男男性接触者安全套使用情况调查

Survey on condom usage among men who have sex with men

目的探讨男男性接触者(MSM)与不同性伴对象发生性行为时安全套使用情况及其影响因素。方法招募高校、酒吧、公园、浴室、网络和男性卖淫会所的男男性接触人群作为访谈对象,全部采取个体访谈方式。结果(1)近半数MSM知道固定性伴的H IV感染状况,但由于不信任对方仍然会使用安全套。(2)大多数卖淫男性向客人提供性服务时使用安全套,但性行为前吸毒或饮酒以及无所谓态度会影响安全套的使用。(3)与临时性伴发生性行为时,对方有吸引力会影响使用安全套。(4)多数人觉得和女性发生性行为时没有必要使用安全套。(5)害怕感染艾滋病是使用安全套的共同原因,影响快感是不使用安全套的共同原因。结论男男性接触者与不同性伴对象的安全套使用情况和影响因素各不相同,控制措施应该考虑不同性伴类型对安全套使用的影响。

Objective To explore the condom usage and related factors among men who have sex with men （MSM） at sex with different sexual partners. Methods In-depth interviewing of 43 MSM, recruited from universities, bars, parks, bathing rooms and clubs with commercial sex. Results （ 1 ） Nearly half of MSM knew their sexual partners＇ status regarding H1V infection, but they still used condom because of disbelieving. （2） Most MSM used condom at commercial sex ,but the use of drug and alcohol before commercial sex or attitude to HIV infection would influence the use of condom. （3） Condom use would be influenced if non-regular sex partners looked attractive. （4） Most of them believed there was no need to use condom at sex with females. （5） The reason for condom use was the fear of HIV infection and the reason for no condom use was the thought that it would influence the pleasant feeling of sex. Conclusion The usage of condom and the influence factors among MSM varied for different sexual partners, so targeted prevention measures should be conducted.