Abstract
郭燕,杨杰,柏建芸,柳忠泉,董笑月,李龙,赵璇,于茂河.天津市青年男男性行为人群精神活性物质使用情况分析[J].Chinese journal of Epidemiology,2024,45(5):687-693
天津市青年男男性行为人群精神活性物质使用情况分析
Analysis on psychoactive substance use in young men who have sex with men in Tianjin
Received:September 21, 2023  
DOI:10.3760/cma.j.cn112338-20230921-00174
KeyWord: 青年男男性行为人群  精神活性物质  横断面
English Key Word: Young men who have sex with men  Psychoactive substances  Cross-sectional
FundProject:天津市医学重点学科(TJYXZDXK-050A)
Author NameAffiliationE-mail
Guo Yan Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Yang Jie Shenlan Public Health Consulting Service Center, Tianjin 300121, China  
Bai Jianyun Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Liu Zhongquan Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Dong Xiaoyue Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Li Long Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Zhao Xuan Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
 
Yu Maohe Department of AIDS/STD Prevention and Control, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China
Tianjin Key Laboratory of Pathogenic Microbiology of Infectious Disease, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China 
yumaohe@tj.gov.cn 
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Abstract:
      目的 了解天津市青年男男性行为人群(YMSM)精神活性物质使用情况及影响因素。方法 2017年9月至2022年12月,通过滚雪球抽样方法对16~24岁MSM开展面对面的匿名问卷调查,收集MSM主要人口学、行为学信息,并开展HIV血清学检测,通过多因素分析探索该人群精神活性物质使用情况及影响因素。结果 研究对象YMSM 2 919人中,47.1%(1 374/2 919)曾经使用过精神活性物质,校外YMSM曾经使用过精神活性物质的比例为51.6%(853/1 653),高于学生YMSM(41.2%,521/1 266)(χ2=31.42,P<0.001)。校外YMSM精神活性物质使用的多因素分析显示,吸烟者是不吸烟者的1.49(95%CI:1.17~1.84)倍,最近6个月发生过肛交性行为者是未发生者的4.14(95%CI:1.71~9.98)倍,最近1周肛交次数≥3次者是<3次者的1.65(95%CI:1.27~2.14)倍,最近6个月发生过同性商业性行为者是未发生者的1.99(95%CI:1.14~3.45)倍,最近1年接受过HIV检测者是未检测者的2.37(95%CI:1.90~2.94)倍,最近1年被诊断患性病者是未患性病者的1.89(95%CI:1.11~3.21)倍;首次同性性行为年龄≥20岁者是<20岁者的0.66(95%CI:0.52~0.83)倍,性取向异性恋/双性恋者是同性恋者的0.48(95%CI:0.30~0.74)倍,主要通过线下交友者是线上交友者的0.70(95%CI:0.53~0.94)倍。学生YMSM精神活性物质使用的多因素分析显示,天津市户籍是外地户籍的1.31(95%CI:1.02~1.69)倍,吸烟者是不吸烟者的1.61(95%CI:1.14~2.27)倍,最近1周肛交次数≥3次者是<3次者的1.52(95%CI:1.05~2.19)倍,最近1年被诊断患性病者是未患性病者的3.31(95%CI:1.68~6.50)倍,汉族是少数民族的0.53(95%CI:0.30~0.94)倍。结论 天津市YMSM使用精神活性物质比例较高,校外与学生YMSM使用精神活性物质的影响因素不同,需要针对不同人群采取有针对性的干预措施。
English Abstract:
      Objective To understand the prevalence of psychoactive substance use and its related factors in young men who have sex with men (YMSM) in Tianjin. Methods From September 2017 to December 2022, a face-to-face anonymous questionnaire survey was conducted in MSM aged 16-24 years selected by snowball sampling in Tianjin, the main demographic and behavioral information of the YMSM were collected, and blood samples were collected from them for HIV test. Multivariate logistic regression analysis was used to identify related factors of psychoactive substances use. Results A total of 2 919 YMSM were included in the study, in whom 47.1% (1 374/2 919) had ever used psychoactive substances. The rate of psychoactive substance use in YMSM who were not students was 51.6% (853/1 653), which was higher than that (41.2%, 521/1 266) in YMSM who were students (χ2=31.42, P<0.001). In the YMSM who were not students, multivariate analysis showed that the OR of psychoactive substance use was 1.49 times higher in smokers than in non-smokers (95%CI: 1.17-1.84), 4.14 times higher in those who had anal sex in the past six months than in those who had no anal sex (95%CI: 1.71-9.98), 1.65 times higher in those who had ≥3 anal intercourses in the last week than in those who had <3 anal intercourses (95%CI: 1.27-2.14), 1.99 times higher in those who had commercial sex in the past six months than in those who had no homosexual commercial sex (95%CI: 1.14-3.45), 2.37 times higher in those who had HIV test in the last year than in those who had no HIV test (95%CI: 1.90-2.94), 1.89 times higher in those who had STD diagnosis in the last year than in those who had no STD diagnosis (95%CI: 1.11-3.21), 0.66 times higher in those who had the first homosexual sex at age ≥20 years than in those who had the first homosexual sex at age <20 years (95%CI: 0.52-0.83), 0.48 times higher in those who were heterosexual or bisexual than in those who were homosexual (95%CI: 0.30-0.74) and 0.70 times higher in those who mainly searched sexual partners offline than in those who mainly searched sexual partners online (95%CI: 0.53-0.94). Meanwhile, in the YMSM who were students, multivariate analysis showed that the OR of psychoactive substance use was 1.31 times higher in local residents than in non-local residents (95%CI: 1.02-1.69), 1.61 times higher in smokers than in non-smokers (95%CI: 1.14-2.27), 1.52 times higher in those who had ≥3 anal intercourses in the last week than in those who had<3 anal intercourses (95%CI: 1.05-2.19), 3.31 times higher in those who had STD diagnosis in the last year than in those who had no STD diagnosis (95%CI: 1.68-6.50) and 0.53 times higher in those in Han ethnic group than in those in minor ethnic groups (95%CI: 0.30-0.94).Conclusions The prevalence of psychoactive substance use was high in YMSM in Tianjin, and the influencing factors varied in different groups (students or not). It is necessary to conduct targeted interventions for different groups.
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