| 曹臻,张洪波,余敏,王君,许娟,段毓雯,宋丹丹,汪敏,董振鑫.在婚男男性行为人群HIV感染及其双性性行为状况调查[J].Chinese journal of Epidemiology,2012,33(5):488-491 |
| 在婚男男性行为人群HIV感染及其双性性行为状况调查 |
| Prevalence of HⅣinfection and Sexual behaviors with both men and women among currently married men who have sex with men |
| Received:December 01, 2011 |
| DOI： |
| KeyWord: 在婚 男男性行为者 艾滋病病毒 性行为 |
| English Key Word: Married men who have sex with men Human immunodeficiency virus Sexual behavior |
| FundProject:国家自然科学基金(30771850) |
| Author Name | Affiliation | E-mail | | CA0 Zhen | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | Zhang Hongbo | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | zhb62@yahoo．com．cn | | Yu Min | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | Wang Jun | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | XuJuan | Natiomd Center forAlDS|STD Control and Prevention Chinese Center for Disease Control and Prevention | | | Duan Yuwen | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | Song Dandan | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | Wang Min | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | | | Don g Zhenxin | Department of Epidemiolody andHealth Statistics.School of Public Health, Anhui Medical Unitersity, Hefei 230032, China | |
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| Abstract: |
| 目的了解在婚男男性行为者(MSM)亚群特征、艾滋病感染状况、性行为和安全套使用情况。方法在北京、哈尔滨、郑州和成都市采用“滚雪球”方法招募调查对象，通过匿名的方式进行问卷调查，包括社会人口学特征、同性和异性性伴种类、同性和异性性行为、安全套使用情况等，并进行HIV抗体检测。结果4个市共有858名在婚MSM参加调查，平均年龄(38。3±9。1)岁，其中初中及以下文化程度占36。7％；自认为是同性、双性性取向和异性性取向／不确定者所占的比例分别为40。9％、54。 3％和4。 8％。感染HIV检出率为8。0％，其中成都市最高为13。3％。多因素分析显示，非本市户籍、同性性取向、居住在哈尔滨市、第一次发生插入性行为年龄<18岁可能增加最近6个月与男性肛交时从不使用安全套的危险性(OR----1。5—2。 1)。年龄≥46岁、非本市户籍、居住在北京、异性性取向或性取向未确定、近6个月与男性肛交性行为从未使用安全套者可能增加与女性性交时从不使用安全套的危险性(OR=1。7～5。 9)。结论在婚MSM亚群中HIV感染已处于高流行状态，该亚群存在的高比例无保护同性和异性性行为，加剧HIV在MSM和在婚女性人群问传播。 |
| English Abstract: |
| 0bjective To find out the status of HIV infection sexual behaviors with both men and women11S well as condom use among currently married men who have Sex with men(MSM)so as to document for HⅣintervention targeting this sub-population,in Beijing,Chengdu,Harbin andZhengzhou cities.Methods“Snowballing”sampling method was used to recruit subjects in four cities.Participants were investigated by anonymous questionnaire containing demographics,sexualorientation.both homosexual and heterosexual behaviors and condomuse during the past6 months.Blood samples from participants were used to test HIV antibodies.Results Of the 858 participants for four cities.the average age was 38.3(SD=9.1)years.36.7％of them had completed the iunior high school or under.The percentage of participants who identified themselvesas homosexual.bisexual,and heterosexual or undecided were 40.9％,54_3％and 4. 8％,respectively.The overall HIV prevalencewas8.0％.and among four cities the HIV prevalence in Chengdu was the highest(13.3％).Results from the Multiple logistic regression analysiss howed that never used condoms when having anal sex with men during the past 6 months among participants who did not have a city residential card identifying himself as having homusexual orientation,living in Harbin.having first arial sex experience before 18 years of age the range of OR value was 1.5—2. 1.In addition.the factors associated with never using condoms in vaginal sex with women during the past 6 months were as follows：being over 46 years old,not having a city residential card,living in Beijing,identifyinghimself as heterosexual orientated or with unknown sexual orientation.never using condoms in anal sex with men during the past6 months.the range of OR valUe was 1.7—5. 9.Conclusion The prevalence of HIV infection seemed to be quite high among those currently married MsM.High rate so fun protected homosexual and heterosexual behaviors might accelerate the spreading of HIV from currently mamed MSM to their wives. |
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