绵阳市男男性行为者安全感的影响因素分析

Analysis on the factors influencingthe safety sense of men who have sex with men in Mianyang

目的了解男男性行为者(MSM)安全感现状,分析影响因素。方法采用滚雪球抽样法,选取安全感量表对绵阳市MSM进行安全感等问卷调查和血清学检测。结果有效问卷1114份,安全感评分:人际安全感(29.9±5.7)分,确定控制感(28.5±6.2)分,总分(58.5±11.2)分。HIV阳性MSM确定控制感评分低于HIV阴性MSM(P<0.05)。多因素分析显示,性取向双性恋及其他、本地居住时间≥1年、社区朋友数≥10人、近6个月肛交数≥2人与人际安全感、确定控制感评分呈正相关,近1年接受预防服务、寻找性伴场所酒吧/浴室与其评分呈负相关;职业非学生、知晓艾滋病知识、近6个月肛交有保护与人际安全感评分呈正相关,性角色插入方与其评分呈负相关;年龄>20岁、居住地区县级城市与确定控制感评分呈正相关,近1年参加社区活动、性生活很满意、HIV阳性与其评分呈负相关(P<0.05)。结论MSM安全感受人口学特征及性行为影响,与HIV感染风险相关,应进一步促进提高。

Objective To understand the situation of safety sense of men who have sex with men(MSM) and analyze the influencing factors. Methods Using the snowball sampling method, the safety sense of the MSM in Mianyang was investigated by scale questionnaire and serological test. Results 1,114 copies of valid questionnaires were collected, safety scores: interpersonal safety(29.9±5.7) points, control sense(28.5±6.2) points, total score(58.5±11.2) points. The control score of HIV-positive individuals was lower than HIV-negative MSM(P<0.05). Multi-factor analysis showed that, interpersonal safety sense and control score are positively correlated with sexual orientation bisexuality and other, local residence time≥1 year, community friends≥10 people, nearly 6 months anal sex≥2 people, and negatively correlated with nearly 1 year preventive services and search for sexual partners in Bars/bathroom;non-student, knowledge of AIDS,nearly 6 months anal sex are positively correlated with interpersonal safety scores. Age>20 years old, residence in county-level cities were positively correlated with the determined control scores. In the past 1 year, they participated in community activities, sexual life was very satisfied, and HIV positive was negatively correlated with their scores(P<0.05). Conclusions The demographic characteristics of MSM safety sense and the influence of sexual behavior are related to the risk of HIV infection and should be further promoted.