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目的了解浙江省杭州市为男同性恋者提供有偿性服务的男子(moneyboy,MB)艾滋病危险行为的影响因素。方法采用国家《艾滋病行为监测问卷》,在会所、浴室、酒吧等场所方便抽样调查206名MB,对年龄、文化程度、知识得分、性取向、商业性伴数等共18个因素与发生商业男男性行为时从不使用或有时使用安全套比率的关系采用单因素分析和多因素logistic回归分析。结果发生商业男男性行为时:最近一次未使用安全套和最近6个月从未使用或有时使用安全套的比率分别为25.2%、52.4%。多因素logistic回归分析显示:在公园寻找性服务对象,未曾检测过HIV,商业性伴数≥20人,MB人群从不使用或有时使用安全套的比率较高,OR值分别是7.15(95%CI:1.30～39.25),2.48(95%CI:1.11～5.52),2.68(95%CI:1.19～6.02);而自己认为没有感染HIV可能性、第一个性伴为女性,其比率相对较低,OR值分别是0.41(95%CI:0.18～0.95),0.44(95%CI:0.23～0.86)。结论MB人群艾滋病危险行为发生率高,寻找性服务对象的场所,曾经未检测过HIV和商业性伴数越多是危险因素;而自己认为没有感染HIV可能性和第一个性伴为女性是保护因素,在公园等重点场所持续开展MB人群的艾滋病宣传干预工作,包括咨询检测,提高自我保护意识。
Objective To understand the influencing factors of HIV / AIDS risk among men (moneyboy, MB) who provide gay men with gay services in Hangzhou, Zhejiang Province. Methods A total of 206 MB patients were randomly sampled from clubs, bathhouses, bars and other places using the National HIV / AIDS Behavior Surveillance Questionnaire. A total of 206 MBs were surveyed on the basis of 18 factors including age, education level, knowledge score, sexual orientation, Univariate and multivariate logistic regression analyzes were used to determine the relationship between condom use and men who never used or sometimes used condoms. Results At the time of commercial men’s and males sex, the rates of the last unused condom and the unused or sometimes used condom in the past six months were 25.2% and 52.4% respectively. Multivariate logistic regression analysis showed that the rate of never using or sometimes condom use in MB population was 7.15 (95% CI : 1.30-39.25), 2.48 (95% CI: 1.11-5.52), and 2.68 (95% CI: 1.19-6.02). However, in their own opinion, there was no possibility of HIV infection and their first partner was female, with a relatively low rate The OR values were 0.41 (95% CI: 0.18-0.95) and 0.44 (95% CI: 0.23-0.86), respectively. Conclusions The MB population has a high incidence of HIV / AIDS risk behaviors, locating sex service targets, and the more HIV and commercial sex partners that have not been tested before, the more risk factors are; and the women who do not think they have the possibility of HIV infection and the first sex partner are women Protection factors, continue to carry out HIV / AIDS intervention in MB population in key places such as parks, including consulting and testing to raise awareness of self-protection.