目的了解有同性固定性伴侣男男性行为者(men who have sex with men,MSM)非专一性行为的影响因素。方法对2009年建立的MSM人群开放性研究队列在2010年随访调查基础上进行调查,不足基线调查样本部分,用滚雪球采样法招募补足,进行相关行...目的了解有同性固定性伴侣男男性行为者(men who have sex with men,MSM)非专一性行为的影响因素。方法对2009年建立的MSM人群开放性研究队列在2010年随访调查基础上进行调查,不足基线调查样本部分,用滚雪球采样法招募补足,进行相关行为学和生物学调查。结果在调查405例中,84.9%(344/405)现有或有过同性固定性伴侣(boyfriend,BF),艾滋病病毒(human immunodeficiency virus,HIV)感染率6.1%(21/344)、新发感染率5.2/100人年(12/228.9)、梅毒现症感染率8.1%(28/344)、新发感染率0.9/100人年(2/228.9)。累计BF数平均(2.7±1.9)人,68.9%(237/344)彼此知道对方HIV/性病健康状况。认为BF间应该使用安全套占85.8%(295/344),近6月BF间每次使用安全套占58.9%(106/180)。有BF期间占19.2%(66/344)有同性非专一性行为,占5.5%(19/344)同时有过2个以上BF。多因素Logistic回归分析结果显示,年龄,艾滋病知识来源电视、来源朋友,近6月男性肛交数、群交行为,累计异性性伴数,同时有2个及以上BF是非专一性行为的独立影响因素。结论 MSM人群存在有BF关系的较为普遍,但专一性不够,容易成为艾滋病传播的重要社会网络群体。展开更多
This article profiles current status of spread and control of HIV/AIDS in China. China has a significant population of MSM (men who have sex with men) and they have been becoming very much alive in many ways since 199...This article profiles current status of spread and control of HIV/AIDS in China. China has a significant population of MSM (men who have sex with men) and they have been becoming very much alive in many ways since 1990s due to recent social changes. Some surveys indicate that great many of MSM are engaged in high-risk behaviors. In addition, majority of MSM have also experienced sexual encounters with women sometimes in their lives, which possibly con- tribute to spread of HIV to women. Some reports documented that HIV is becoming rampant among MSM since more than 1% of them are now infected. Political, cultural and custom elements could hinder intervention activities against HIV spread among MSM. Fortunately, many cities in China have seen that MSM were in cooperation with responsible institutions carrying out certain intervention measures. The general situation is promising. The authors forecast that the fast HIV spread among MSM of China could possibly be halted within several years when the authorities become more sensible to this issue, health service institutions offer unswerving efforts toward the MSM community and those who involve in MSM undertakes necessary responsibilities.展开更多
Background Previous studies have shown evidence of health-related risk behaviors among women who have sex with women （WSW）, such as sex with men, multiple bisexual partners, and drug use. Women who have sex with wom...Background Previous studies have shown evidence of health-related risk behaviors among women who have sex with women （WSW）, such as sex with men, multiple bisexual partners, and drug use. Women who have sex with women have also been known to avoid routine physical examinations and conceal their same-sex history from physicians, which can affect their ability to receive an accurate diagnosis and treatment. No previous research has targeted women who have sex with women in China. We sought to describe women who have sex with women in China and explore risk factors for their reproductive tract infections （RTI）/sexually transmitted infections （STI）. Methods Participants were recruited through outreach in venues and online for a cross-sectional study. Data were collected using interviews and laboratory tests. Results We recruited 224 women who have sex with women. In the year preceding their participation in the study, 92% （206/224） of women reported sexual relations with women. The RTI rates were： gonorrhea （15.8%）, chlamydia （3.5%）, syphilis （0.5%）, bacterial vaginosis （14.4%）, hepatitis B virus （HBV） （0.9%）, hepatitis C virus （HCV） （0.5%）, and candidiasis （6.9%）. No HIV or herpes simplex virus （HSV） positive cases were detected. Factors associated with gonorrhea infection were non-Beijing local residency （odds ratio （OR）=2.1, 95% confidence interval （C/）： 1.2-3.8） and genital-genital contact （OR=3.1, 95% CI： 1.3-7.2）; factors associated with curable STI （excluding bacterial vaginosis, candidiasis, HBV and HCV） were non-Beijing local residency （OR=1.9; 95% CI： 1.2-3.0） and bleeding during or after sex （OR=18.1; 95% CI： 5.2-62.6）; and the factor associated with RTI （including all the infections tested） was bleeding during or after sex （OR=37.8, 95% CI： 11.2-127.4）. Conclusions Behaviors that may cause RTI/STI exist among Chinese women who have sex with women. Researchers should consider these behaviors when plannin展开更多
