CAJ | 학술논문

目的探讨未婚男男性行为者(MSM)中与女性经常性交亚人群艾滋病高危性行为状况.方法采用定向抽样方法,对9城市1476例未婚MSM的匿名调查问卷进行分析,比较近6个月内与女性经常性交的MSM(A组)和未与女性性交者(B组)两亚人群的高危性行为发生状况.结果 A组近6个月内作为插入方男性伴人数(平均5.64个)、近1月内男性肛交性伴人数(平均3.09个)均明显高于B组(分别3.31个、1.88个)(P＜0.05).A组与男性性交时用过安全套(81.94%)、最近一次与男客人口交(15.38%)和肛交(70.27%)时用过安全套的百分率均低于B组(分别91.04%、40%、88.43%)(P＜0.05或0.01).A组中从事男性性工作(27.59%)、近6个月在同性爱活动场所与陌生男性性交(61.70%)、近一次与陌生男性性交(43.06%)、近1年在外地与男性性交(40.28%)的百分率明显高于B组(分别12.08%、46.51%、29.25%、26.89%)(P＜0.01).A组中近6个月与女性性交时,68.94%用过安全套,31.06%未用过,仅25.96%每次都用;最近一次与女性性交时,65.45%用过安全套.结论未婚MSM中与女性经常性交的亚人群具有较多的发生于男性问的艾滋病高危性行为,对该人群应制定和实施不同于其他MSM亚群的干预措施,以阻断艾滋病通过其桥梁作用向女性及其他人群传播.
목적 탐토미혼남남성행위자(MSM)중여녀성경상성교아인군애자병고위성행위상황.방법 채용정향추양방법,대9성시1476례미혼MSM적닉명조사문권진행분석,비교근6개월내여녀성경상성교적MSM(A조)화미여녀성성교자(B조)량아인군적고위성행위발생상황.결과 A조근6개월내작위삽입방남성반인수(평균5.64개)、근1월내남성항교성반인수(평균3.09개)균명현고우B조(분별3.31개、1.88개)(P＜0.05).A조여남성성교시용과안전투(81.94%)、최근일차여남객인구교(15.38%)화항교(70.27%)시용과안전투적백분솔균저우B조(분별91.04%、40%、88.43%)(P＜0.05혹0.01).A조중종사남성성공작(27.59%)、근6개월재동성애활동장소여맥생남성성교(61.70%)、근일차여맥생남성성교(43.06%)、근1년재외지여남성성교(40.28%)적백분솔명현고우B조(분별12.08%、46.51%、29.25%、26.89%)(P＜0.01).A조중근6개월여녀성성교시,68.94%용과안전투,31.06%미용과,부25.96%매차도용;최근일차여녀성성교시,65.45%용과안전투.결론 미혼MSM중여녀성경상성교적아인군구유교다적발생우남성문적애자병고위성행위,대해인군응제정화실시불동우기타MSM아군적간예조시,이조단애자병통과기교량작용향녀성급기타인군전파.
Objective To explore the risk of sexual behaviors related to AIDS among unmarried men who often have sex with women.Methods Study objectives were recruited through target sampling and anonymous questionnaires were adopted.Men' s sexual behaviors were compared with each other between the group of men who always had sex with women (group A) and who never had sex with women (group B) in the past 6 months.Results The average numbers of same-gender partners among group A who acted as the male role in the past 6 months and who had anal intercourse in the last month were 5.64 and 3.09 respectively,which were both higher than those of group B's (P＜ 0.05).The rate of condom use among men in group A when having sex with men was 81.94% .The percentages of condom use among men in group A who having had oral or anal sex with male sex buyers last time were 15.38% and 70.27% respectively.They were all higher than those of group B' s (P＜0.05 or 0.01 ).The rates of men in group A who were male sex workers and who having had sex with unknown men in gay places during the past 6 months were 27.59% and 61.70% respectively.Among group A,the percentages of men who had had sex with unknown men during the last time and who had had sex with nonlocal male partners during the past year were 43.06% and 40.28% respectively.They were all higher than those of group B's (P＜0.01).The percentage of condom use among men in group A when having had sex with women during the past 6 months was 68.94%,but only 25.96% of the men used condom regularly.The rate of condom use in men from group A when having sex with women during the last sexual intercourse was 65.45%.Conclusion HIV high-risk sex behaviors were more ubiquitous among unmarried MSM who always had sex with women,suggesting that different interventions be developed to prevent them from transmitting HIV from MSM to women or other men.