【摘要】 目的 了解湖北省MSM中Rush使用情况，分析其相关因素，为制定相应干预措施提供科学依据。方法 2024年5～6月，通过Blued平台线上招募研究对象对湖北省内MSM进行横断面调查。问卷内容包含一般人口学特征、行为特征、Rush使用情况、HIV检测情况等信息，使用多因素Logistic回归分析使用Rush的相关因素。结果 共524名MSM参与本调查，其Rush的使用率为31.9%。多因素Logistic回归分析显示，性行为角色为被插入方（OR=3.413,95%CI:1.980～5.883）、性行为角色为双重性角色（OR=2.317,95%CI:1.370～3.919）、近6个月男性性伴数量为2～3人（OR=2.943,95%CI:1.793～4.832）、近6个月男性性伴数量≥4人（OR=4.472,95%CI:2.554～7.833）、既往接受过HIV检测（OR=2.990,95%CI:1.319～6.778）、近1年使用过其他娱乐性药物（OR=2.403,95%CI:1.022～5.651）、近6个月频繁暴饮（OR=2.023,95%CI:1.139～3.594）是Rush使用的促进因素。结论 湖北省MSM的Rush较为流行，其中多性伴、性行为角色为被插入方和双重性角色、既往接受过HIV检测、近6个月频繁暴饮者报告的Rush使用率更高，应更加关注此类人群Rush使用情况，并针对该特殊人群采取精准综合干预措施，减少Rush的使用，从而降低该人群感染和传播HIV的风险。更多还原

【Abstract】 Objective To understand the current situation of Rush use and associated factors among men who have sex with men(MSM) in the Hubei Province, and to provide a scientific basis for formulating corresponding intervention measures. Methods A cross-sectional survey was conducted between May and June 2024 among MSM in the Hubei Province. Participants were recruited online via the Blued platform using a self-administered anonymous electronic questionnaire. The questionnaire included general demographic characteristics, behavioral characteristics, information on Rush use, and human immunodeficiency virus(HIV) testing history. Multivariate logistic regression analysis was used to analyze factors associated with Rush use. Results A total of 524 MSM participated in this survey, and 31.9% of them had used Rush in the past six months. Multivariable logistic regression analysis revealed that factors facilitating the use of Rush included: being a receptive sexual partner(OR=3.413, 95%CI: 1.980-5.883), being a versatile sexual partner(OR=2.317, 95%CI: 1.370-3.919), having 2-3 male sexual partners in the past six months(OR=2.943, 95%CI:1.793-4.832), having ≥4 male sexual partners in the past six months(OR=4.472, 95%CI: 2.554-7.833), previous HIV testing(OR=2.990, 95%CI: 1.319-6.778), using other recreational drugs within the past year(OR=2.403, 95%CI: 1.022-5.651), and frequent binge drinking in the past six months(OR=2.023, 95%CI: 1.139-3.594). Conclusions Rush use is prevalent among MSM in the Hubei Province. Higher usage rates were reported among those who had multiple sexual partners, assumed receptive or versatile sexual roles, had a history of HIV testing, or frequently engaged in binge drinking in the past six months. These findings highlight the necessity of paying increased attention to Rush use in this population and implementing targeted comprehensive interventions to reduce Rush usage, thereby lowering the risk of HIV infection and transmission among this population.更多还原