摘要
目的了解滥用新型毒品对青岛市男男性行为者（MSM）艾滋病相关高危行为及艾滋病病毒（HIV）感染状况的影响。方法采用滚雪球的方法招募青岛市MSM中的新型毒品滥用者与未滥用者。面对面调查其人口学、性行为等特征。采集静脉血检测HIV和梅毒抗体,采集尿液检测新型毒品滥用情况。采用多因素Logistic回归分析滥用新型毒品与性行为特征间的关系。结果共招募调查对象602人,其中新型毒品滥用者和未滥用者分别为302人（50.2%）和300人（49.8%）。最近半年有商业性伴者占比滥用组（22.2%）高于未滥用组（10.7%）（P〈0.01）。最近半年同性固定性伴肛交行为安全套坚持使用率滥用组（13.0%）低于未滥用组（33.1%）（P〈0.01）。滥用组发生群交行为者占比（68.5%）高于未滥用组（23.3%）（P〈0.01）。调查对象各类性伴性行为安全套坚持使用率滥用组（15.2%）低于未滥用组（27.3%）（P〈0.01）,安全套破损率滥用组（53.6%）高于未滥用组（32.0%）（P〈0.01）。在校正两组的婚姻状况、户籍、月收入、居住时间和性行为偏好等因素后,滥用毒品者与未滥用者相比,同性商业性伴、群交、安全套破损等行为发生的可能性更高（P〈0.05）;同性固定性伴肛交行为坚持使用安全套,各类性伴性行为中均坚持使用安全套等行为发生的可能性更低（P〈0.05）。调查对象HIV和梅毒抗体阳性率分别为0.7%（4/602）和4.3%（26/602）,新型毒品滥用者HIV和梅毒抗体阳性率分别为0.3%（1/302）和2.6%（8/302）。结论青岛市MSM新型毒品滥用者较未滥用者流动性、性活跃程度高,安全套使用率低,安全套破损率高,HIV感染风险高,应加强对其开展高危行为干预。
Objective To understand the influence of club drugs on HIV related high-risk behaviors and infection among men who have sex with men in Qingdao city.Methods Club drug users and nonusers among MSM were recruited in a snowball way.Face-to-face interviews were conducted to collect their demographic information,sexual behaviors,and blood samples for screening HIV and syphilis antibodies.Urine samples were collected too to test club drugs.Multivariate logistic regression was used to analyze the relationship between club drug use and sexual behaviors.Results A total of 602 MSM were recruited,including 302（50.2%）club drug users and 300（49.8%）nonusers.The proportions of having commercial sexual partners during the last 6 months among drug users and nonusers were 22.3% and 10.7% respectively（P0.01）.The proportions of consistent condom use in the homosexual intercourse with their regular sexual partners were 13.0% and 33.1%respectively（P0.01）,and with cas-ual sexual partners were 15.2% and 27.3% among drug users and nonusers respectively（P0.01）.The proportions of group sex were 68.5% and 23.3% among the two groups（P0.01）.The proportion of condom breakage in drug users（53.6%）was higherthan that in nonusers（32.0%）（P0.01）.Drug users were more likely to have male commercial sexual partners,in-consistent condom use during group sex and reported condom breakage（P0.05）after demographic factors were adjusted,including marital status,residence registration,income,length of residence in Qingdao and sexual preference;while nonusers were more likely to use condoms in the sexual acts with fixed partners and casual sexual partners（P0.05）.The total prevalence of HIV and syphilis infection was 0.7%（4/602）,and 4.3%（26/602）of all the respondents,with the rates of HIV（0.3%,1/302）and syphilis（2.6%,8/302）infection among drug users.Conclusion Club drug users among MSM in Qingdao have high levels of mobility and sexual activity,and their unsafe sex make them vulnerable to HIV infection.
作者
卢姗
李培龙
葛琳
陶小润
姜珍霞
廖玫珍
郭巍
崔岩
李东民
LU Shan;LI Peilong;GE Lin;TAO Xiaorun;JIANG Zhenxia;LIAO Meizhen;GUO Wei;CUI Yan;LI Dongmin(Department of Epidemiology, National Center for AIDS /STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China;Institute of AIDS Control and Prevention, Shandong Provincial Center for Disease Control and Prevention;Department for STD/AIDS Prevention and Control, Qingdao Municipal Center for Disease Control and Pre- vention)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第4期368-372,共5页
Chinese Journal of Aids & STD
关键词
男男性行为者
新型毒品
艾滋病病毒
高危行为
Men who have sex with men
Club drug
Human Immunodeficiency virus
High-risk behavior
