2011-2015年深圳市MSM接受同性商業(yè)性服務狀況及影響因素
發(fā)布時間:2018-11-11 21:51
【摘要】:目的了解深圳市男男性行為者(MSM)接受同性商業(yè)性服務的情況及影響因素。方法于2011-2015年,應用滾雪球法和同伴推動抽樣法,在深圳市招募3 040名MSM為調(diào)查對象。采用一對一問卷調(diào)查方法收集其社會人口學特征、HIV檢測史、性取向、性角色、做過男性性工作者、既往接受同性商業(yè)性服務史等。采集調(diào)查對象靜脈血5mL,檢測梅毒螺旋體和HIV抗體。采用Cochran-Armitage趨勢檢驗比較MSM各年既往接受同性商業(yè)性服務比例的差異;采用單因素和多因素非條件Logistic回歸模型分析MSM接受同性商業(yè)性服務的影響因素。結果 3 040名調(diào)查對象中,328名MSM(10.79%)報告既往接受過同性商業(yè)性服務。3 040名MSM的梅毒、HIV、梅毒合并HIV感染率分別為18.29%(556例)、9.77%(297例)和5.07%(154例)。與普通MSM相比,接受過商業(yè)性服務的MSM的梅毒感染率、HIV感染率以及梅毒合并HIV感染率差異均無統(tǒng)計學意義。多因素Logistic回歸分析結果顯示,年齡、月收入、藥物濫用史、性角色、做過男性性工作者,是MSM接受同性商業(yè)性服務的獨立影響因素。結論接受同性商業(yè)性服務的MSM是預防控制艾滋病性病的重點人群,影響因素眾多,應有針對性地采取干預措施。
[Abstract]:Objective to investigate the acceptance of (MSM) in MSM in Shenzhen and its influencing factors. Methods from 2011 to 2015, 3 040 MSM were recruited from Shenzhen by snowball and peer driven sampling. A one-to-one questionnaire survey was used to collect the social demographic characteristics, HIV test history, sexual orientation, sexual roles, male sex workers and previous commercial sexual services of the same sex. 5 mL venous blood was collected to detect Treponema pallidum and HIV antibody. The Cochran-Armitage trend test was used to compare the differences in the proportion of MSM accepting same-sex commercial services in each year, and the univariate and multi-factor unconditioned Logistic regression model was used to analyze the influencing factors of MSM acceptance of same-sex commercial sexual services. Results among 3 040 subjects, 328 MSM (10.79%) reported syphilis of same sex commercial sexual service. 3 040 cases of MSM had syphilis. The infection rate of HIV, syphilis combined with HIV was 18.29% (556 cases). 9.77% (297 cases) and 5.07% (154 cases). There was no significant difference in syphilis infection rate, HIV infection rate and syphilis combined with HIV infection rate in MSM who had received commercial sex service compared with normal MSM. Multivariate Logistic regression analysis showed that age, monthly income, history of drug abuse, sex roles and previous male sex workers were independent factors influencing MSM acceptance of same-sex commercial sexual services. Conclusion MSM is the key population in prevention and control of AIDS and sexually transmitted diseases, and there are many influencing factors. Therefore, intervention measures should be taken.
【作者單位】: 深圳市慢性病防治中心;中國疾病預防控制中心性病艾滋病預防控制中心;
【基金】:深圳市科技計劃項目(201203114)~~
【分類號】:R512.91
本文編號:2326238
[Abstract]:Objective to investigate the acceptance of (MSM) in MSM in Shenzhen and its influencing factors. Methods from 2011 to 2015, 3 040 MSM were recruited from Shenzhen by snowball and peer driven sampling. A one-to-one questionnaire survey was used to collect the social demographic characteristics, HIV test history, sexual orientation, sexual roles, male sex workers and previous commercial sexual services of the same sex. 5 mL venous blood was collected to detect Treponema pallidum and HIV antibody. The Cochran-Armitage trend test was used to compare the differences in the proportion of MSM accepting same-sex commercial services in each year, and the univariate and multi-factor unconditioned Logistic regression model was used to analyze the influencing factors of MSM acceptance of same-sex commercial sexual services. Results among 3 040 subjects, 328 MSM (10.79%) reported syphilis of same sex commercial sexual service. 3 040 cases of MSM had syphilis. The infection rate of HIV, syphilis combined with HIV was 18.29% (556 cases). 9.77% (297 cases) and 5.07% (154 cases). There was no significant difference in syphilis infection rate, HIV infection rate and syphilis combined with HIV infection rate in MSM who had received commercial sex service compared with normal MSM. Multivariate Logistic regression analysis showed that age, monthly income, history of drug abuse, sex roles and previous male sex workers were independent factors influencing MSM acceptance of same-sex commercial sexual services. Conclusion MSM is the key population in prevention and control of AIDS and sexually transmitted diseases, and there are many influencing factors. Therefore, intervention measures should be taken.
【作者單位】: 深圳市慢性病防治中心;中國疾病預防控制中心性病艾滋病預防控制中心;
【基金】:深圳市科技計劃項目(201203114)~~
【分類號】:R512.91
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