CAJ | 학술논문

目的研究以互联网为最主要性交往途径的男男性行为者(MSM)HIV/AIDS 相关性行为.方法采用定向抽样("滚雪球")法,对9城市MSM开展横断面匿名问卷调查,使用SPSS 11.0软件进行统计分析.结果对瓦联网问题应答者2178名.是否以互联网为最主要性交往途径者分别占45.6%和54.4%.73.1%的MSM曾登陆过男同性爱者(gay)相关网站,登陆者中83.0%曾通过gay网站寻找性伴,其中91.7%曾与gay网友见面并性交过.互联网组MSM近6个月同性性伴总数及口交、主动肛交和被动肛交性伴数分别为5.73个、5.13个、4.67个和3.51个,均明显少于非互联网组的10.3个、8.71个、8.26个和6.06个(P值均＜0.01);互联网组MSM近一年曾有同性群交应答百分比为16.7%,明显低于非互联网组的20.5%(P＜0.01).互联网组MSM曾口交、肛交、近6个月有肛交及有固定性伴者应答百分比分别为94.7%、95.1%、83.4%和52.6%,均明显高于非互联网组的89.6%、86.5%、75.5%和46.7%(P值均＜0.01);互联网组MSM近一年参与同性指交、有出血性交及去异地性交者应答百分比分别为52.2%、36.4%和28.1%,均明显高于非互联网组的38.5%、21.9%和22.7%(P值均＜0.01),其中曾有过同性出血性交OR值最高,为2.04(1.68～2.47).结论互联网的利用对MSM人群HIV/AIDS相关性行为有双晕影响.应充分利用gay网站对MSM进行健康教育和HIV/AIDS干预.
목적 연구이호련망위최주요성교왕도경적남남성행위자(MSM)HIV/AIDS 상관성행위.방법 채용정향추양("곤설구")법,대9성시MSM개전횡단면닉명문권조사,사용SPSS 11.0연건진행통계분석.결과 대와련망문제응답자2178명.시부이호련망위최주요성교왕도경자분별점45.6%화54.4%.73.1%적MSM증등륙과남동성애자(gay)상관망참,등륙자중83.0%증통과gay망참심조성반,기중91.7%증여gay망우견면병성교과.호련망조MSM근6개월동성성반총수급구교、주동항교화피동항교성반수분별위5.73개、5.13개、4.67개화3.51개,균명현소우비호련망조적10.3개、8.71개、8.26개화6.06개(P치균＜0.01);호련망조MSM근일년증유동성군교응답백분비위16.7%,명현저우비호련망조적20.5%(P＜0.01).호련망조MSM증구교、항교、근6개월유항교급유고정성반자응답백분비분별위94.7%、95.1%、83.4%화52.6%,균명현고우비호련망조적89.6%、86.5%、75.5%화46.7%(P치균＜0.01);호련망조MSM근일년삼여동성지교、유출혈성교급거이지성교자응답백분비분별위52.2%、36.4%화28.1%,균명현고우비호련망조적38.5%、21.9%화22.7%(P치균＜0.01),기중증유과동성출혈성교OR치최고,위2.04(1.68～2.47).결론 호련망적이용대MSM인군HIV/AIDS상관성행위유쌍훈영향.응충분이용gay망참대MSM진행건강교육화HIV/AIDS간예.
Objective To explore the associations between partner-seeking activities through internet and HIV/AIDS related risk behaviours among men who have sex with men(MSM).Methods Target sampling.anonymous questionnaires were adopted and analyzed with SPSS 11.0.Results Data from 45.6% of the 2178 valid questionnaires showed that most partner-seeking activities was through internet.73.1% of them landed on gay website.in which 83.0% looked for sexual partners and 91.7% of them had intercourse with other men met through internet when compared with MSM who did not seek sex activities through internet.The internet group obviously had fewer numbers of partners(5.73 vs.10.3),oral sex partners(5.13 vs.8.71),passive anus sex partners(4.67 vs.8.26)and active anus sex partners (3.51 vs.6.06)in the past 6 months(P＜0.01 respectively)and obviously had fewer group sex(16.7% vs.20.5%)activities in the past one year but had more activities on oral sex(94.7% vs.89.6%),anus sex(95.1% vs.86.5%),regular sexual partner(52.6% vs.46.7%)in the past 6 months(83.4% vs.75.5%)(P＜0.01 respectively)and more likely to have finger intercourse(52.2% vs.38.5%),hemorrhage sexual intercourse(36.4% vs.21.9%,OR=2.04),non-local sexual intercourse(28.1% vs.22.7%)(P＜0.01 respectively).Conclusion Seeking sexual partners through internet had positive and double effects on MSM's risk behaviours.suggesting that it is of urgent need to take the advange of internet and gay website to disseminate HIV/AIDS prevention message.