姜叶, 林海江, 许圆圆, 汪剡灵, 陈潇潇. 2013-2016年浙江省台州市男男性行为人群同性偶遇性行为调查[J]. 疾病监测, 2019, 34(3): 260-264. DOI: 10.3784/j.issn.1003-9961.2019.03.017
引用本文: 姜叶, 林海江, 许圆圆, 汪剡灵, 陈潇潇. 2013-2016年浙江省台州市男男性行为人群同性偶遇性行为调查[J]. 疾病监测, 2019, 34(3): 260-264. DOI: 10.3784/j.issn.1003-9961.2019.03.017
Ye Jiang, Haijiang Lin, Yuanyuan Xu, Shanling Wang, Xiaoxiao Chen. Investigation of casual sex behaviors in men who have sex with men in Taizhou, Zhejiang, 2013–2016[J]. Disease Surveillance, 2019, 34(3): 260-264. DOI: 10.3784/j.issn.1003-9961.2019.03.017
Citation: Ye Jiang, Haijiang Lin, Yuanyuan Xu, Shanling Wang, Xiaoxiao Chen. Investigation of casual sex behaviors in men who have sex with men in Taizhou, Zhejiang, 2013–2016[J]. Disease Surveillance, 2019, 34(3): 260-264. DOI: 10.3784/j.issn.1003-9961.2019.03.017

2013-2016年浙江省台州市男男性行为人群同性偶遇性行为调查

Investigation of casual sex behaviors in men who have sex with men in Taizhou, Zhejiang, 2013–2016

  • 摘要:
    目的了解浙江省台州市男男性行为人群(MSM)同性偶遇性行为特征及其相关影响因素。
    方法2013年3月至2016年10月,经场所及网络形式招募MSM,通过问卷调查收集人口学、性行为等信息,并进行艾滋病病毒(HIV)检测。 使用logistic回归模型分析偶遇性行为相关因素。
    结果共调查1 499名MSM,44.23%(663/1 499)报告最近6个月发生过同性偶遇性行为,其HIV抗体阳性率为14.78%(98/663)。 近6个月有无同性偶遇性行为的MSM比较,年龄<25岁(27.15%比20.93%,χ2=7.906,P=0.005)、双性恋(44.80%比32.54%,χ2=23.602,P<0.001)、既往同性性伴数≥2位(96.53%比86.84%,χ2=42.930,P<0.001)、既往异性性伴数≥2位(60.94%比51.20%,χ2=14.200,P<0.001)的比例更高。 多因素logistic回归模型分析显示,与MSM偶遇性行为相关因素包括年龄、性取向、既往性伴数、近6个月同性肛交安全套使用频率、近6个月同性商业性行为。
    结论台州市MSM偶遇性行为比例高、性行为关系复杂,HIV感染传播风险大,应有针对性地加强该人群的干预。

     

    Abstract:
    ObjectiveTo understand the prevalence of casual sex behavior and related factors in men who have sex with men (MSM) in Taizhou, Zhejiang province.
    MethodsFrom March 2013 to October 2016, MSM were recruited from MSM venues and through internet call. The information about the demography and sex behaviors of the MSM were collected by using questionnaire and HIV test was conducted for them.
    ResultsA total of 1 499 MSM were recruited, in whom 663 (44.23%) reported casual sex in past 6 years, their HIV positive rate was 14.78%. Compared with MSM reporting no casual sex, more MSM reporting casual sex were aged <25 years (27.15% vs. 20.93%, χ2=7.906, P=0.005), had both heterosexual and homosexual behaviors (44.80% vs. 32.54%, χ2=23.602, P<0.001), had more than two homosexual partners (96.53% vs. 86.84%, χ2=42.930, P<0.001), had more than two heterosexual partners (60.94% vs. 51.20%, χ2=14.200, P<0.001). Logistic regression analysis indicated that factors associated with casual sex behavior included age, sexual orientation, number of male sexual partners, frequency of condoms use in anal sex in recent 6 months, commercial sexual behavior.
    ConclusionThe prevalence of casual sex in MSM was high in Taizhou, and their complex behaviors would result in higher HIV infection and transmission risk. It is necessary to strengthen the intervention in MSM.

     

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