摘要
目的研究MSM社区参与和安全套使用频率的关系以及性感觉寻求的调节效应。方法基于本课题组开展的MSM队列研究的基线调查数据,使用调节效应模型估计社区参与及不同参与状况对MSM安全套使用频率的影响,并分析性感觉寻求在其中的调节效应。结果纳入的1041名研究对象中,社区参与平均得分为(11.31±3.87)分,线上、线下参与平均得分分别为(5.76±2.08分)和(5.56±2.01)分,参与频率和参与感的平均得分分别为(4.83±1.88)分;(6.49±2.67)分,参与感的得分占比(48.32%)高于参与频率(32.51%)。安全套使用频率与参与感和线上社区参与呈正相关(r分别为0.08和0.06)。调节效应分析显示,性感觉寻求在社区参与和安全套使用频率的关系中存在负向调节作用(交互项系数为-0.003,95%CI:-0.004~-0.001),在参与频率(交互项系数为-0.004,95%CI:-0.007~-0.001)、线上社区参与(-0.004,95%CI:-0.008~-0.001)、线下社区参与(-0.005,95%CI:-0.008~-0.002)和安全套使用频率的关系中也呈负向调节,其分别为社区参与感与安全套使用频率的关系不受性感觉寻求的调节。结论社区参与以及不同参与状况均可增加MSM安全套使用频率,但性感觉寻求可减弱以上作用。在MSM艾滋病干预中,可通过提高其社区参与水平,尤其增强社区参与感,以增加他们使用安全套的可能性,并重点关注高性感觉寻求者。
Objective To investigate the community participation of men who have sex with men(MSM),the relationship between different participation methods and condom use frequency,including the moderating effect of sexual sensation-seeking.Methods Based on baseline survey data of an MSM cohort study conducted by the research group,a moderating effect model was used to estimate the impact of community participation and different participation methods on the frequency of MSM condom use,and the moderating effect of sexual sensation was analyzed.Results Among the 1041 research participants,the average score for community participation was 11.31±3.87,while the average scores for online and offline participation were 5.76±2.08 and 5.56±2.01,respectively.The average scores for participation frequency and participation sense were 4.83±1.88 and 6.49±2.67,respectively;the proportion of participation score(48.32%)was higher than participation frequency(32.51%).The frequency of condom use was positively correlated with participation and online community engagement(r=0.08 and r=0.06,respectively).The moderation effect analysis showed that sexual sensation seeking had a negative moderating effect on the association between community participation and condom use frequency[interaction coefficient:-0.003,95% confidence interval(CI):-0.004 to−0.001],and also had a negative moderating effect on the association between participation frequency(interaction coefficients of-0.004,95%CI:−0.007 to-0.001),online community participation(interaction coefficient:-0.004,95%CI:-0.008 to-0.001),offline community participation(interaction coefficient:-0.005,95%CI:-0.008 to-0.002)and condom use frequency.The association between community participation and frequency of condom use was not moderated by sexual sensation seeking.Conclusions Community participation and different participation methods are both protective factors that can increase the frequency of MSM condom use,but seeking sexual sensation reduces the protective effect of community participation and different participation methods.Therefore,by inhibiting MSM's sexseeking behavior or further improving MSM's community participation level,especially their sense of participation,they can increase the possibility of using condoms,therefore reducing human immunodeficiency virus infection risk.
作者
王世捷
翟萌曦
李诺
周龙辉
余清雅
熊璐
张晶磊
龚煜杰
俞斌
燕虹
WANG Shijie;ZHAI Mengxi;LI Nuo;ZHOU Longhui;YU Qingya;XIONG Lu;ZHANG Jinglei;GONG Yujie;YU Bin;YAN Hong(Department of Epidemiology and Health Statistics,School of Public Health,Wuhan University,Wuhan 430000,Hubei,China)
出处
《中国艾滋病性病》
北大核心
2025年第12期1359-1365,共7页
Chinese Journal of Aids & STD
基金
国家自然科学基金(81673196)。
