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广州市男男性行为人群性感觉寻求与高危性行为的关联

江洪波,  黎静,  谭芷敏,  林铠浩,  陈晓滨,  程伟彬,  徐慧芳,  杨翌

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文章导航 > 中华疾病控制杂志  > 2019 >  23(7): 818-821
江洪波, 黎静, 谭芷敏, 林铠浩, 陈晓滨, 程伟彬, 徐慧芳, 杨翌. 广州市男男性行为人群性感觉寻求与高危性行为的关联[J]. 中华疾病控制杂志, 2019, 23(7): 818-821. doi: 10.16462/j.cnki.zhjbkz.2019.07.015
引用本文: 江洪波, 黎静, 谭芷敏, 林铠浩, 陈晓滨, 程伟彬, 徐慧芳, 杨翌. 广州市男男性行为人群性感觉寻求与高危性行为的关联[J]. 中华疾病控制杂志, 2019, 23(7): 818-821. doi: 10.16462/j.cnki.zhjbkz.2019.07.015
shu
JIANG Hong-bo, LI Jing, TAN Zhi-min, LIN Kai-hao, CHEN Xiao-bin, CHENG Wei-bin, XU Hui-fang, YANG Yi. Association between sexual sensation seeking and sexual risk behaviors among men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 818-821. doi: 10.16462/j.cnki.zhjbkz.2019.07.015
Citation: JIANG Hong-bo, LI Jing, TAN Zhi-min, LIN Kai-hao, CHEN Xiao-bin, CHENG Wei-bin, XU Hui-fang, YANG Yi. Association between sexual sensation seeking and sexual risk behaviors among men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(7): 818-821. doi: 10.16462/j.cnki.zhjbkz.2019.07.015
shu

广州市男男性行为人群性感觉寻求与高危性行为的关联

doi: 10.16462/j.cnki.zhjbkz.2019.07.015
  • 1.

    510310 广州, 广东药科大学公共卫生学院流行病与卫生统计学系

  • 2.

    510440 广州, 广州市疾病预防控制中心艾滋病预防控制部

基金项目: 

国家自然科学基金 81703282

广州市哲学社会科学发展"十三五"规划2018年度共建课题 2018GZGJ67

详细信息
    通讯作者:

    杨翌, E-mail: yangyigz@163.com

  • 中图分类号: R181

Association between sexual sensation seeking and sexual risk behaviors among men who have sex with men in Guangzhou

  • 1.

    Department of Epidemiology and Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China

  • 2.

    Department of AIDs Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China

Funds: 

National Natural Science Foundation of China 81703282

The "13th Five-Year" plan for the development of philosophy and social sciences in Guangzhou 2018GZGJ67

More Information

    摘要
  • 摘要:   目的  分析广州市男男性行为人群(men who have sex with men，MSM)性感觉寻求与高危性行为的关联。  方法  2017年6月-2018年4月，通过智同公益服务中心友同门诊招募年龄18岁及以上的MSM。采用自行设计的电子问卷收集一般人口学特征、性行为特征、高危性行为和性感觉寻求等信息。采用非条件Logistic回归分析多性伴、一夜情和无保护肛交与性感觉寻求的关联。  结果  500名调查对象平均年龄(27.77±5.96)岁。调整了一般人口学特征与性行为特征后，多因素Logistic回归分析结果显示高性感觉寻求得分的MSM发生多性伴(OR=2.05，95%CI：1.40~2.30，P < 0.001)，一夜情(OR=2.11，95%CI：1.44~3.09，P < 0.001)和无保护肛交(OR=1.70，95%CI：1.16~2.50，P=0.007)的风险高于低性感觉寻求者。  结论  广州市MSM高性感觉寻求者更可能发生高危性行为，在制定行为干预措施时应该考虑性感觉寻求的影响，以提高艾滋病干预的效果。
    Abstract:   Objective  To evaluate the association between sexual sensation seeking (SSS) and sexual risk behaviors among men who have sex with men (MSM) in Guangzhou.  Methods  MSM aged 18 and over were recruited in Zhitong Charity from June 2017 to April 2018. Data on socio-demographic characteristics, sexual behaviors and SSS were collected using an electronic questionnaire. Logistic regression analyses were performed to evaluate the association between SSS and sexual risk behaviors.  Results  A total of 500 MSM were included in the current study. The mean age of the participants was (27.77±5.96) years old. The multiple logistic regression analyses showed that MSM with high SSS scores were more likely to engage in multiple sexual partners (OR=2.05, 95% CI: 1.40-2.30, P < 0.001), one-night stand (OR=2.11, 95% CI: 1.44-3.09, P < 0.001), and unprotected anal intercourse (OR=1.70, 95% CI: 1.16-2.50, P=0.007) than those with low SSS scores.  Conclusions  High SSS is associated with an increased risk of sexual risk behavior among MSM in Guangzhou. The behavior intervention strategy should be tailored for MSM with high SSS to improve the effectiveness to reduce sexual risk behaviors.
    • HTML全文

