摘要
目的了解成都市男男性行为人群(men who have sex with men,MSM)中性角色状况及其与安全套使用和HIV检测的关系,为发展适合MSM不同亚群特点的HIV预防干预策略提供依据。方法采用分类滚雪球抽样法招募MSM,由统一培训的调查员进行面对面的问卷调查。结果共招募MSM 191人,其中29.8%只作为或多数情况下作为插入方(1号)、31.4%只作为或多数情况下作为被插入方(0号)、38.7%作为插入方和被插入方的情况相差不多(0.5号);过去半年内与男性固定性伴肛交时,49.7%坚持使用安全套,0号与1号相较于0.5号更倾向于坚持使用安全套(0号:OR=5.43,95%CI:2.26～13.07;1号OR=3.40,95%CI:1.42～8.12);过去半年内与男性偶然性伴肛交时,58.7%坚持使用安全套,0号与1号相较于0.5号更倾向于坚持使用安全套(0号:OR=2.63,95%CI:1.01～6.83;1号OR=4.08,95%CI:1.52～10.96);最近1年内,77.0%接受过HIV检测,0.5号、1号接受HIV检测率高于0号(0.5号:OR=2.26,95%CI:1.01～5.05;1号:OR=3.42,95%CI:1.27～9.21)。结论不同肛交性角色的MSM在安全套使用和HIV检测上存在差异,可根据性角色针对性开展艾滋病防治工作。
Objective To investigate the sexual role status and its relationship with condom use and HIV-testing in men who have sex with men （ MSM）, and to provide information for the development of HIV prevention and intervention strategies for MSM of different subsets. Methods 191 MSM were recruited by snowball sampling method and anonymously investigated face to face. Results 29. 8% MSM always or in most cases conducts as insertive partners （ 1 ）, 31.4% al-ways or in most cases conducts as receptive partner （0） and 38.7% both （0. 5）. In the recent six months, 49.7% used condom consistently when they had anal intercourse with regular male sex partners, 0 and I were more likely to consistently use condom than 0. 5 （0： OR =5.43,95% CI：2.26-13.07; 1 ： OR = 3.40, 95% CI：1. 42-8. 12） ; 58.7% used condom consistently when they had anal intercourse with casual male sex partners, 0 and 1 were more likely to consistently use con- dom than 0. 5 （0： OR = 2. 63, 95% CI： 1.01-6. 83; 1 ： OR ： 4. 08, 95% CI： 1.52-10. 96） ; Within the last year, 77.0% had accepted HIV test, the rate of HIV test in 0. 5 and 1 was higher than 0 （0. 5： OR =2. 26, 95% CI：1. 01-5.05; 1 ： OR = 3.42,95% CI： 1.27-9.21 ）. Conclusions MSM who conducted different sexual roles have differences in condom use and HIV-testing. It is necessary to carry out specific interventions based on the characteristics of different sexual roles.
出处
《中华疾病控制杂志》
CAS
北大核心
2013年第5期400-403,共4页
Chinese Journal of Disease Control & Prevention
基金
成都市男男性行为人群艾滋病防治亚太试点项目
