男性接触者性伴交往模式及行为特征研究

汤后林; 张大鹏; 吴玉华; 张婕; 王岚; 吕繁

Abstract

汤后林,张大鹏,吴玉华,张婕,王岚,吕繁.男性接触者性伴交往模式及行为特征研究[J].Chinese journal of Epidemiology,2007,28(2):144-147

男性接触者性伴交往模式及行为特征研究

Study on the patterns of sexual contact and behavioral features of men who have sex with men

Received:November 26, 2006

DOI：

KeyWord: 男性接触者性伴交往模式艾滋病病毒

English Key Word: Men who have sex with men Sexual mixing patterns Human immunodeficieney virus

FundProject:

Author Name	Affiliation	E-mail
Tang Hou-lin	National Center for ADS/STD Prevention and Contrd, Ghinese Center for Disease Control and Prevention, Beijing 100050, China
Zhang Da-peng	National Center for ADS/STD Prevention and Contrd, Ghinese Center for Disease Control and Prevention, Beijing 100050, China
Wu Yu-hua	黑龙江省疾病预防控制中心, 哈尔滨 150030
Zhang Jie	黑龙江省疾病预防控制中心, 哈尔滨 150030
Wang Lan	National Center for ADS/STD Prevention and Contrd, Ghinese Center for Disease Control and Prevention, Beijing 100050, China
Lv Fan	National Center for ADS/STD Prevention and Contrd, Ghinese Center for Disease Control and Prevention, Beijing 100050, China	fanlv@vip.sina.com

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Abstract:

目的: 了解男男性接触者(MsM)性伴交往模式以及行为特征, 分析流行的潜在危险。方法: 采用横断面调查方法, 2006年6-7月对哈尔滨市673名符合设计要求的MSM进行面对面的问卷调查, 利用交往矩阵分析调查对象与性伴之间的人口学特征, 并拟合不同的模型。结果: 调查获得有效问卷648份, MSM与性伴之间在年龄和婚姻状况上的交往相似性Q值分别为0.03和0.41, 不同场所的MSM与性伴之间在年龄和婚姻状况上相似性Q值有差异; 不同的模型拟合发现, MSM对性伴年龄和婚姻状况的选择上有聚集性, 同时年龄小的MSM倾向于有年龄大的相伴, 且安全套使用率低; MSM性伴数多, 性伴更换频率高; 不同年龄组的安全套坚持使用率不同(x²=76.22,P<0.001), 15～24岁年龄组安全套坚持使用率较高为50.9%, 同时该年龄组的MSM与性伴之间商业性性行为比例最高, 为22.5%。结论: MSM与性伴之间的交往模式具有-定程度的相似性, 同时存在传播HIV的潜在危险。

English Abstract:

Objective: To study the patterns of sexual contact and behavioral features of men who have sex with men (MSM) and to analyze the related potential risks". Methods: A face to face interview with a standardized questionnaire was conducted on 673 MSM from May to July, 2006 in Haerbin, HeilonNiang province Mixing matrices were computed based on characteristics of MSM and their sexual partners and different models were used for goodness-of-fit. Results: 648 questionnaires were completed. Age and marriage status of sexual contact patterns were assertive with values of Q which were found t0 be 003 and 0.41, respectively, Values of Q showed big difference according to age and marriage status 0f sexual mixing Patterns among different sites. A tendency for age and marriage pairing in clustering around main diagonal(table 5, table 6) suggested that MSM and their partners were similar in ages and marriages while voung MSM tend to have older partners. Most of the MSM had large number of sexual partners and frequently changing their sexual partners. The proportions of consistent condom use changed greatly (r² 76.22, P<0.001) over time with the proportions of consistent condom use and commereial sex behaviors among 15-24 age groups of 50.9% and 22.5%, respectively. Conclusion: Among MSM, sexual mixing patterns were weakly assertive, suggesting potential HIV transmission risk did exist since high risk behavior often occurred among MSM and their sexual partners.

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