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| 男男性行为人群性角色状况及其与安全套使用和HIV检测的关系 | |
| 引用本文： | 张静瑜,李青青,韩德琳,王晓东,吴春霖,何勤英,刘寿,栾荣生. 男男性行为人群性角色状况及其与安全套使用和HIV检测的关系[J]. 疾病控制杂志, 2013, 17(5): 400-403 |
| 作者姓名： | 张静瑜 李青青 韩德琳 王晓东 吴春霖 何勤英 刘寿 栾荣生 |
| 作者单位： | 1. 四川大学华西公共卫生学院流行病与卫生统计学系,四川成都,610041 2. 重庆市巴南区疾病预防控制中心办公室,重庆,401320 3. 成都市疾病预防控制中心性病与艾滋病防制科,四川成都,610041 4. 成都同乐健康咨询服务中心,四川成都,610041 |
| 基金项目： | 成都市男男性行为人群艾滋病防治亚太试点项目 |
| 摘 要： | 目的了解成都市男男性行为人群（men who have sex with men,MSM）中性角色状况及其与安全套使用和HIV检测的关系,为发展适合MSM不同亚群特点的HIV预防干预策略提供依据。方法采用分类滚雪球抽样法招募MSM,由统一培训的调查员进行面对面的问卷调查。结果共招募MSM 191人,其中29.8%只作为或多数情况下作为插入方（1号）、31.4%只作为或多数情况下作为被插入方（0号）、38.7%作为插入方和被插入方的情况相差不多（0.5号）;过去半年内与男性固定性伴肛交时,49.7%坚持使用安全套,0号与1号相较于0.5号更倾向于坚持使用安全套（0号：OR=5.43,95%CI：2.26～13.07;1号OR=3.40,95%CI：1.42～8.12）;过去半年内与男性偶然性伴肛交时,58.7%坚持使用安全套,0号与1号相较于0.5号更倾向于坚持使用安全套（0号：OR=2.63,95%CI：1.01～6.83;1号OR=4.08,95%CI：1.52～10.96）;最近1年内,77.0%接受过HIV检测,0.5号、1号接受HIV检测率高于0号（0.5号：OR=2.26,95%CI：1.01～5.05;1号：OR=3.42,95%CI：1.27～9.21）。结论不同肛交性角色的MSM在安全套使用和HIV检测上存在差异,可根据性角色针对性开展艾滋病防治工作。 |
| 关 键 词： | 同性恋,男性 HIV 流行病学研究 |
The sexual role status and its relationship with condom use and HIV-testing in men who have sex with men |
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| ZHANG Jing-yu,LI Qing-qing,HAN De-lin,WANG Xiao-dong,WU Chun-lin,HE Qin-ying,LIU Shou,LUAN Rong-sheng. The sexual role status and its relationship with condom use and HIV-testing in men who have sex with men[J]. Chinese Journal of Disease Control and Prevention, 2013, 17(5): 400-403 | |
| Authors: | ZHANG Jing-yu LI Qing-qing HAN De-lin WANG Xiao-dong WU Chun-lin HE Qin-ying LIU Shou LUAN Rong-sheng |
| Affiliation: | 1. Department of Epidemiology and Biostatistics, Huaxi School of Public Health, Sichuan University, Cheng-du 610041, China; 2. Administrative Offices Banan District Center for Disease Control and Prevention, Chongqing 401320, China ; 3. Department of HIV/AIDS Control and Prevention, Chengdu Center for Disease Control and Prevention, Chengdu 610041, China; 4. Chengdu Tongle Health Counseling Service Center, Chengdu 610041, China) |
| Abstract: | Objective To investigate the sexual role status and its relationship with condom use and HIV-testing in men who have sex with men （ MSM）, and to provide information for the development of HIV prevention and intervention strategies for MSM of different subsets. Methods 191 MSM were recruited by snowball sampling method and anonymously investigated face to face. Results 29. 8% MSM always or in most cases conducts as insertive partners （ 1 ）, 31.4% al-ways or in most cases conducts as receptive partner （0） and 38.7% both （0. 5）. In the recent six months, 49.7% used condom consistently when they had anal intercourse with regular male sex partners, 0 and I were more likely to consistently use condom than 0. 5 （0： OR =5.43,95% CI：2.26-13.07; 1 ： OR = 3.40, 95% CI：1. 42-8. 12） ; 58.7% used condom consistently when they had anal intercourse with casual male sex partners, 0 and 1 were more likely to consistently use con- dom than 0. 5 （0： OR = 2. 63, 95% CI： 1.01-6. 83; 1 ： OR ： 4. 08, 95% CI： 1.52-10. 96） ; Within the last year, 77.0% had accepted HIV test, the rate of HIV test in 0. 5 and 1 was higher than 0 （0. 5： OR =2. 26, 95% CI：1. 01-5.05; 1 ： OR = 3.42,95% CI： 1.27-9.21 ）. Conclusions MSM who conducted different sexual roles have differences in condom use and HIV-testing. It is necessary to carry out specific interventions based on the characteristics of different sexual roles. |
| Keywords: | Homosexuality, Male HIV Epidemiologie studies |
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