论文部分内容阅读
目的了解男男性行为人群(MSM)安全套使用状况,为促进该人群安全套的正确使用提供依据。方法采用非概率抽样法中的定向抽样(滚雪球)法进行横断面调查,选择6城市多中心同步进行。使用SPSS 11.0进行资料统计分析。结果收到有效问卷1 295份。年龄中位数24岁。首次性交年龄中位数19岁,929例(74.4%)首个性伴是男性,859例(67.7%)首次性交时用套,410例(32.3%)未用套,未用的主要原因是不知道男男性行为应该用套及认为没必要用套等。最近6个月性交时,724例(63.2%)经常或总用套,210例(18.3%)几乎不用套;160例(12.4%)曾与男性发生非自愿性交,其中31例(19.4%)坚持用套;99例(7.6%)发生过群交,其中40例(40.4%)坚持用套;213例(16.4%)性交时曾出血,其中83例(39.0%)坚持用套;54例(4.2%)买过性,其中18例(33.3%)坚持用套。60例(4.6%)用过冰毒等新型毒品,其中13例(21.6%)坚持用套。448例(35.5%)最近一次性交时未用套,其主要原因是认为没必要用和不喜欢用等。结论 MSM安全套使用的相关因素较多,在实际工作中应根据不同情况有针对性地干预,进而提高该人群对安全套接受程度和正确使用率。
Objective To understand the status of condom use in men who have sex with men (MSM) and to provide basis for the proper use of condoms in this group. Methods Cross-sectional investigation was conducted by directional sampling (snowball) method in non-probabilistic sampling method, and multicenter centers in 6 cities were selected. Using SPSS 11.0 statistical analysis. As a result, 1,295 valid questionnaires were received. The median age is 24 years old. The median age at first sexual intercourse was 19 years. The first sexual partner of 929 (74.4%) men was male. 859 (67.7%) had their first sexual intercourse and 410 (32.3%) did not. Knowing that men who have sex with men should use sets and think that they are not necessary. In the last 6 months of intercourse, 724 cases (63.2%) had regular or total cases and 210 cases (18.3%) had almost no cases. 160 cases (12.4%) had involuntary intercourse with males, of which 31 cases (19.4% Of them, 40 cases (40.4%) insisted on using the kit; 213 cases (16.4%) had bleeding during intercourse, of which 83 cases (39.0%) insisted on using the kit; 54 cases (39.0% 4.2%) bought sex, of which 18 cases (33.3%) adhere to the use of sets. Sixty patients (4.6%) used new drugs such as methamphetamine, of which 13 cases (21.6%) insisted on using sets. 448 cases (35.5%) did not use the sets during the last sexual intercourse, the main reason is that they did not need to use and do not like to use. Conclusion There are many related factors in the use of condom for MSM. In practical work, it should be intervened according to different situations so as to improve the condom acceptance and the correct utilization rate.