长沙市男男性行为者异性性行为特征及影响因素分析

发布时间：2018-01-27 06:19

本文关键词： 男男性行为异性性行为人类获得性免疫缺陷综合征梅毒安全套　出处：《护理学杂志》2016年09期 　论文类型：期刊论文

【摘要】：目的了解长沙市男男性行为者(MSM)异性性行为的特征、影响因素及其HIV/梅毒感染状况,为制定阻断HIV/性传播疾病向妇女传播的干预措施提供参考。方法采取滚雪球和同伴推动抽样方法,对参加自愿咨询检测服务的MSM进行匿名问卷调查,同时抽取静脉血进行HIV和梅毒血清学检测。结果共调查MSM 604例,15.2%在最近6个月内与女性发生过性行为,其中28.0%发生异性性行为从未使用安全套,坚持每次使用安全套仅31.7%。84.8%MSM最近6个月也发生了同性性行为,6.4%从不使用安全套,56.4%有时使用安全套。最近6个月发生过异性性行为的MSM在异性性行为中安全套使用率低于同性性行为中的使用率(P0.05)。MSM的HIV和梅毒感染率分别为12.9%和7.3%。多因素Logistic回归分析显示,婚姻状况、月收入、性取向、首次性交对象是MSM异性性行为的影响因素(P0.05,P0.01)。结论 MSM有异性性行为者比例较高,且发生异性性行为时安全套使用率较低。应重点加强对已婚、月收入高、性取向为双性恋或异性恋或不确定、首次性交对象为女性的MSM安全性行为干预,以降低HIV/性传播疾病向妇女传播的风险。
[Abstract]:Objective to investigate the heterosexual characteristics of MSM in Changsha City, its influencing factors and HIV / syphilis infection. Methods the methods of snowball and peer-driven sampling were used to investigate the MSM who participated in the voluntary counseling and testing service. HIV and syphilis serological examination were carried out at the same time. Results A total of 604 cases of MSM (15.2%) had had sexual intercourse with women in the last 6 months. In 28.0% of them, heterosexual sex never used condoms, and only 31.7.84.8MSM had same-sex sex in the last six months. 6.4% never uses condoms. 56.4% condom use is sometimes used. Condom use in heterosexual MSM is lower than that in same-sex sex in the last 6 months (P0.05). The infection rates of HIV and syphilis in MSM were 12.9% and 7.3 respectively. Multivariate Logistic regression analysis showed. Marital status, monthly income, sexual orientation, and first sexual intercourse were the influencing factors of heterosexual behavior in MSM. Conclusion the rate of heterosexual sex in MSM is higher. The condom use rate is low when heterosexual sex occurs. Emphasis should be placed on MSM safe sex intervention for married, high monthly income, bisexual or heterosexual sexual orientation, and first sexual intercourse for women. To reduce the risk of HIV / STDs transmission to women.
【作者单位】：中南大学湘雅护理学院;
【基金】：国家社会科学基金青年项目(15CSH037) 2013年美国中华医学基金会护理青年教师科研基金资助项目(10-020-201310)
【分类号】：R512.91
【正文快照】： 近年来,我国男男性行为(Men Who Have Sexwith Men,MSM)HIV感染率呈迅猛上升的趋势[1]。根据我国原卫生部的报告,男性同性性传播AIDS的比例从2005年的0.4%[2]上升至2007年的3.3%[3],2009年的8.6%[4]和2011年的13.0%[5]。MSM已经成为我国HIV感染的高危人群。由于受传统家庭观念

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