| 史同新,张北川,李秀芳,徐敬星,汪宁,于增照,王燕飞.与女性经常性交的未婚男男性行为者艾滋病高危性行为研究[J].中华流行病学杂志,2009,30(1):10-13 |
| 与女性经常性交的未婚男男性行为者艾滋病高危性行为研究 |
| Study on HIV/AIDS related high risk behaviors among unmarried men who have sex with women |
| 收稿日期:2008-07-23 出版日期:2014-09-11 |
| DOI： |
| 中文关键词: 艾滋病 男男性行为者 女性 高危性行为 |
| 英文关键词: AIDS Men who have sex with men Women High risk sexual behaviors |
| 基金项目:国家"十五"科技攻关资助项目(2004BA719A02) |
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| 中文摘要: |
| 目的 探讨未婚男男性行为者(MSM)中与女性经常性交亚人群艾滋病高危性行为状况.方法 采用定向抽样方法,对9城市1476例未婚MSM的匿名调查问卷进行分析,比较近6个月内与女性经常性交的MSM(A组)和未与女性性交者(B组)两亚人群的高危性行为发生状况.结果 A组近6个月内作为插入方男性伴人数(平均5.64个)、近1月内男性肛交性伴人数(平均3.09个)均明显高于B组(分别3.31个、1.88个)(P＜0.05).A组与男性性交时用过安全套(81.94%)、最近一次与男客人口交(15.38%)和肛交(70.27%)时用过安全套的百分率均低于B组(分别91.04%、40%、88.43%)(P＜0.05或0.01).A组中从事男性性工作(27.59%)、近6个月在同性爱活动场所与陌生男性性交(61.70%)、近一次与陌生男性性交(43.06%)、近1年在外地与男性性交(40.28%)的百分率明显高于B组(分别12.08%、46.51%、29.25%、26.89%)(P＜0.01).A组中近6个月与女性性交时,68.94%用过安全套,31.06%未用过,仅25.96%每次都用;最近一次与女性性交时,65.45%用过安全套.结论 未婚MSM中与女性经常性交的亚人群具有较多的发生于男性问的艾滋病高危性行为,对该人群应制定和实施不同于其他MSM亚群的干预措施,以阻断艾滋病通过其桥梁作用向女性及其他人群传播. |
| 英文摘要: |
| Objective To explore the risk of sexual behaviors related to AIDS among unmarried men who often have sex with women.Methods Study objectives were recruited through target sampling and anonymous questionnaires were adopted.Men' s sexual behaviors were compared with each other between the group of men who always had sex with women (group A) and who never had sex with women (group B) in the past 6 months.Results The average numbers of same-gender partners among group A who acted as the male role in the past 6 months and who had anal intercourse in the last month were 5.64 and 3.09 respectively,which were both higher than those of group B's (P＜ 0.05).The rate of condom use among men in group A when having sex with men was 81.94%.The percentages of condom use among men in group A who having had oral or anal sex with male sex buyers last time were 15.38% and 70.27% respectively.They were all higher than those of group B' s (P＜0.05 or 0.01 ).The rates of men in group A who were male sex workers and who having had sex with unknown men in gay places during the past 6 months were 27.59% and 61.70% respectively.Among group A,the percentages of men who had had sex with unknown men during the last time and who had had sex with nonlocal male partners during the past year were 43.06% and 40.28% respectively.They were all higher than those of group B's (P＜0.01).The percentage of condom use among men in group A when having had sex with women during the past 6 months was 68.94%,but only 25.96% of the men used condom regularly.The rate of condom use in men from group A when having sex with women during the last sexual intercourse was 65.45%.Conclusion HIV high-risk sex behaviors were more ubiquitous among unmarried MSM who always had sex with women,suggesting that different interventions be developed to prevent them from transmitting HIV from MSM to women or other men. |
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