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目的了解绵阳市男男性行为者(MSM)浴室型寻找性伴及影响因素。方法以辖区内MSM为对象,应用滚雪球抽样法,在固定场所、知情同意下进行调查对象招募及相关行为学调查和生物学检测。结果选取符合要求的调查对象583例,寻找性伴场所浴室型90例(15.4%),寻找性伴地方为当地10例(11.1%)、外地80例(88.9%),不同地区差异有统计学意义(χ2分别为141.873、55.813,P均<0.001)。多因素分析结果:年龄、认识当地MSM朋友数、寻找性伴主要地方、近6月男性商业性行为、近1周肛交次数是浴室型寻找性伴的独立影响因素(OR分别为3.233、3.055、27.791、6.211、0.138,P<0.05)。结论浴室型寻找性伴是MSM,尤其是县级城市MSM的重要途径,以异地为主,保护意识相对较强,但多种危险因素并存,是HIV传播的重要媒介和防治重点。
Objective To understand the type of sexual partners and their influencing factors in MSM in Mianyang City. Methods Taking MSM in the area as the object, the snowball sampling method was used to survey the subjects and related behavioral investigations and biological tests in a fixed place with informed consent. Results A total of 583 eligible patients were enrolled in this study, 90 (15.4%) were looking for bathing facilities at sexual partner sites, 10 (11.1%) were looking for sexual partners, and 80 (88.9%) were in other places. There were statistically significant differences Significance (χ2, respectively, 141.873,55.813, P <0.001). The results of multivariate analysis: age, age of acquaintance of MSM friends, finding the main place of sexual partners, male commercial behavior in recent 6 months, and the number of anal intercourse in bathroom in the recent 1 week were the independent influential factors of finding sexual partner in bath type (OR = 3.233, 3.055, 27.791, 6.211, 0.138, P <0.05). Conclusion Bathroom-type sexual partners are an important way for MSM, especially MSM in county-level cities. Remote-sensing and protection awareness are relatively strong, but a variety of risk factors co-exist. It is an important medium for prevention and treatment of HIV transmission.