年轻男男性行为者互联网不同寻找性伴平台及关联因素

Utilization of different internet platforms in sexual partner searching and its associated factors among young men who have sex with men

目的了解年轻男男性行为者(YMSM)互联网不同寻找性伴平台现状,分析关联因素。方法于2015年9月-2017年6月以四川省绵阳市15~24岁YMSM为对象,用滚雪球抽样法招募调查对象,进行互联网不同寻找性伴平台、社会及性行为和心理健康等调查和血清学检测。结果共回收有效问卷357份,调查对象72.5%近6个月浏览过同性恋网站,33.2%为了解同性恋文化、32.4%为交友、17.6%为寻找感官刺激。近6个月互联网寻找性伴97.2%,其中Blued 78.1%、QQ 40.3%、同性恋网站17.3%。多因素分析结果,大专及以上者Buled寻找性伴可能性大,双性恋及其他性取向、近6个月有群交者可能性较小;自我性取向负向认识、近6个月肛交有时/每次准备安全套者QQ寻找性伴可能性大,高中/中专、大专及以上、首次同性性行为年龄≥18岁、近6个月口交有保护性者可能性小;双性恋及其他性取向、有焦虑症状、近6个月肛交数≥2人、近6个月肛交有保护性者同性恋网站寻找性伴可能性大(P均<0.05)。结论同性恋网站是YMSM接触社群文化和交友重要平台,Buled是寻找性伴最主要方式。互联网不同寻找性伴平台与人口学特征、性行为及心理健康相关联。

Objective To examine the utilization of different internet platforms in sexual partner searching and its influencing factors among young men who have sex with men(YMSM). Methods We recruited YMSM(15 – 24 years old)with snowball sampling in Mianyang city of Sichuan province. Then we conducted a self-administered anonymous questionnaire survey among the YMSM to collect their information on situation of sexual partner searching via internet platform, social and sexual behaviors, and mental health and a serologic test was also carried out in the YMSM from September 2015 and June 2016. Results Among the 357 YMSM with valid information, 72.5% reported having visited gay websites during previous 6 months;the motivations for browsing gay websites were to understand gay culture, to make friends, and to seek sensory stimulus, which were reported by 33.2%, 32.4%, and 17.6% of the gay websites visitors. Of all the YMSM, 97.2% reported searching sexual partners via internet during previous 6 months and the websites utilized for the searches included Blued, QQ, and gay websites, which were visited by 78.1%, 40.3%, and 17.3% of the YMSM, respectively.The results of multivariate analysis revealed that the YMSM with the education of college or above were more likely but those with bisexuality and other sexual orientation and having group sex during previous 6 months were less likely to seek sexual partners via Blued(P < 0.05 for all);the YMSM with ego-dystonic sexual orientation and preparing condom every time or sometime when having anal sex were more likely but those with the education of senior high school/technical secondary school, the education of college, with the age of ≥ 18 years at first homosexual behavior, and using condom when having oral sex during previous 6 months were less likely to utilize QQ for seeking sexual partner(all P < 0.05);whereas, the YMSM with bisexuality and other sexual orientation, having anxiety symptoms, having two or more anal sexual partners during previous 6 months, and using condom when having anal sex during previous 6 months were more likely to seek sexual partners via browsing gay websites(all P < 0.05). Conclusion Gay websites are important internet platforms for participating in social culture activity and making friends but Blued is the most important way to seek sexual partners among YMSM;the utilization of different internet platforms is correlated with demographic characteristics, sexual behaviors, and mental health status among YMSM.