烟台市男男性行为者安全套使用现状及影响因素分析

目的 了解烟台市男男性行为者（men who have sex with men ,MSM）安全套使用现状及影响因素，为艾滋病防治提供理论依据。方法 采用方便抽样，样本来源于网络招募和现场招募的烟台市MSM。采用问卷调查，共调查113人。单因素分析采用检验，多因素分析采用二分类logistic回归分析。结果 共回收有效问卷110份，艾滋病知识平均得分（81.18±12.46）分，最近半年有过同性、商业同性和异性性行为者分别占100.00%、6.36%和16.36%，最近半年同性和异性性行为安全套坚持使用率分别为42.73%和44.44%。RUSH(rush poppers ,RUSH)使用率为36.36%。焦虑和抑郁检出率分别为47.27%和39.09%。多因素分析显示，同性性行为安全套坚持使用的促进因素为知识得分≥80分（OR = 0.323 ,95%CI:0.185～0.916）、知晓“感染其他性病会增加感染HIV的风险”（OR = 0.619,95%CI:0.467～0.820）和接受过同伴教育（OR = 0.425,95%CI:0.183～0.837），危险因素为使用RUSH（OR = 2.891,95%CI:1.442～6.174）。结论 烟台市MSM安全套坚持使用率较低，应进一步加强艾滋病知识宣传、同伴教育和新型毒品危害性宣传，提高安全套使用率。

Analysis on the status of condom use and influencing factors among men who have sex with men in Yantai

The aim of this study was to understand condom use status and influencing factors among men whohave sex with men in Yantai, and provide theoretical basis for the prevention and treatment of AIDS. Methods Convenientsampling was adopted. The sample was taken from MSM of Yantai by online and on-site recruitment. Questionnaire was usedto survey 113 people. 2 test was used for univariate analysis, and binary logistic regression was used for multivariate analysis.Results A total of 110 valid questionnaires were recovered. The average score of AIDS knowledge was 81.18 ±12.46.Respondents who had homosexual behavior, commercial homosexual and heterosexual behaviors in the past 6 monthsaccounted for 100%, 6.36% and 16.36%, respectively. The rate of consistent condom use during homosexual behavior andheterosexual behavior in the past 6 months was 42.73% and 44.44%, respectively. Those who used Rush poppers accountedfor 36.36%. The rate of anxiety and depression was 47.27% and 39.09%, respectively. Multivariate analysis showed that thepromotion factors of homosexual behavioral consistent condom use was knowledge scores ≥ 80 (OR=0.323, 95% CI: 0.185-0.916), knowing that “infection with other STDs increases the risk of HIV infection”(OR=0.619, 95%CI: 0.467-0.820) and hadreceived peer education (OR=0.425, 95% CI: 0.183-0.837), while the risk factor was Rush poppers use (OR=2.891, 95% CI:1.442 -6.174). Conclusion The rate of consistent condom use among MSM in Yantai was relatively low. AIDS knowledgepromotion, peer education and new drug harmful propaganda should be further strengthened to increase condom use rate.