| 男男性行为人群直肠冲洗行为状况及相关因素 |
| |
| 引用本文： | 孟晓军,尹寒露,李军,许祝平,邹华春,顾静.男男性行为人群直肠冲洗行为状况及相关因素[J].中华疾病控制杂志,2021,25(12):1409-1413. |
| |
| 作者姓名： | 孟晓军 尹寒露 李军 许祝平 邹华春 顾静 |
| |
| 作者单位： | 1.214023 无锡，无锡市疾病预防控制中心应急办公室 |
| |
| 基金项目： | 无锡市卫生健康委科研项目BJ2020099无锡市卫生健康委科研项目M202012深圳市龙华区引进高层次医学团队项目HLPM201907020105 |
| |
| 摘 要： | 目的 了解男男性行为人群(men who have sex with men, MSM)直肠冲洗行为状况及相关因素，为制定针对性干预措施提供依据。 方法 2020年5月1日―2020年7月10日，在江苏省无锡市采用滚雪球抽样的方法，选取KTV、浴室、公园、酒吧等场所招募400名MSM研究对象，开展横断面调查。通过调查问卷收集研究对象的社会人口学信息、行为学信息、物质滥用史、性病史和直肠冲洗行为等内容，并采集调查对象静脉血进行HIV抗体检测。采用χ2检验和多因素Logistic回归分析模型分析MSM直肠冲洗行为的相关因素。 结果 共调查MSM400人，最近6个月发生性行为时进行直肠冲洗的占比51.3%，其中只在性行为前进行直肠冲洗的占比57.6%，只在性行为后进行直肠冲洗的占比14.6%，性行为前后均进行直肠冲洗的占比27.8%。多因素分析结果显示，月均收入>5 000元(OR=2.18, 95% CI: 1.36~3.51, P=0.001)、同性恋(OR=19.35, 95% CI: 4.01~93.38, P＜0.001)、双性恋(OR=10.31, 95% CI: 2.12~50.14, P=0.004)、最近6个月肛交时为被插入方(OR=8.96, 95% CI: 4.14~19.40, P＜0.001)、最近6个月肛交时为插入方和被插入方均有(OR=10.71, 95% CI: 4.80~23.89, P＜0.001)、物质滥用史(OR=3.20, 95% CI: 1.60~6.42, P=0.001)、性病史(OR=2.17, 95% CI: 1.30~3.63, P=0.003)、HIV检测阳性(OR=3.60, 95% CI: 1.14~11.36, P=0.029)是影响MSM直肠冲洗的相关因素。 结论 MSM发生性行为时进行直肠冲洗较普遍，且与HIV感染有关，迫切需要加强对该人群的健康教育和行为干预，以降低该人群感染HIV的风险。
|
| 关 键 词： | 男男性行为人群 直肠冲洗 HIV 相关因素 |
| 收稿时间： | 2021-05-24 |
Situation on rectal douching and associated factors among men who have sex with men |
| |
| Affiliation: | 1.Emergency Office, Wuxi Municipal Centre for Disease Control and Prevention, Wuxi 214023, China2.Department of STD and AIDS, Wuxi Municipal Centre for Disease Control and Prevention, Wuxi 214023, China3.Department of Epidemiology and Health Statistics, School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen 518107, China |
| |
| Abstract: | Objective This study aimed to explore the prevalence of associated with rectal douching among men who have sex with men (MSM) and related factors, in order to provide targeted interventions. Methods In this observational study, snowball sampling was used to recruit 400 MSM in KTV, bathroom, bar and so on in Wuxi, Jiangsu Province from May 1, 2020 to July 10, 2020. A questionnaire was used to collect socio-demographic characteristics, behaviors, substances abuse, history of diagnosed sexually transmitted diseases (STDs) and rectal douching. Blood sample was collected and tested for HIV. Chi-square test and Logistic regression analysis model were performed to determine factors associated with rectal douching among MSM. Results A total of 400 MSM were recruited, among whom 51.3% practiced rectal douching in the past 6 months, 57.6% before anal sex only, 14.6% after anal sex only and 27.8% (57/205) before and after anal sex. Monthly income > 5 000 RMB (OR=2.18, 95% CI: 1.36-3.51, P=0.001), homosexual (OR=19.35, 95% CI: 4.01-93.38, P < 0.001), bisexual (OR=10.31, 95% CI: 2.12-50.14, P=0.004), engaging in receptive anal sex exclusively in the past 6 months (OR=8.96, 95% CI: 4.14-19.40, P < 0.001), engaging in both insertive and receptive anal sex in the past 6 months (OR=10.71, 95% CI: 4.80-23.89, P < 0.001), substances use (OR=3.20, 95% CI: 1.60-6.42, P=0.001), history of diagnosed STDs (OR=2.17, 95% CI: 1.30-3.63, P=0.003) and positive HIV status (OR=3.60, 95% CI: 1.14-11.36, P=0.029) were associated with rectal douching in MSM. Conclusions Rectal douching is common in MSM, which is a significant factor associated with HIV transmission. Health education and behavioral interventions related to rectal douching should be enhanced among MSM in order to reduce the risk of HIV transmission. |
| |
| Keywords: | |
|
| 点击此处可从《中华疾病控制杂志》浏览原始摘要信息 |
|
点击此处可从《中华疾病控制杂志》下载全文 |
|
