2011-2015年深圳市MSM接受同性商业性服务状况及影响因素
发布时间：2018-11-11 21:51
【摘要】：目的了解深圳市男男性行为者(MSM)接受同性商业性服务的情况及影响因素。方法于2011-2015年,应用滚雪球法和同伴推动抽样法,在深圳市招募3 040名MSM为调查对象。采用一对一问卷调查方法收集其社会人口学特征、HIV检测史、性取向、性角色、做过男性性工作者、既往接受同性商业性服务史等。采集调查对象静脉血5mL,检测梅毒螺旋体和HIV抗体。采用Cochran-Armitage趋势检验比较MSM各年既往接受同性商业性服务比例的差异;采用单因素和多因素非条件Logistic回归模型分析MSM接受同性商业性服务的影响因素。结果 3 040名调查对象中,328名MSM(10.79%)报告既往接受过同性商业性服务。3 040名MSM的梅毒、HIV、梅毒合并HIV感染率分别为18.29%(556例)、9.77%(297例)和5.07%(154例)。与普通MSM相比,接受过商业性服务的MSM的梅毒感染率、HIV感染率以及梅毒合并HIV感染率差异均无统计学意义。多因素Logistic回归分析结果显示,年龄、月收入、药物滥用史、性角色、做过男性性工作者,是MSM接受同性商业性服务的独立影响因素。结论接受同性商业性服务的MSM是预防控制艾滋病性病的重点人群,影响因素众多,应有针对性地采取干预措施。
[Abstract]:Objective to investigate the acceptance of (MSM) in MSM in Shenzhen and its influencing factors. Methods from 2011 to 2015, 3 040 MSM were recruited from Shenzhen by snowball and peer driven sampling. A one-to-one questionnaire survey was used to collect the social demographic characteristics, HIV test history, sexual orientation, sexual roles, male sex workers and previous commercial sexual services of the same sex. 5 mL venous blood was collected to detect Treponema pallidum and HIV antibody. The Cochran-Armitage trend test was used to compare the differences in the proportion of MSM accepting same-sex commercial services in each year, and the univariate and multi-factor unconditioned Logistic regression model was used to analyze the influencing factors of MSM acceptance of same-sex commercial sexual services. Results among 3 040 subjects, 328 MSM (10.79%) reported syphilis of same sex commercial sexual service. 3 040 cases of MSM had syphilis. The infection rate of HIV, syphilis combined with HIV was 18.29% (556 cases). 9.77% (297 cases) and 5.07% (154 cases). There was no significant difference in syphilis infection rate, HIV infection rate and syphilis combined with HIV infection rate in MSM who had received commercial sex service compared with normal MSM. Multivariate Logistic regression analysis showed that age, monthly income, history of drug abuse, sex roles and previous male sex workers were independent factors influencing MSM acceptance of same-sex commercial sexual services. Conclusion MSM is the key population in prevention and control of AIDS and sexually transmitted diseases, and there are many influencing factors. Therefore, intervention measures should be taken.
【作者单位】： 深圳市慢性病防治中心;中国疾病预防控制中心性病艾滋病预防控制中心;
【基金】：深圳市科技计划项目(201203114)~~
【分类号】：R512.91
本文编号：2326238
[Abstract]:Objective to investigate the acceptance of (MSM) in MSM in Shenzhen and its influencing factors. Methods from 2011 to 2015, 3 040 MSM were recruited from Shenzhen by snowball and peer driven sampling. A one-to-one questionnaire survey was used to collect the social demographic characteristics, HIV test history, sexual orientation, sexual roles, male sex workers and previous commercial sexual services of the same sex. 5 mL venous blood was collected to detect Treponema pallidum and HIV antibody. The Cochran-Armitage trend test was used to compare the differences in the proportion of MSM accepting same-sex commercial services in each year, and the univariate and multi-factor unconditioned Logistic regression model was used to analyze the influencing factors of MSM acceptance of same-sex commercial sexual services. Results among 3 040 subjects, 328 MSM (10.79%) reported syphilis of same sex commercial sexual service. 3 040 cases of MSM had syphilis. The infection rate of HIV, syphilis combined with HIV was 18.29% (556 cases). 9.77% (297 cases) and 5.07% (154 cases). There was no significant difference in syphilis infection rate, HIV infection rate and syphilis combined with HIV infection rate in MSM who had received commercial sex service compared with normal MSM. Multivariate Logistic regression analysis showed that age, monthly income, history of drug abuse, sex roles and previous male sex workers were independent factors influencing MSM acceptance of same-sex commercial sexual services. Conclusion MSM is the key population in prevention and control of AIDS and sexually transmitted diseases, and there are many influencing factors. Therefore, intervention measures should be taken.
【作者单位】： 深圳市慢性病防治中心;中国疾病预防控制中心性病艾滋病预防控制中心;
【基金】：深圳市科技计划项目(201203114)~~
【分类号】：R512.91
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