南充市男男性行为者安全套使用情况分析

Condom use among men who have sex with men in Nanchong,a medium sized city in southern China

目的了解南充市男男性行为者(MSM)安全套使用现状及影响因素。方法用滚雪球法和方便抽样法,在两周时间内选取所有能接触到并获得知情同意的对象。用自制问卷开展调查,所得资料用等级相关等方法进行统计分析。结果共调查214人,其中近1年中同性间发生肛交、口交及与异性发生性关系的比例分别为89.7%9、6.3%和37.4%;坚持每次都使用安全套的比例分别为3.4%、31.3%和25.3%,从不使用者则分别为83.5%、22.9%和41.8%。与男男肛交时安全套使用频率有明显关联的因素包括年龄、经济状况、文化程度、艾滋病感染风险意识、陌生性伴构成等,其中年龄、经济状况、文化程度还与男女间性行为时安全套使用率有明显联系。结论南充市MSM安全套使用率低,艾滋病病毒(HIV)感染风险大,充分认识和高度重视安全套使用过程中的影响因素,是艾滋病防治工作取得成效的关键。

Objective To understand condom use among men who have sex with men （MSM）living in Nanchong city and related influencing factors. Method Convenience and snowball samplings were used to select respondents within two weeks and interviews were conducted with self-administered questionnaires with informed consent. All the data obtained were statistically analyzed by Spearman rank correlation and other software. Result Two hundred and fourteen respondents were recruited,of whom 89.7% and 96.3% had anal or oral sex with male sex partners,and 37.4% had sex with female sex partners：the rates of persistent use of condoms in the above cases were 3.4 %, 31.3 % and 25.3 % , respectively, and the rates of never using condoms were 83.5 %, 22.9 % and 41.8 % , respectively. Some factors including age, economic condition, education backgrounds,awareness of HIV risk in the MSM and their sex partners were significantly correlated with the frequency of condom use in their homo-or hetero-sex activities.Conclusion The low frequency of condom use among MSM in Nanchong may increase the risk of local HIV infection,and therefore it will be essential for the success of HIV/AIDS control and prevention to realize and emphasize the factors which influence condom use among them.