摘要
目的了解佛山市网络交友男男性行为者(MSM)的人类免疫缺陷病毒(HIV)感染状况,探讨其影响因素,为制定MSM人群互联网干预措施提供依据。方法采用横断面调查,2020年1-12月在佛山市利用男同交友APP(Blued)开展线上招募,线下进行面对面问卷调查和HIV检测。结果调查和检测MSM 622名,HIV阳性率12.86%(80/622)。MSM人群肛交每次使用安全套的比例仅为56.38%(336/596)。HIV阳性和HIV阴性在性伴数量、性伴HIV感染状况、安全套使用、性角色、同性商业性行为、异性性行为使用安全套情况、性病感染状况和助性物质使用等方面比较差异均有统计学意义(P均<0.05)。最近6个月与2~5个男性发生性行为(OR=1.897)、不清楚性伴HIV感染状况(OR=2.249)、有未治疗HIV阳性性伴(OR=44.973)、性角色是0(OR=3.041)、性角色是0.5(OR=3.021)、有同性商业性行为(OR=3.616)是HIV感染的危险因素(P均<0.05)。结论佛山市网络交友MSM人群的HIV感染风险较高,需要针对其多性伴、性伴HIV感染状态不明、商业性行为、安全套使用率低等特征进行个性化的互联网干预。
Objective To understand the status of human immunodeficiency virus(HIV)infection among online-dating men who have sex with men(MSM)in Foshan city,explore the influencing factors of HIV infection,and provide evidence for internet intervention measures.Method Using cross-sectional surveys,gay-dating APP(Blued)was used for online mobilization and recruitment,while face-to-face questionnaire survey and HIV fast-testing were conducted in Foshan city.Results A total of 622 online-dating MSM cases were investigated and tested,and the HIV positive rate was 12.86%(80/622).Only 56.38%(336/596)of MSM used condoms every time when they have anal sex.There were statistically significant differences between HIV positive and HIV negative MSM in terms of the number of sexual partners,partner HIV infection status,condom use,sexual roles,commercial MSM behavior,condom use of heterosexual sexual behavior,sexually transmitted disease infection status,and use of sex aids(P all<0.05).Having sex with 2-5 men in six month(OR=1.897),unclear sexual HIV infection status(OR=2.249),untreated HIV positive sexual partner(OR=44.973),the sexual characters was 0(OR=3.041),the sexual characters was 0.5(OR=3.021),and homosexual commercial behavior(OR=3.616)were risk factors for HIV infection(P all<0.05).Conclusion The online-dating MSM in Foshan city had a high risk of HIV infection;personalized internet intervention should be implemented for those had more sexual partners,sexual partners with unknown HIV infection status,commercial homosexual behavior and low condom utilization rate.
作者
管东波
何敏嫦
梁雪梅
梁肖嫣
周业鹏
GUAN Dongbo;HE Minchang;LIANG Xuemei;LIANG Xiaoyan;ZHOU Yepeng(Foshan Nanhai District Center for Disease Control and Prevention,Foshan,Guangdong 528200,China;Foshan Pengyou HIV Prevention Care and Relief Center,Foshan,Guangdong 528200,China)
出处
《热带医学杂志》
CAS
2023年第6期867-871,共5页
Journal of Tropical Medicine
基金
佛山市科技局项目(1920001001047)
佛山市卫生健康局项目(20200398)
作者简介
管东波(1979-),男,硕士,主任医师,从事艾滋病防控工作和研究,E-mail:82786629@qq.com
