中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2011年
5期
473-476
,共4页
范颂%孙燕鸣%卢红艳%马小燕%岳海%陆莉%贺雄%马伟%李雪峰%萧燕%阮玉华%邵一鸣
範頌%孫燕鳴%盧紅豔%馬小燕%嶽海%陸莉%賀雄%馬偉%李雪峰%蕭燕%阮玉華%邵一鳴
범송%손연명%로홍염%마소연%악해%륙리%하웅%마위%리설봉%소연%원옥화%소일명
男男性行为者%无保护性肛交%社会规范%饮酒
男男性行為者%無保護性肛交%社會規範%飲酒
남남성행위자%무보호성항교%사회규범%음주
Men who have sex with men%Unprotected anal intercourse%Social norms%Alcohol
目的 了解北京市男男性行为者(MSM)无保护性肛交发生情况及其与社区安全套使用社会规范的关系.方法 2009年9-10月采用应答驱动抽样方法(RDS)在北京市MSM中开展调查,问卷采用计算机辅助调查员访谈式,内容包括人口学、性行为学特征及安全套使用社会规范,使用RDSAT和SAS进行统计学分析.结果 500名MSM平均年龄30.6岁,96.0%为汉族,高中及以上文化程度者占68.5%,72.8%未婚.61.2%最近6个月男性性伴数量＞1;42.0%的调查对象最近一次发生过无保护性肛交.多因素统计分析表明,差异有统计学意义的变量包括安全套使用社会规范计分低(AOR=1.2,95%CI:1.1-1.3),肛交中非主动角色(AOR=2.0,95%CI:1.3-3.2)和近12个月饮酒次数＞3次/月(AOR=1.6.95%CI:1.1-2.5).MSM社区安全套使用社会规范量表内部一致性检验克朗巴赫系数为0.93.结论 北京市MSM无保护性肛交行为发生率较高,应充分发挥MSM社区内社会规范的作用,减少无保护性肛交行为的发生.
目的 瞭解北京市男男性行為者(MSM)無保護性肛交髮生情況及其與社區安全套使用社會規範的關繫.方法 2009年9-10月採用應答驅動抽樣方法(RDS)在北京市MSM中開展調查,問捲採用計算機輔助調查員訪談式,內容包括人口學、性行為學特徵及安全套使用社會規範,使用RDSAT和SAS進行統計學分析.結果 500名MSM平均年齡30.6歲,96.0%為漢族,高中及以上文化程度者佔68.5%,72.8%未婚.61.2%最近6箇月男性性伴數量＞1;42.0%的調查對象最近一次髮生過無保護性肛交.多因素統計分析錶明,差異有統計學意義的變量包括安全套使用社會規範計分低(AOR=1.2,95%CI:1.1-1.3),肛交中非主動角色(AOR=2.0,95%CI:1.3-3.2)和近12箇月飲酒次數＞3次/月(AOR=1.6.95%CI:1.1-2.5).MSM社區安全套使用社會規範量錶內部一緻性檢驗剋朗巴赫繫數為0.93.結論 北京市MSM無保護性肛交行為髮生率較高,應充分髮揮MSM社區內社會規範的作用,減少無保護性肛交行為的髮生.
목적 료해북경시남남성행위자(MSM)무보호성항교발생정황급기여사구안전투사용사회규범적관계.방법 2009년9-10월채용응답구동추양방법(RDS)재북경시MSM중개전조사,문권채용계산궤보조조사원방담식,내용포괄인구학、성행위학특정급안전투사용사회규범,사용RDSAT화SAS진행통계학분석.결과 500명MSM평균년령30.6세,96.0%위한족,고중급이상문화정도자점68.5%,72.8%미혼.61.2%최근6개월남성성반수량＞1;42.0%적조사대상최근일차발생과무보호성항교.다인소통계분석표명,차이유통계학의의적변량포괄안전투사용사회규범계분저(AOR=1.2,95%CI:1.1-1.3),항교중비주동각색(AOR=2.0,95%CI:1.3-3.2)화근12개월음주차수＞3차/월(AOR=1.6.95%CI:1.1-2.5).MSM사구안전투사용사회규범량표내부일치성검험극랑파혁계수위0.93.결론 북경시MSM무보호성항교행위발생솔교고,응충분발휘MSM사구내사회규범적작용,감소무보호성항교행위적발생.
Objective To understand the prevalence of and factors associated with unprotected anal intercourse(UAI)among men who have sex with men(MSM)in Beijing.Methods Five hundred MSM were recruited for a survey using Respondent Driven Sampling (RDS)method, from September to October in 2009. A computer-assisted, interviewer-administered questionnaire was used to gather information including demographics, sexual behaviors and condom use social norms(a scaled number). Variables were evaluated by using RDSAT and SAS software.Results Mean age of the participants was 30.6 years, with 96.0% of them as Han ethnicity and68.5% having had at least high school or higher education level. 72.8% of them were unmarried, with 61.7% of them identified themselves as homosexual, 61.2% had ＞ 1 male partners in the past six months, and the prevalence of UAI was 42.0%. Significant bivariate predictors of UAI would include condom use social norms score, role for anal sex with male sex partner, number of male sexual partners in the past 6 months and amount of alcohol consumed. In multivariable analysis, UAI was associated with a higher condom use social norms score(AOR= 1.2, 95%CI: 1.1-1.3), receptive anal intercourse(AOR=2.0, 95%CI: 1.3-3.2)and drinking alcohol more than 3 times per month in the past 12 months(AOR=1.6, 95%CI: 1.1-2.5). Conclusion The prevalence of UAI was high in the MSM community in Beijing, suggesting that efforts should be targeting on how to make the condom use a social norm and being promoted.