本文采取文献研究方法,从测量工具、调查过程和估计结果3个方面分别梳理了西方国家和中国的相关研究中对于女同性恋、男同性恋、双性恋和跨性别者(lesbian,gay,bi-sexual and tran-sexual,LGBT)人群的数量估计,发现西方国家在性取向测...本文采取文献研究方法,从测量工具、调查过程和估计结果3个方面分别梳理了西方国家和中国的相关研究中对于女同性恋、男同性恋、双性恋和跨性别者(lesbian,gay,bi-sexual and tran-sexual,LGBT)人群的数量估计,发现西方国家在性取向测量方面,已经从单一维度逐步发展为多元维度;在抽样方法上,已经从非概率抽样逐步过渡为概率抽样和代表性样本;在调查方法上,已经从纸质问卷+面访的形式逐步发展为计算机辅助调查;在研究人群上,已经从LGB(lesbian,gay and bi-sexual,女同性恋、男同性恋和双性恋)逐步发展到LGBT,从只关注男性到同时关注两性。LGBT人群数量的估计结果在不同的国家和不同的研究中仍然存在较大的差异,但具有较好的可比性。相比较而言,中国在测量工具、调查过程和估计结果上仍然存在一定的进步空间。本文分析了中国在LGBT人群数量估计方面面临的挑战,并提出了相应的对策。展开更多
文摘目的了解有同性固定性伴侣男男性行为者(men who have sex with men,MSM)非专一性行为的影响因素。方法对2009年建立的MSM人群开放性研究队列在2010年随访调查基础上进行调查,不足基线调查样本部分,用滚雪球采样法招募补足,进行相关行为学和生物学调查。结果在调查405例中,84.9%(344/405)现有或有过同性固定性伴侣(boyfriend,BF),艾滋病病毒(human immunodeficiency virus,HIV)感染率6.1%(21/344)、新发感染率5.2/100人年(12/228.9)、梅毒现症感染率8.1%(28/344)、新发感染率0.9/100人年(2/228.9)。累计BF数平均(2.7±1.9)人,68.9%(237/344)彼此知道对方HIV/性病健康状况。认为BF间应该使用安全套占85.8%(295/344),近6月BF间每次使用安全套占58.9%(106/180)。有BF期间占19.2%(66/344)有同性非专一性行为,占5.5%(19/344)同时有过2个以上BF。多因素Logistic回归分析结果显示,年龄,艾滋病知识来源电视、来源朋友,近6月男性肛交数、群交行为,累计异性性伴数,同时有2个及以上BF是非专一性行为的独立影响因素。结论 MSM人群存在有BF关系的较为普遍,但专一性不够,容易成为艾滋病传播的重要社会网络群体。
文摘This article profiles current status of spread and control of HIV/AIDS in China. China has a significant population of MSM (men who have sex with men) and they have been becoming very much alive in many ways since 1990s due to recent social changes. Some surveys indicate that great many of MSM are engaged in high-risk behaviors. In addition, majority of MSM have also experienced sexual encounters with women sometimes in their lives, which possibly con- tribute to spread of HIV to women. Some reports documented that HIV is becoming rampant among MSM since more than 1% of them are now infected. Political, cultural and custom elements could hinder intervention activities against HIV spread among MSM. Fortunately, many cities in China have seen that MSM were in cooperation with responsible institutions carrying out certain intervention measures. The general situation is promising. The authors forecast that the fast HIV spread among MSM of China could possibly be halted within several years when the authorities become more sensible to this issue, health service institutions offer unswerving efforts toward the MSM community and those who involve in MSM undertakes necessary responsibilities.
文摘Background Previous studies have shown evidence of health-related risk behaviors among women who have sex with women （WSW）, such as sex with men, multiple bisexual partners, and drug use. Women who have sex with women have also been known to avoid routine physical examinations and conceal their same-sex history from physicians, which can affect their ability to receive an accurate diagnosis and treatment. No previous research has targeted women who have sex with women in China. We sought to describe women who have sex with women in China and explore risk factors for their reproductive tract infections （RTI）/sexually transmitted infections （STI）. Methods Participants were recruited through outreach in venues and online for a cross-sectional study. Data were collected using interviews and laboratory tests. Results We recruited 224 women who have sex with women. In the year preceding their participation in the study, 92% （206/224） of women reported sexual relations with women. The RTI rates were： gonorrhea （15.8%）, chlamydia （3.5%）, syphilis （0.5%）, bacterial vaginosis （14.4%）, hepatitis B virus （HBV） （0.9%）, hepatitis C virus （HCV） （0.5%）, and candidiasis （6.9%）. No HIV or herpes simplex virus （HSV） positive cases were detected. Factors associated with gonorrhea infection were non-Beijing local residency （odds ratio （OR）=2.1, 95% confidence interval （C/）： 1.2-3.8） and genital-genital contact （OR=3.1, 95% CI： 1.3-7.2）; factors associated with curable STI （excluding bacterial vaginosis, candidiasis, HBV and HCV） were non-Beijing local residency （OR=1.9; 95% CI： 1.2-3.0） and bleeding during or after sex （OR=18.1; 95% CI： 5.2-62.6）; and the factor associated with RTI （including all the infections tested） was bleeding during or after sex （OR=37.8, 95% CI： 11.2-127.4）. Conclusions Behaviors that may cause RTI/STI exist among Chinese women who have sex with women. Researchers should consider these behaviors when plannin
文摘本文采取文献研究方法,从测量工具、调查过程和估计结果3个方面分别梳理了西方国家和中国的相关研究中对于女同性恋、男同性恋、双性恋和跨性别者(lesbian,gay,bi-sexual and tran-sexual,LGBT)人群的数量估计,发现西方国家在性取向测量方面,已经从单一维度逐步发展为多元维度;在抽样方法上,已经从非概率抽样逐步过渡为概率抽样和代表性样本;在调查方法上,已经从纸质问卷+面访的形式逐步发展为计算机辅助调查;在研究人群上,已经从LGB(lesbian,gay and bi-sexual,女同性恋、男同性恋和双性恋)逐步发展到LGBT,从只关注男性到同时关注两性。LGBT人群数量的估计结果在不同的国家和不同的研究中仍然存在较大的差异,但具有较好的可比性。相比较而言,中国在测量工具、调查过程和估计结果上仍然存在一定的进步空间。本文分析了中国在LGBT人群数量估计方面面临的挑战,并提出了相应的对策。
