CAJ | 학술논문

目的：了解男男性接触者（ MSM）异性性行为的特征及其影响因素。方法在MSM活动的浴池场所，采用自愿咨询检测和问卷调查的方法对MSM进行调查。结果342名MSM中，52.05%已婚。22.22%自评为完全同性恋，77.78%为双性恋。性取向自我评估为“完全同性恋者”的已婚率（31.57%）低于双性恋者（57.89%）（p<0.05）。197名MSM曾与异性发生过性行为，123人在近六个月内与异性发生过性行为中，仅49人坚持每次使用安全套。相关影响因素分析已婚者及双性恋者更容易发生异性性行为（ p<0.05）。HIV和梅毒感染率分别为11.40%和16.67%，两者感染率与是否发生异性性行为均无关联（ p均>0.05）。近六个月感染者安全套使用率为43.34%，而未感染者为36.33%，两者差异无统计学意义（ p>0.05）。结论 MSM人群中发生异性性行为的比例较高，安全套使用率较低，需加大干预力度，提高安全套使用率。
목적：료해남남성접촉자（ MSM）이성성행위적특정급기영향인소。방법재MSM활동적욕지장소，채용자원자순검측화문권조사적방법대MSM진행조사。결과342명MSM중，52.05%이혼。22.22%자평위완전동성련，77.78%위쌍성련。성취향자아평고위“완전동성련자”적이혼솔（31.57%）저우쌍성련자（57.89%）（p<0.05）。197명MSM증여이성발생과성행위，123인재근륙개월내여이성발생과성행위중，부49인견지매차사용안전투。상관영향인소분석이혼자급쌍성련자경용역발생이성성행위（ p<0.05）。HIV화매독감염솔분별위11.40%화16.67%，량자감염솔여시부발생이성성행위균무관련（ p균>0.05）。근륙개월감염자안전투사용솔위43.34%，이미감염자위36.33%，량자차이무통계학의의（ p>0.05）。결론 MSM인군중발생이성성행위적비례교고，안전투사용솔교저，수가대간예력도，제고안전투사용솔。
Objective To explore the heterosexual intercourse characteristics and its influencing factors among MSM population. Methods Voluntary counseling/testing and questionnaire survey were carried out at the bathhouses where MSM usually assemble. Results Among 342 MSM surveyed,52. 05% were married. 76 people( 22. 22%) were completely homosexual,while 266 people(77. 78%)were bisexual. 24(31. 57%)MSM who answered″ totally gay″ in self-assessment of sex orientation were married,significantly lower than those answered bisexual(57. 89%)(p<0. 05). 197 of participants had sex with women ,and 123 MSM had sex with women during the last six months,49 MSM of which used condoms at each heterosexual activity. MSM who were married or bisexual were easy to have heterosexual intercourse. Among the MSM surveyed,the HIV and syphilis infection rates were 11. 40% and 16. 67% respectively. There was no significant difference between the use of condoms and infection( both p>0. 05). In the recent six months,there was no significant difference in the use of condoms between infected( 43. 34%)and non-infected persons( 43. 34%)( p >0. 05). Conclusion Among MSM population,the prevalence of heterosexual intercourse is high,while condom use rate is relatively low. It is necessary to strengthen the behavioral intervention and promote condom use.