于每次同性肛交性行为从未使用安全套和最近一次与同性肛交性行为未使用安全套的比例(50.5% 和4.0%,58.6% 和 18.2%)。 经logistic回归分析发现,婚姻状况和性取向是影响MSM人群发生异性性行为的因素。
    结论台州市MSM人群HIV感染率较高,发生异性性行为时安全套使用率较低,且已婚和非完全同性恋者发生异性性行为的可能性更大。 应加强对已婚和非完全同性恋的MSM异性性行为的干预,提高安全套使用自我效能,倡导安全性行为。

     

    Abstract:
    ObjectiveTo explore the characteristics of heterosexual behaviors and associated factors in men who have sex with men (MSM) in Taizhou of Zhejiang province, and provide references for further health education about AIDS in MSM.
    MethodsQuestionnaire survey was carried out in MSM who had anal or oral homosexual behaviors from April to August in 2018 in Taizhou to obtain the information about their heterosexual behaviors in terms of demographic or sexual behavior characteristics and HIV, syphilis and hepatitis C virus (HCV) infection rates. Multivariate logistic regression analysis was carried out to explore associated factors of heterosexual behaviors in MSM.
    ResultsA total of 400 MSM were included for analysis. Among them 45.0% (180/400) were married, 46.7% (187/400) thought they were bisexual in sex orientation, 32.8% (131/400) had heterosexual behaviors and 67.2% (269/400) had no heterosexual behaviors within six months. The infection rates of HIV, syphilis and HCV were 10.3% (41/400), 6.0% (24/400) and 0.8% (3/400), respectively. There were no significant differences in infection rates between MSM with heterosexual behaviors and MSM without heterosexual behaviors (all P>0.05). In those who had both heterosexual behaviors and homosexual anal intercourses within six months, the rates of never using condom in each heterosexual activity and using no condom in the last heterosexual behavior were higher than those in homosexual anal intercourse behaviors (50.5% and 4.0%, 58.6% and 18.2%). The multivariate logistic regression analysis results showed that associated factors of heterosexual behaviors in MSM were being married and bisexual orientation.
    ConclusionThe HIV infection rate was high in MSM in Taizhou. The condom use rate was lower in MSM who have heterosexual behaviors. MSM who were married and bisexual in sex orientation were more likely to have heterosexual behaviors. Intervention should be strengthened and safe sexual behavior using condom should be promoted in MSM who were married and bisexual in sex orientation

     

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