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目的探讨男男性接触者(MSM)与不同性伴对象发生性行为时安全套使用情况及其影响因素。方法招募高校、酒吧、公园、浴室、网络和男性卖淫会所的男男性接触人群作为访谈对象,全部采取个体访谈方式。结果(1)近半数MSM知道固定性伴的H IV感染状况,但由于不信任对方仍然会使用安全套。(2)大多数卖淫男性向客人提供性服务时使用安全套,但性行为前吸毒或饮酒以及无所谓态度会影响安全套的使用。(3)与临时性伴发生性行为时,对方有吸引力会影响使用安全套。(4)多数人觉得和女性发生性行为时没有必要使用安全套。(5)害怕感染艾滋病是使用安全套的共同原因,影响快感是不使用安全套的共同原因。结论男男性接触者与不同性伴对象的安全套使用情况和影响因素各不相同,控制措施应该考虑不同性伴类型对安全套使用的影响。
Objective To explore the use of condom and its influencing factors in sexual behavior of MSM and different partners. Methods Recruiting people who have sex with men in MSM, bars, parks, bathrooms, internet and male prostitution clubs as interviews, all using individual interviews. Results (1) Nearly half of the MSM knew the status of HIV infection in the sporadic partners, but they still used condoms because they did not trust each other. (2) Most prostitution men use condoms when providing sexual services to their clients, but pre-sexual drug or alcohol use and indifference can affect the use of condoms. (3) When having sexual intercourse with a temporary partner, the other party’s attractiveness will affect the use of condoms. (4) Most people find it unnecessary to use condoms when having sex with women. (5) fear of AIDS is the common cause of the use of condoms, affecting pleasure is not the common cause of condom use. Conclusions There are different condom usage and influencing factors between men who have sex with men and those with different sexual partners. The control measures should consider the impact of different types of partners on the use of condoms.