| 卓玛央吉,尤向东,朱晓艳,李玲,李金海,于海英,王国永,廖玫珍,马伟.山东省男男性行为人群网络匿名交友特征及未做HIV检测的相关因素分析[J].中华流行病学杂志,2025,46(2):252-257 |
| 山东省男男性行为人群网络匿名交友特征及未做HIV检测的相关因素分析 |
| Analysis of characteristics of anonymous online dating and related factors of not being tested for HIV among men who have sex with men in Shandong Province |
| 收稿日期:2024-06-25 出版日期:2025-02-14 |
| DOI：10.3760/cma.j.cn112338-20240625-00373 |
| 中文关键词: 男男性行为人群 网络交友 匿名 知情交友 艾滋病病毒 检测 |
| 英文关键词: Men who have sex with men Online dating Anonymous Informed dating HIV Testing |
| 基金项目:国家重点研发计划（2022YFC2304905，2017YFE0103800） |
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| 摘要点击次数: 384 |
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| 中文摘要: |
| 目的 分析MSM网络匿名交友特征及未做HIV检测的相关因素，为制定有针对性的艾滋病防控对策和干预措施提供依据。方法 采用横断面研究设计，在MSM社会组织协助下，2023年4-7月在山东省8个城市，采用滚雪球抽样、活动场所和网络方式招募调查对象，每个城市招募样本量为400人。开展面对面问卷调查，收集调查对象的社会人口学特征、吸毒与性行为、网络知情交友等信息，采集血样进行HIV抗体和梅毒抗体检测。结果 在最近6个月通过网络交友的MSM 2 787人中，网络匿名交友者占78.26%（2 181/2 787）；网络交友发生性行为前，未询问对方HIV感染状况者占10.41%（290/2 787），双方未做HIV检测者占33.37%（930/2 787）。网络匿名交友与网络不匿名交友的MSM在年龄、婚姻状况、户籍、文化程度、性取向、寻找同性性伴的途径、网络交友发生性行为前未询问性伴HIV感染状况、网络交友发生性行为前双方未做HIV检测、梅毒抗体的分布差异有统计学意义（均P<0.05）。多因素logistic回归分析结果显示，<25岁（aOR=1.43，95%CI：1.15~1.77）和≥35岁年龄组（aOR=1.61，95%CI：1.29~2.01）、艾滋病知识不知晓者（aOR=2.37，95%CI：1.25~4.49）、使用毒品者（aOR=1.38，95%CI：1.17~1.63）、网络交友匿名者（aOR=2.19，95%CI：1.76~2.73）、HIV抗体阳性者（aOR=3.61，95%CI：2.22~5.88）和最近1年未接受干预服务者（aOR=1.58，95%CI：1.05~2.38）是MSM网络交友发生性行为前双方未做HIV检测的相关因素。结论 山东省MSM网络匿名交友现象较为普遍，网络匿名交友的MSM在网络交友发生性行为前双方未做HIV检测的比例较高，需在MSM中加强健康宣传和促进知情交友。 |
| 英文摘要: |
| Objective To analyze the characteristics of anonymous online dating and related factors of not being tested for HIV among men who have sex with men and to provide the basis for developing targeted HIV prevention strategies and intervention measures. Methods Using a cross-sectional study design, respondents were recruited with the assistance of MSM social organizations from April to July 2023 in eight cities in Shandong Province. Snowball sampling, activity venues, and networks were employed, targeting a sample size of 400 people per city. A face-to-face questionnaire survey collected data on sociodemographic characteristics, drug use, sexual intercourse, and online informed dating. Blood samples were also collected for HIV and syphilis antibody testing. Results In the past six months, 2 787 MSM sought homosexual partners through the Internet, and 78.26% (2 181/2 787) chose to make anonymous online dating. Before having homosexual sex with online sexual partners, 10.41% (290/2 787) of them did not ask each other about HIV infection status and 33.37% (930/2 787) of them not being tested for HIV. There were statistically significant differences in the distribution of age, marital status, household registration, education level, sexual orientation, ways to find male sexual partners, not asking online sexual partners about their HIV status before sexual intercourse, no mutual HIV testing with online sexual partners before sexual intercourse, and syphilis antibody between anonymous and non-anonymous online dating persons (all P<0.05). The results of multivariate logistic regression analysis showed that <25 years old (aOR=1.43, 95%CI: 1.15-1.77) and ≥35 years old age group (aOR=1.61, 95%CI: 1.29-2.01), people with no AIDS knowledge (aOR=2.37, 95%CI: 1.25-4.49), drug users (aOR=1.38, 95%CI: 1.17-1.63), online dating anonymous (aOR=2.19, 95%CI: 1.76-2.73), HIV antibody positive (aOR=3.61, 95%CI: 2.22-5.88) and no intervention services in the last 1 year (aOR=1.58, 95%CI: 1.05-2.38) were the related factors of MSM not being tested for HIV before having sexual intercourse through online dating. Conclusions The phenomenon of anonymous online dating was common among MSM in Shandong Province, and the proportion of MSM not being tested for HIV before having sexual intercourse through anonymous online dating was relatively high. It is necessary to strengthen health publicity and promote informed dating in MSM. |
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