| 王霖,林玉玺,李传玺,廖玫珍,马伟.男男性行为者亲密伴侣暴力经历与高危性行为的相关性分析[J].中华流行病学杂志,2021,42(5):866-871 |
| 男男性行为者亲密伴侣暴力经历与高危性行为的相关性分析 |
| Correlation between intimate partner-related violence and high-risk sexual behavior among men who have sex with men |
| 收稿日期:2020-08-15 出版日期:2021-05-27 |
| DOI：10.3760/cma.j.cn112338-20200815-01071 |
| 中文关键词: 男男性行为者 亲密伴侣 暴力 高危性行为 |
| 英文关键词: Men who have sex with men Intimate partner Violence High-risk sexual behavior |
| 基金项目:国家重点研发计划（2017YFE0103800）；国家科技重大专项（2018ZX10721102-003-004）；山东省医药卫生科技发展计划（2019WS430） |
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| 中文摘要: |
| 目的 了解MSM中亲密伴侣暴力（IPV）经历情况并分析IPV经历与高危性行为的相关性。方法 2019年4-7月在济南市、青岛市和济宁市招募MSM进行面对面问卷调查，收集其人口学特征、艾滋病防治知识、最近1年IPV经历和6个月高危性行为等信息。采用EpiData 3.1和SPSS 24.0软件进行数据整理和统计学分析。结果 共调查MSM 1 122人，年龄（29.80±8.78）岁，未婚占68.1%（764/1 122）。最近1年有IPV经历的比例为9.8%（110/1 122），来自济宁市和青岛市、本地居住时间>2年、寻找性伴场所为酒吧/浴室/公园、不知晓艾滋病防治知识、有吸毒行为、最近1年患过STD的MSM最近1年有IPV经历的比例较高（P<0.05）。最近6个月发生无保护肛交和群交行为的比例分别为49.0%（550/1 122）和20.9%（234/1 122）。多因素logistic回归分析结果显示，有IPV经历者最近6个月发生无保护肛交和群交行为的风险高于无IPV经历者（aOR=1.82，95%CI：1.14~2.91；aOR=3.30，95%CI：2.10~5.20）。结论 MSM中存在IPV现象，IPV经历与高危性行为存在正相关。应针对有IPV经历的MSM制定相应的干预措施，减少高危性行为的发生。 |
| 英文摘要: |
| Objective To explore the experience of intimate partner-related violence (IPV) and its correlation with high-risk sexual behaviors among MSM.Methods MSM were recruited in Ji'nan, Qingdao, and Jining of Shandong province from April to July 2019. Information on socio-demographic characteristics, AIDS prevention and control knowledge, IPV experience in the last year and high-risk sexual behaviors in the previous six months was collected by face-to-face questionnaire. EpiData 3.1 and SPSS 24.0 software were used for data cleansing and statistical analysis. Results The average age of the 1 122 MSM was (29.80±8.78) years, with 68.1% (764/1 122) unmarried. 9.8% (110/1 122) had IPV experiences in the past year. MSM who came from Jining and Qingdao, living in the local area for more than two years, met their sexual partners in bar/bathroom/park, having no basic knowledge about AIDS, being drug users, and diagnosed with STD in the previous year, had a higher proportion of IPV experiences in the last year (P<0.05). 49.0% (550/1 122) and 20.9% (234/1 122) had unprotected anal intercourse and group sex behavior during the past six months, respectively. The results of multivariate logistic regression showed that MSM who experienced IPV were likely to have unprotected anal intercourse and group sex behavior during the past six months (aOR=1.82, 95%CI:1.14-2.91;aOR=3.30, 95%CI:2.10-5.20) than those did not experience IPV.Conclusions IPV exists in the MSM population, and the IPV experience is positively associated with high-risk sexual behaviors. Targeted intervention to reduce the risk of high-risk sexual behaviors should be taken among MSM who experienced IPV. |
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