摘要
目的调查深圳市青年男男同性性行为者(men who have sex with men,MSM)性传播感染(sexually transmitted infections,STIs)检测行为和感染状况,探索其相关影响因素。方法2019年6―12月采用滚雪球抽样方法在深圳市招募18~30岁青年MSM进行自填式问卷调查,收集该人群社会人口学、高危性行为、STIs相关咨询、检测和就诊行为等信息,采集血液和尿液样本进行STIs检测。采用χ^(2)检验和logistic回归分析MSM的STIs检测行为和感染状况的影响因素。结果共入组326名青年MSM,其中59.5%(194/326)曾检测过梅毒、淋病或生殖道沙眼衣原体1种及以上STIs,12.6%(41/326)被检测出1种及以上STIs阳性。促进青年MSM检测STIs的因素包括:用男男社交软件咨询STIs(aOR=2.21,95%CI:1.27~3.83)、检测人类免疫缺陷病毒(human immunodeficiency virus,HIV)(aOR=13.30,95%CI:6.43~27.53)、曾因STIs症状到医疗机构就诊(aOR=3.79,95%CI:1.42~10.09)、安全套破裂(aOR=5.27,95%CI:1.70~16.28)、知晓STIs预防知识(aOR=2.30,95%CI:1.26~4.20)等。曾因HIV到医疗机构就诊(aOR=2.58,95%CI:1.31~5.10)、近3个月有临时性伴(aOR=3.14,95%CI:1.59~6.23)和检测STIs种类较多(Z=-2.013,P=0.044)的青年MSM更可能检测STIs阳性。结论深圳青年MSM的STIs检测比例较低,而STIs阳性比例较高。曾因HIV到医疗机构就诊、近3个月有临时性伴和曾检测STIs种类较多的青年MSM更可能检测出STIs阳性。应通过医疗机构性病门诊和社交媒体的健康教育提高青年MSM检测意识,结合HIV筛查项目增加STIs检测种类,促进该人群检测行为,减少STIs传播。
Objective To investigate the testing and infection status of sexually transmitted infections(STIs)among young men who have sex with men(MSM)in Shenzhen,and to explore their related factors.Methods MSM aged 18-30 years were recruited from June to December 2019 using snowball sampling,and surveyed with a self-completed questionnaire to collect information regarding their sociodemographics,high-risk sexual behaviors,STIs-related counseling,testing and health-seeking behaviors.Blood and urine samples were collected for STIs testing.Chi-square test and logistic regression were used to analyze the factors associated with STIs testing behavior and infection status.Results A total of 326 young MSM were recruited,of whom 59.5%(194/326)had been detected with one or more among syphilis,gonorrhea and chlamydia trachomatis,and 12.6%(41/326)had been tested positive for one and more type of STIs.Factors that promoted young MSM to test STIs included:using MSM social application to inquire STIs-related knowledge(aOR=2.21,95%CI:1.27-3.83),having ever tested human immunodeficiency virus(HIV)(aOR=13.30,95%CI:6.43-27.53),having ever visited a healthcare facility for STIs symptoms(aOR=3.79,95%CI:1.42-10.09),having experienced condom breakage(aOR=5.27,95%CI:1.70-16.28),and having STIs prevention knowledge(aOR=2.30,95%CI:1.26-4.20).Young MSM who had ever visited a healthcare facility for HIV(aOR=2.58,95%CI:1.31-5.10),had temporary sexual partners in the past three months(aOR=3.14,95%CI:1.59-6.23)and received testing for multiple types of STIs(Z=−2.013,P=0.044)were more likely to be tested positive for STIs.Conclusions Only a small proportion of young MSM in Shenzhen receive STIs testing,but the proportion of STIs infection is high.Young MSM having visited hospital for HIV,having temporary sexual partners in the past three months,and having tested for multiple types of STIs may be more likely to be STIs positive.Sexually transmitted disease clinics services and social media should be mobilized for health education among young MSM to increase awareness of STIs testing,and the types of STIs testing should be expanded through integration with HIV screening programs,to ultimately promote STIs testing behavior and reduce the spread of STIs in young MSM.
作者
陈威英
赵乐
张晶晶
陈浩
王爽
刘思彤
罗珍胄
黄瑞贤
丁一
吴秋红
孔丹莉
CHEN Weiying;ZHAO Le;ZHANG Jingjing;CHEN Hao;WANG Shuang;LIU Sitong;LUO Zhenzhou;HUANG Ruixian;DING Yi;WU Qiuhong;KONG Danli(School of Public Health,Guangdong Medical University,Dongguan,Guangdong 523109,China;不详)
出处
《中国病毒病杂志》
CAS
2023年第3期200-206,共7页
Chinese Journal of Viral Diseases
基金
广东省基础与应用基础研究基金企业联合基金(公共卫生与医药健康领域)项目(2020A1515220196)
广东省大学生创新创业项目(S202210571107)
深圳市科技计划项目(JCYJ20210324140401004)
南山区科技计划项目(NS010)。
关键词
性传播感染
青年男男同性性行为
检测
现状
影响因素
Sexually transmitted infections
Young men who have sex with men
Testing
Status quo
Influencing factors