  • 表  1  高、低性感觉寻求的MSM社会人口学特征比较[n(%)]

    Table  1.   Comparison of high and low scores of sexual sensation seeking among different socio-demographic characteristics in men who have sex with men [n(%)]

    变量 人数(人) 性感觉寻求 χ2值 P值
    低 高
    年龄(岁) 0.01 0.998
      ≤25a 208(41.60) 94(45.19) 114(54.81)
      >25 292(58.40) 114(45.21) 160(54.79)
    户籍所在地 8.04 0.018
      广州市 143(28.60) 51(35.66) 92(64.34)
      广东省其他市 192(38.40) 98(51.04) 94(48.96)
      外省 165(33.00) 77(46.67) 88(53.33)
    本地居住时间(月) 2.19 0.139
      ≤12 57(11.40) 31(54.39) 26(45.61)
      >12 443(88.60) 195(44.02) 248(55.98)
    婚姻状况 0.17 0.680
      未婚 437(87.40) 196(44.85) 241(55.15)
      曾婚b 63(12.60) 30(47.62) 33(52.38)
    文化程度 1.74 0.419
      初中及以下 27(5.40) 14(51.85) 13(48.15)
      高中/中专 75(15.00) 38(50.67) 37(49.33)
      大专及以上 398(79.60) 174(43.72) 224(56.28)
    职业 0.16 0.922
      在校学生 79(15.80) 35(44.30) 44(55.70)
      在职/兼职 325(65.00) 149(45.85) 176(54.15)
      非在职 96(19.20) 42(43.75) 54(56.25)
    个人月收入(元) 3.18 0.528
      无收入 60(12.00) 24(40.00) 36(60.00)
      1~ 47(9.40) 26(55.32) 21(44.68)
      3 000~ 141(28.20) 60(42.55) 81(57.45)
      5 000~ 170(34.00) 77(45.29) 93(54.71)
      >10 000 82(16.40) 39(47.56) 43(52.44)
    注：a≤25岁者为青少年MSM；b曾婚包括在婚、同居、离异和丧偶。
    下载: 导出CSV

    表  2  高、低性感觉寻求的MSM性行为特征比较[n(%)]

    Table  2.   Comparison of high and low scores of sexual sensation seeking among different sexual behavior characteristics in men who have sex with men [n(%)]

    变量 人数(人) 性感觉寻求 χ2值 P值
    低 高
    首次肛交时年龄(岁) 0.02 0.882
    ＜18 52(10.40) 23(44.23) 29(55.77)
    ≥18 448(89.60) 203(45.31) 245(54.69)
    首次肛交时是否戴套 2.58 0.275
    是 359(71.80) 165(45.96) 194(54.04)
    否 106(21.20) 42(39.62) 64(60.38)
    不清楚 35(7.00) 19(54.29) 16(45.71)
    性取向 0.76 0.684
    同性恋 368(73.60) 167(45.38) 201(54.62)
    双性恋 110(22.00) 51(46.36) 59(53.64)
    其他 22(4.40) 8(36.36) 14(63.64)
    性角色 0.74 0.690
    插入方 69(13.80) 34(49.28) 35(50.72)
    插入/被插入方 352(70.40) 155(44.03) 197(55.97)
    被插入方 79(15.80) 37(46.84) 42(53.16)
    寻找同性性伴的途径 0.06 0.800
    互联网 427(85.40) 194(45.43) 233(54.57)
    实体场所 73(14.60) 32(43.84) 41(56.16)
    下载: 导出CSV

    表  3  性感觉寻求与高危性行为的关联分析[n(%)]

    Table  3.   The association between sexual sensation seeking and sexual risk behaviors in men who have sex with men [n(%)]

    性感觉寻求 多性伴 一夜情 无保护肛交
    cOR(95%CI)值a aOR(95%CI)值b cOR(95%CI)值 aOR(95%CI)值 cOR(95%CI)值 aOR(95%CI)值
    低 1.00 1.00 1.00 1.00 1.00 1.00
    高 1.94(1.35~2.79)c 2.05(1.40~2.30)c 2.02(1.41~2.90)c 2.11(1.44~3.09)c 1.50(1.05~2.15)d 1.70(1.16~2.50)e
    注：acOR：crude odds ratio，粗比值比；baOR：adjusted odds ratio，调整比值比，为调整年龄、户籍所在地、地居住时间、婚姻状况、文化程度、职业、个人月收入、首次肛交时年龄、首次肛交时是否戴套、性取向、性角色和寻找性伴途径等因素后的结果；变量赋值根据表 1和表 2的变量的分类进行赋值。cP＜0.001。dP＜0.05。eP＜0.01。
    下载: 导出CSV
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  • 收稿日期:  2019-01-29
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