| 史同新,于增照,李秀芳,徐敬星,王燕飞,张北川.对男男性行为者中“买”性者艾滋病高危行为状况调查[J].Chinese journal of Epidemiology,2010,31(11):1223-1226 |
| 对男男性行为者中“买”性者艾滋病高危行为状况调查 |
| Study on the AIDS-related high risk behaviors of men who have sex with men under the experience of exchanging money for the same sex |
| Received:March 31, 2010 |
| DOI： |
| KeyWord: 艾滋病 男男性行为者 “买”性 高危行为 |
| English Key Word: Acquired immune deficiency syndrome Men who have sex with men Exchange money for the same sex High risk behaviors |
| FundProject:国家“十五”科技攻关课题(2004BA719A02) |
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| Abstract: |
| 目的 探讨男男件行为者(MSM)中曾向同性“买”性的亚人群艾滋病高危行为状况。方法 采用定向抽样法进行横断面调查。对全国9城布1959名MSM的有效匿名问卷用SPSS13.0统汁软件包建立数据库并进行统计学分析, 对相应资料进行t检验、x2检验及非参数Mann-WhitneyTest检验。比较曾同性“买”性者与无此经历者艾滋病高危行为差异。结果 9城市1959名MSM中曾同性“买”性者相对年长, 其特征为在婚、在大城市且收人高(P<0.01);其累计同性性伴数、累计同性肛交和口交性伴数(中位数)分别为50.0人、20.0人、20.0人;近6个月同性性伴数、同性肛交及口交性伴数(中位数>分别为5.0人、4.0人、5.0人, 均高于无此经历者(P<0.01)。曾向同性“买”性者近1年31.5%曾参加群交, OR值(95%Cl)为2.288(1.702~3.077), 48.0%曾去外地并与同性性交OR值(95%Cl)为3, 231(2.462-4.241), 近6个月70.5%在MSM活动场所与陌生同性性交过, OR值(95%Cl)为2.840(2.140~3.770);以上百分比均高于无此经历者(P<0.01)。曾向同性“买”性者45.7%与女性性交时使用安全套, OR值(95%Cl)为0.685(0.476-0.986), 低于无此经历者(P<0.05)。结论 MSM中曾向同性“买”性者有较多的艾滋病高危行为, 应针对不同亚人群采取干预措施。 |
| English Abstract: |
| Objective To investigate the AIDS-related high risk behaviors of men who have sex with men (MSM) who ever exchanged money for the same sex. Methods Target sampling for cross-sectional study and valid anonymous questionnaires were adopted to compare the differences of AIDS-related high risk behaviors between MSM with the experience of exchanging money for the same sex and those without that experience. 1959 rstadied samples were recruited in nine cities. SPSS 13.0 was used and tand Mann-Whitney tests were taken for statistical analysis. Results Compared to corresponding ones without “buying” the same sex experience, MSM who ever engaged in “buying” sex had the characteristics of being prone to in marriage and living in larger cities with older age and higher income (P<0.01). They also had a significant larger number in the following events； total sexual partners, anal sex and oral sex episodes with same sex, number of sexual partners, anal sex and oral sex in the previous six months, with the figure of median 50.0, 20.0, 20.0, 5.0, 4.0, 5, 0 respectively. 31.5% had ever participated in ‘group sex,, 48.0% had sex with male partners away from his own region in the previous year, 70.5% had sexual intercourse with strangers at MSM avenues in the last six months. The OR (95% Cl) values were 2.288 (1.702-3.077), 3.231 (2.462-4.241), 2.840 (2.140-3.770). All the above mentioned figures were higher than those without the experience, with significant differences. They had a significant lower rate of 45.7% of condom use while having sex with female partners (P<0.05). Conclusion MSM with the experience of exchanging money for the same sex would have more AIDS-related high risk behaviors, AIDS preventative measures should be taken to target different subgroups. |
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