乌鲁木齐市MSM的性伴特征与高危性行为分析

发布时间：2018-07-01 08:55

本文选题：男男性行为人群 + 性伴特征　；参考：《中国艾滋病性病》2015年05期

【摘要】：目的了解男男性行为人群(MSM)的性伴特征及高危性行为情况,探讨艾滋病病毒(HIV)在该人群中传播及向普通人群传播的模式,为针对性开展MSM高危性行为干预提供依据。方法通过网络、现场和社会小组同伴推动法招募研究对象,进行问卷调查、采血和检测。结果 857名调查者中,87人(10.2%)近6个月与固定异性发生过性行为,高危行为发生率73.6%(64/87);3人(0.4%)有非固定异性性伴。同性性伴类型中,173人(20.2%)有固定男性伴,631人(73.6%)有多次或偶遇男性伴,33人(3.9%)购买过商业性服务,15人(1.8%)提供过商业性服务。与以上四种性伴发生性行为中,高危性行为的发生率依次为22.5%(39/173)、54.5%(344/631)、15.2%(5/33)、33.3%(5/15)。近6个月735人(85.8%)有2种以上性伴类型。有固定男性伴的MSM发生多次或偶遇性行为、购买商业性行为、提供商业性行为的比例,分别低于没有固定男性伴的MSM(P0.01,P=0.012,P=0.049)。结论 MSM的性伴类型复杂,性伴人数众多,高危性行为发生率高,不仅使HIV在MSM中容易传播,且使该人群成为艾滋病传播的桥梁人群,增加了HIV向普通人群传播的风险,需加强知识宣传和行为干预。
[Abstract]:Objective to investigate the characteristics of sex partners and high-risk sexual behaviors in MSM, and to explore the mode of HIV transmission from MSM to the general population, so as to provide evidence for the intervention of MSM. Methods through the network, field and social group peer-driven method to recruit research objects, questionnaire survey, blood collection and detection. Results 87 (10.2%) of 857 respondents had sex with a fixed heterosexual sex in the past 6 months. The incidence of high risk behaviors was 73.6% (64 / 87) and 3 (0.4%) had unfixed heterosexual partners. Of the same-sex partners, 173 (20.2%) had regular male partners (73.6%), 33 (3.9%) had purchased commercial sexual services, and 15 (1.8%) had purchased commercial sexual services. Among the four sexual partners, the incidence of high-risk sexual behavior was 22.5% (39 / 173) or 54.5% (344 / 631) or 15.2% (5 / 33) or 33.3% (5 / 15). 735 people (85.8%) had more than two types of sexual partners in the past 6 months. MSM with fixed male partners had multiple or accidental sexual intercourse, and the proportion of buying commercial sex and providing commercial sex was lower than that of MSM without fixed male partner (P0.01P0.012P0. 049). Conclusion MSM has complex types of sexual partners, large number of partners and high incidence of high-risk sexual behaviors, which not only makes HIV spread easily in MSM, but also makes this population become a bridge for HIV transmission, and increases the risk of HIV transmission to the general population. Knowledge promotion and behavioral intervention need to be strengthened.
【作者单位】：新疆维吾尔自治区疾病预防控制中心性病艾滋病预防控制中心;新疆医科大学公共卫生学院;
【基金】：国家“十二五”科技重大专项(2013ZX10004907) 中美艾滋病防治合作项目(5U2GPS001188)~~
【分类号】：R512.91

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