目的:了解男男性接触者(Men who have sex with men,MSM)亚文化特征及高危性行为状况,为开展HIV/STIs预防干预活动提供依据。方法:对进入同性恋酒吧中活动的MSM进行问卷调查,调查内容包括社会人口特征,高危性行为状况和性伴特征等。结果:MSM中多性伴现象普遍,安全套使用率较低;在最近6个月中,与同性发生高危性行为的报告率为69.5%,与异性发生高危性行为的报告率为43.7%,有30.5%的人报告既有同性又有异性高危性行为。经多因素分析表明,年龄大是同性高危性行为的影响因素,既有同性又有异性高危性行为的影响因素为年龄大和最近2个月中有过4个及以上同性肛交性伴,女性高危性行为的影响因素为年龄大、非同性性取向、一生中拥有4个及以上异性性伴和在最近2个月中有2个及以上同性偶然性伴。结论:促使HIV/STIs在MSM人群中传播的危险因素广泛存在,为了达到有效的行为干预效果,在进行干预时,要充分考虑他们的亚文化特征。
【英文摘要】
Objective:To find out the subculture character and high-risk sexual behavior among men who have sexual behavior with men in gay bars and to provide basis for HIV/STIs prevention and control.Methods:A cross-sectional survey was conducted in gay bars included the demographic characteristics,sexual behavior,sexual partners and so on.Results:Multiple sex partners were common,few people could insistently use condom during sexual behaviors.The self-reported unprotected sexual behavior with men was 69.5%,and that ...
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