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男男同性性接触者异性性行为特征及影响因素研究
引用本文:龚诚华,戴丽萍,云俊,姜宜海,黄丽娟. 男男同性性接触者异性性行为特征及影响因素研究[J]. 疾病监测, 2012, 27(10): 776-779. DOI: 10.3784/j.issn.1003-9961.2012.10.007
作者姓名:龚诚华  戴丽萍  云俊  姜宜海  黄丽娟
作者单位:广州市越秀区疾病预防控制中心,广东广州,510055
摘    要:目的 了解广州市男男同性性接触者(men who have sex with men, MSM)异性性行为的特征及其影响因素,为制定人类免疫缺陷病毒(human immunodeficiency virus, HIV)/性传播性疾病(sexually transmitted disease,STD)的干预措施提供参考依据。 方法 从2011年4-8月,每周2次在广州市MSM经常活动的场所,采用自愿咨询检测和匿名问卷调查的方法对MSM进行调查。 结果 在调查的507名MSM中,17.8%(90/507)曾在近6个月内与女性发生过性行为,其中有2个以上异性性伴者占23.3%。在与异性发生性行为的过程中,坚持每次使用安全套的只占40.0%。多因素logistic回归分析显示,婚姻状况、性取向、首次性交对象对MSM人群近6个月与异性发生性行为有影响。HIV和梅毒的感染率分别为6.7%(6/90)和5.6%(5/90)。 结论 广州市MSM人群中发生异性性行为的比例较高,而安全套的使用率较低,需加大对该人群的干预力度,提高安全套的使用率,以控制HIV/STD通过该人群向女性传播的危险。

关 键 词:男男性接触者   艾滋病   异性性行为
收稿时间:2012-04-17

Characteristics of heterosexual behaviors in men who have sex with men and related factors in Guangzhou
GONG Cheng-hua,DAI Li-ping,YUN Jun,JIANG Yi-hai,HUANG Li-juan. Characteristics of heterosexual behaviors in men who have sex with men and related factors in Guangzhou[J]. Disease Surveillance, 2012, 27(10): 776-779. DOI: 10.3784/j.issn.1003-9961.2012.10.007
Authors:GONG Cheng-hua  DAI Li-ping  YUN Jun  JIANG Yi-hai  HUANG Li-juan
Affiliation:. Yuexiu District Center for Disease Control and Prevention, Guangzhou, Guangzhou 510055, Guangdong, China
Abstract:Objective To understand the characteristics of heterosexual behaviors in men who have sex with men (MSM) in Guangzhou and related factors, provide scientific evidence for the development of AIDS/STD prevention strategies. Methods From April to August 2011, the questionnaire survey and voluntary counseling/testing were conducted twice a week among MSM in Guangzhou. Results Among 507 MSM surveyed, 17. 8% (90/507) had sex with women in the past six months, in which 23.3% had 〉12 sex partners. Only 40. 0% of MSM used condoms at each heterosexual activity. Multivariate logistic regression analysis indicated that marital status, erotism and the first sex partner were influential factors of MSM to have sex with females in past six months. The HIV and syphilis infection rates were 6. 7% (6/90) and 5.6% (5/90) respectively among the MSM surveyed. Conclusion The prevalence of heterosexual behavior was high and condom use rate was low among the MSM in Guangzhou. It is necessary to strengthen the behavioral intervention and promote condom use in this population to prevent the spread of AIDS/STD to females.
Keywords:men who have sex with men  acquired immunodeficiency syndrome  heterosexual behavior
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