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南京市男男性行为者新型毒品使用情况及相关因素
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
作者姓名:徐园园  朱正平  吴苏姝  刘黎  郭璐  李昕
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
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。

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
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
Authors:XU Yuan-yuan  ZHU Zheng-ping  WU Su-shu  LIU Li  GUO Lu  LI Xin
Affiliation:Department of STD/AIDS Prevention and Treatment, Nanjing Municipal Center for Disease Control and Prevention, Nanjing 210003, China
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.
Keywords:Men who have sex with men  HIV  Sexual behaviors  Recreational drug
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