| 南京市男男性行为者新型毒品使用情况及相关因素 |
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| 引用本文： | 徐园园, 朱正平, 吴苏姝, 刘黎, 郭璐, 李昕. 南京市男男性行为者新型毒品使用情况及相关因素[J]. 中华疾病控制杂志, 2019, 23(12): 1476-1481. doi: 10.16462/j.cnki.zhjbkz.2019.12.009 |
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| 作者姓名： | 徐园园 朱正平 吴苏姝 刘黎 郭璐 李昕 |
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| 作者单位： | 210003 南京, 南京市疾病预防控制中心性病艾滋病防制科 |
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| 摘 要： | 目的 了解南京市男男性行为者（men who have sex with men，MSM）新型毒品的使用情况及其相关因素。 方法 采用滚雪球、同伴推荐和互联网招募等方式招募MSM参加调查。采用多因素Logistic回归分析模型分析新型毒品使用的相关因素。 结果 876名MSM中，29.6%自述使用过新型毒品，人类免疫缺陷病毒（human immunodeficiency virus，HIV）和梅毒的感染率分别为9.5%和9.0%。控制了相关社会人口学因素的影响后，新型毒品使用者近6个月与同性发生无保护肛交（OR=1.83，95% CI：1.35~2.47，P < 0.001）、近6个月多性伴（OR=2.25，95% CI：1.65~3.05，P < 0.001）、HIV感染（OR=1.95，95% CI：1.21~3.17，P=0.007）和梅毒感染（OR=1.71，95% CI：1.02~2.84，P=0.040）的可能性较高。多因素分析结果显示，年龄<30岁（OR=1.50，95% CI：1.07~2.11，P=0.020）、性取向自我认定为同性恋（OR=1.65，95% CI：1.16~2.34，P=0.005）、互联网交友（OR=1.58，95% CI：1.07~2.35，P=0.022）、月收入≥ 5000元（OR=1.57，95% CI：1.13~2.17，P=0.007）、性角色自我认定为"被插入方"（OR=1.55，95% CI：1.04~2.32，P=0.033）的MSM使用新型毒品的可能性较高。 结论 南京市MSM新型毒品使用比例较高，新型毒品使用和HIV感染、梅毒感染及高危性行为有关联，新型毒品使用的危害性和警示性教育应成为MSM社区参与宣传教育关注的重点。
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| 关 键 词： | 男男性行为者 人类免疫缺陷病毒 性行为 新型毒品 |
| 收稿时间： | 2019-07-04 |
| 修稿时间： | 2019-10-01 |
Status and associated factors of recreational drug use among man who have sex with man in Nanjing |
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| XU Yuan-yuan, ZHU Zheng-ping, WU Su-shu, LIU Li, GUO Lu, LI Xin. Status and associated factors of recreational drug use among man who have sex with man in Nanjing[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1476-1481. doi: 10.16462/j.cnki.zhjbkz.2019.12.009 |
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| Authors: | XU Yuan-yuan ZHU Zheng-ping WU Su-shu LIU Li GUO Lu LI Xin |
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| Affiliation: | Department of STD/AIDS Prevention and Treatment, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China |
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| Abstract: | Objective To understand the prevalence of synthetic drug use among man who have sex with man (MSM) in Nanjing and the associated factors. Methods MSM were recruited by snow-ball sampling, peer recommendation and network recruitment. Multivariate logistic regression analysis was performed to evaluate the correlated factors of recreational drug use. Results 29.6% of the 876 MSM ever used recreational drugs. The prevalence of HIV and syphilis infections were 9.5% and 9.0% respectively. After controlling the influence of correlated factors, recreational drug use was correlated with unprotected anal intercourse in the past 6 months(OR=1.83, 95% CI: 1.35-2.47, P < 0.001), multiple male sex partnership in the past 6 months(OR=2.25, 95% CI: 1.65-3.05, P < 0.001), higher HIV prevalence (OR=1.95, 95% CI: 1.21-3.17, P=0.007) and higher syphilis prevalence(OR=1.71, 95% CI: 1.02-2.84, P=0.040). Multivariate Logistic analysis showed that demographic and behavioral factors associated with recreational drug use including: less than 30 years old (OR=1.50, 95% CI: 1.07-2.11, P=0.020), self-identified as homosexual orientation (OR=1.65, 95% CI: 1.16-2.34, P=0.005), seeking male partners mainly via the internet(OR=1.58, 95% CI: 1.07-2.35, P=0.022), higher monthly income(OR=1.57, 95% CI: 1.13-2.17, P=0.007), receptive sexual role(OR=1.55, 95% CI: 1.04-2.32, P=0.033). Conclusions MSM has a high prevalence of recreational drug use in Nanjing, which was positively correlated with HIV/syphilis infection and high risk behaviors. Intervention efforts should be devoted to reduce and combat drug use among MSM. |
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| Keywords: | Men who have sex with men HIV Sexual behaviors Recreational drug |
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