男男性行为人群与男性性伴和女性性伴的性行为特征及影响因素 |
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引用本文: | 戴色莺,程晓莉,刘爱文,肖永康,苏斌.男男性行为人群与男性性伴和女性性伴的性行为特征及影响因素[J].中华疾病控制杂志,2019,23(10):1260-1264. |
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作者姓名: | 戴色莺 程晓莉 刘爱文 肖永康 苏斌 |
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作者单位: | 230601 合肥,安徽省疾病预防控制中心艾滋病防治科;230601 合肥,安徽省疾病预防控制中心艾滋病防治科;230601 合肥,安徽省疾病预防控制中心艾滋病防治科;230601 合肥,安徽省疾病预防控制中心艾滋病防治科;230601 合肥,安徽省疾病预防控制中心艾滋病防治科 |
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摘 要: | 目的 了解安徽省男男性行为人群(men who have sex with men,MSM)与其男性性伴和女性性伴的性行为特征及影响因素。 方法 以合肥、芜湖和六安3个城市为研究现场,采用滚雪球法和网络招募法招募MSM人群,对符合纳入标准的MSM进行匿名问卷调查。采用多因素Logistic回归分析模型分析MSM人群最近6个月发生异性性行为的危险因素。 结果 共招募1 200名MSM,最近6个月78.3% MSM与男性性伴有过肛交性行为,20.9%与女性性伴有过异性性行为,16.5%最近6个月与男性性伴、女性性伴均有过性行为。最近6个月异性性行为中的安全套坚持使用率(29.9%)明显低于同性性行为的安全套坚持使用率(53.0%),在最近一次异性性行为中的安全套使用率(52.2%)也明显低于同性性行为中的安全套使用率(79.6%)(均有P < 0.05)。多因素分析结果显示,已婚(包括在婚/同居/离异/丧偶)、在调查城市居住时间>2年、有同性商业性行为的MSM更容易发生异性性行为。 结论 MSM人群存在较高比例的双性性行为,且安全套坚持使用率较低,应该加强对他们的性健康教育、风险感知教育和行为干预。
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关 键 词: | 男男性行为人群 男性性伴 女性性伴 性行为 危险因素 |
收稿时间: | 2019-04-15 |
Characteristic of sexual behavior and their associated factors among male and female partners of men who have sex with men |
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Institution: | AIDS Department of Anhui Provincial Center for Disease Control and Prevention, Hefei 230601, China |
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Abstract: | Objective To understand the characteristic of sexual behavior and their associated factors among male and female partners of men who have sex with men in Anhui province. Methods Cross-sectional studies were conducted among MSM in Hefei, Wuhu and Liuan in Anhui province. MSM were recruited through "snowball sampling" and "internet-based recruiting", and eligible participant received an anonymous survey. Multivariate Logistic regression analysis model was used to identify risk factors associated with having sex with women in the last 6 months among MSM. Results Of the 1 200 MSM interviewed, 78.3% had anal sex with men, and 20.9% had vaginal intercourse with women, and 16.5% had sexual intercourse with both men and women in the past 6 months. Less MSM reported using condom every time with women (29.9%) in the past 6 months than with men (53.0%), and less reported using condom with women (52.2%) during the last sexual intercourse than with men(79.6%) (all P < 0.05). The results of mutivariate Logistic regression analysis showed that MSM who were married(including currently married/cohabitating/divorced/widowed), lived more than 2 years in the surveyed city, and had commercial sex with men were more likely to have sex with women. Conclusions There was a high proportion of bisexual behavior and low rate of condom use among MSM. It should strengthen the sexual health education, risk perception education and behavioral intervention among MSM. |
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