| 黄鹏翔,卓玛央吉,于海英,王霖,李亚君,张娜,王国永,马伟,廖玫珍.山东省网络交友的男男性行为人群新型毒品使用情况及高危行为相关因素分析[J].中华流行病学杂志,2025,46(9):1554-1561 |
| 山东省网络交友的男男性行为人群新型毒品使用情况及高危行为相关因素分析 |
| Analysis on new-type drugs use and related factors of high-risk behaviors in online-dating men who have sex with men in Shandong Province |
| 收稿日期:2025-04-22 出版日期:2025-09-12 |
| DOI：10.3760/cma.j.cn112338-20250422-00271 |
| 中文关键词: 男男性行为人群 新型毒品 网络交友 性行为 HIV检测 |
| 英文关键词: Men who have sex with men New-type drugs Online-dating Sexual behavior HIV testing |
| 基金项目:国家重点研发计划（2017YFE0103800）；山东省医药卫生科技发展计划（2019WS427） |
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| 中文摘要: |
| 目的 分析网络交友的MSM新型毒品使用情况及高危行为相关因素，为制订精准的艾滋病防控和干预措施提供依据。方法 采用横断面研究设计，2023年4-7月在山东省8个城市监测哨点招募MSM，每个城市招募样本量为400人。开展面对面问卷调查，收集社会人口学特征、吸毒与性行为、风险感知、网络知情交友等信息。采用χ2检验比较网络交友的MSM新型毒品使用与未使用的差异，采用logistic回归模型分析网络交友的MSM发生群交行为和性行为前未检测HIV的相关因素。采用SPSS 29.0软件进行统计学分析。结果 共调查MSM 3 235人，其中最近6个月网络交友的MSM共2 787人（86.15%）。网络交友的MSM以25~34岁（39.18%，1 092/2 787）、未婚/离异/丧偶（71.51%，1 993/2 787）、大专及以上文化程度（69.36%，1 933/2 787）、性取向为同性恋者（77.97%，2 173/2 787）为主，37.78%（1 053/2 787）认为自己HIV感染风险较低/无，10.88%（303/2 786）认为使用新型毒品对身体的危害较低/无，57.59%（1 605/2 787）使用过新型毒品。多因素logistic回归分析结果显示，最近6个月使用过新型毒品的MSM最近6个月发生群交和发生性行为前未检测HIV的风险均高于不使用者［aOR=1.31（95%CI：1.06~1.63），aOR=1.57（95%CI：1.14~2.15）］。认为使用新型毒品对身体危害一般/较高/很高者在最近6个月发生群交行为和发生性行为前未检测HIV的风险更高［aOR=1.54（95%CI：1.09~2.18），aOR=2.02（95%CI：1.34~3.05）］。结论 山东省网络交友MSM新型毒品使用较普遍，高危行为广泛存在，知识、行为分离，健康风险意识薄弱，需在MSM中开展警示性教育并促进HIV知情交友。 |
| 英文摘要: |
| Objective To understand the related factors of new-type drugs use and high-risk behaviors in online-dating men who have sex with men (MSM) in Shandong Province, and provide evidence for the development of targeted HIV prevention and intervention strategies. Methods A cross-sectional study was conducted from April to July 2023 in eight sentinel surveillance sites across cities in Shandong, recruiting MSM participants. Each city enrolled a sample of 400 individuals. Face-to-face questionnaire surveys were conducted to collect data on socio-demographic characteristics, drug use and sexual behaviors, risk perception, and online-dating practices of the MSM, and χ2 test was used to compare the differences between online-dating MSM who used new-type drugs and those who didn't use. Logistic regression model was used to analyze the related factors of group sex behavior and the lack of HIV detection before sexual behavior in the online-dating MSM. Statistical analysis was performed by using software SPSS 29.0. Results A total of 3 235 MSM were surveyed, in whom 2 787 (86.15%) used online-dating platforms to find partners in the past six months. The majority were those who were aged 25-34 years (39.18%, 1 092/2 787), unmarried/divorced/widowed (71.51%, 1 993/2 787), had an education level of college or above (69.36%, 1 933/2 787), and primarily identified as homosexual gays (77.97%, 2 173/2 787), 37.78% (1 053/2 787) believed that they were at low risk for HIV infection and 10.88% (303/2 786) believed that using new-type drugs was less harmful and 57.59% (1 605/2 787) reported new-type drugs use. Multivariate logistic regression analysis indicated that MSM who used new-type drugs had higher risk for group sex in the past six months (aOR=1.31, 95%CI: 1.06-1.63) and sexual activity without pre-HIV testing (aOR=1.57, 95%CI:1.14-2.15) compared with those who didn't use new-type drugs.MSM who believed that the risk of using new-type drugs was general, higher and very high had higher risks for group sex in the past six months (aOR=1.54, 95%CI: 1.09-2.18) and sexual activity withou pre-HIV testing (aOR=2.02, 95%CI:1.34-3.05) compared with those who believed using new-type drugs was less harmful. Conclusions The use of new-type drugs was relatively common in the online-dating MSM in Shandong, with widespread high-risk behaviors and poor awareness of risks to health. A gap between knowledge awareness and behavior exists. It is necessary to strengthen the health education and promotion of HIV informed dating practices in MSM. |
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