摘要
目的了解男男性接触者(MSM)异性性行为的特征及其影响因素。方法在MSM活动的浴池场所,采用自愿咨询检测和问卷调查的方法对MSM进行调查。结果 342名MSM中,52.05%已婚。22.22%自评为完全同性恋,77.78%为双性恋。性取向自我评估为"完全同性恋者"的已婚率(31.57%)低于双性恋者(57.89%)(P<0.05)。197名MSM曾与异性发生过性行为,123人在近六个月内与异性发生过性行为中,仅49人坚持每次使用安全套。相关影响因素分析已婚者及双性恋者更容易发生异性性行为(P<0.05)。HIV和梅毒感染率分别为11.40%和16.67%,两者感染率与是否发生异性性行为均无关联(P均>0.05)。近六个月感染者安全套使用率为43.34%,而未感染者为36.33%,两者差异无统计学意义(P>0.05)。结论 MSM人群中发生异性性行为的比例较高,安全套使用率较低,需加大干预力度,提高安全套使用率。
Objective To explore the heterosexual intercourse characteristics and its influencing factors among MSM population. Methods Voluntary counseling/testing and questionnaire survey were carried out at the bathhouses where MSM usually assemble. Results Among 342 MSM surveyed,52. 05% were married. 76 people（ 22. 22%） were completely homosexual,while 266 people（77. 78%）were bisexual. 24（31. 57%）MSM who answered″ totally gay″ in self-assessment of sex orientation were married,significantly lower than those answered bisexual（57. 89%）（p0. 05）. In the recent six months,there was no significant difference in the use of condoms between infected（ 43. 34%）and non-infected persons（ 43. 34%）（ p 〉0. 05）. Conclusion Among MSM population,the prevalence of heterosexual intercourse is high,while condom use rate is relatively low. It is necessary to strengthen the behavioral intervention and promote condom use.
出处
《浙江预防医学》
2015年第1期14-16,20,共4页
Zhejiang Journal of Preventive Medicine
