性感觉寻求与青少年男男性行为人群危险性行为的关系

目的 研究25岁及以下青少年男男性行为人群(YMSM)性感觉寻求与其艾滋病相关危险性行为的关系。方法 于2013年5-11月通过互联网宣传、外展活动以及例行的艾滋病自愿咨询检测服务招募403名YMSM, 采用匿名问卷调查, 回收375份(93.05%)有效问卷。结果 YMSM中有37.9%首次同性性行为未使用安全套, 最近6个月有55.7%发生多性伴行为, 51.7%有“419”(一夜情)行为, 5.6%有群交行为。性感觉寻求与首次同性性行为未使用安全套、多性伴行为、“419”行为、群交行为呈正相关(偏相关系数分别为0.247、0.218、0.296、0.252)。分别以首次同性性行为未使用安全套、多性伴行为、“419”行为、群交行为作为因变量进行logistic回归分析, 结果显示性感觉寻求高者更有可能发生以上危险性行为。结论 青少年性感觉寻求水平对危险性行为有影响, 应加强基于人群性感觉寻求分析的艾滋病相关知识及行为教育, 强化艾滋病相关危险性行为的风险意识, 从而更有效开展YMSM艾滋病干预。

Relationship between sexual sensation seeking and risk sexual behaviors among young men who have sex with men

Objective To explore the association between sexual sensation seeking and risk sexual behaviors among young men who have sex with men (YMSM) who were under 25 years old. Methods 403 YMSM were recruited through online publicity, organization of outdoor activities together with HIV voluntary counseling and testing services from May to November in 2013. A total number of 375 (93.05%) valid questionnaires were received. Results Data showed that, among the 375 YMSM, 37.9% had sex with men for the first time without using a condom, 55.7% had multiple sexual partners, 51.7% had one-night stand, and 5.6% engaged in group sex activities. Results from correlation analysis showed that sexual sensation seeking was positively correlated with four risk sexual behaviors(r=0.247, 0.218, 0.296 and 0.252, respectively). Data from the Unconditional logistic regression analysis showed that YMSM with high sexual sensation seeking were more likely to engage in risk sexual behaviors. Conclusion Sexual sensation seeking was associated with risk sexual behaviors among YMSM. More knowledge and behavior education based on the sexual sensation seeking should be emphasized, as well as increasing the awareness on HIV-related risk sexual behaviors.