首页 >>2016年02期
长沙市男男性行为人群rush poppers使用与HIV感染情况及其影响因素
作者:雷云霄 王红红 肖雪玲 陈嘉 李现红

摘要:

目的  分析长沙市男男性行为人群(MSM)使用rush poppers和HIV感染情况及其相关因素。方法  于2014年4—12月,选取前往长沙市某志愿者小组参加艾滋病咨询检测服务的MSM为研究对象,共608名。对其进行匿名的问卷调查,调查内容主要包括MSM的社会人口学特征、性角色、最近6个月的性行为情况、rush poppers使用情况、HIV感染状况等。抽取静脉血5 ml,进行HIV抗体的检测。采用χ2检验或Fisher确切概率法比较不同特征及不同性行为MSM rush poppers使用率和HIV抗体阳性率差异,采用多因素二分类非条件logistic回归模型分析MSM rush poppers使用和HIV感染的相关因素。结果  608名MSM中,29.8%(181名)自述曾经使用过rush poppers,13.3%(81例)HIV抗体阳性,其中曾经使用过rush poppers者的HIV抗体阳性率为18.8%(34/181),未使用者为10.5% (45/427)(χ2=7.65 ,P=0.006)。与最近6个月未发生"一夜情"的MSM相比,"一夜情"6~10次者使用rush poppers的OR (95%CI)值为4.32(1.77~10.57);与性角色自我认定为插入方相比,被插入方使用rush poppers的OR (95%CI)值为2.99 (1.53~5.86),双重角色者使用rush poppers的OR (95%CI)值为3.60 (2.13~6.09)。与性角色自我认定为插入方相比,被插入方HIV感染的OR (95%CI)值为3.19(1.35~7.58),双重角色者HIV感染的OR (95%CI)值为2.33(1.12~4.85);与最近6个月同性肛交每次都用安全套的MSM相比,有时使用安全套者HIV感染的OR (95%CI)值为1.93(1.12~3.35),从未使用安全套者HIV感染的OR (95%CI)值为1.87 (0.64~5.50);与未使用过rush poppers的MSM相比,使用者HIV感染的OR (95%CI)值为1.88(1.12~3.16)。结论  长沙市MSM rush poppers使用率和HIV抗体阳性率均较高;"一夜情"次数较多、性角色为被插入方或双重性角色者使用rush poppers和HIV感染的可能性均较高,此外,最近6个月肛交时安全套使用频率低者感染HIV的可能性较高。

关键词:同性恋,男性;性行为;HIV;Rush poppers

Abstract:

Objective  To explore the relationship between use of rush poppers and HIV infection, and associated factors among men who have sex with men in Changsha.Methods  A cross-sectional study was conducted in Changsha from April to December, 2014. Men who have sex with men who came for HIV counseling and testing services were invited to fill out a survey. A total of 608 MSM were finally recruited. The survey included socio-demographic characteristics, sexual roles, sexual behaviors in last 6 months and rush poppers use, HIV infection among MSM. After finishing the questionnaire, 5 ml blood was also drawn for HIV testing. Chi-square test or Fisher probabilities was used to compare usage of rush poppers and HIV antibody positive rate among MSM who had different characteristics and sexual behaviors. Multi-factor unconditioned logistic regression model was used to explore related factors about rush poppers use and HIV infection of MSM.Results  Among 608 MSM, 29.8% (181) said they ever used rush poppers, and 13.3% (81 cases) were HIV positive. Among MSM who ever used rush poppers, 18.8% (34/181) were HIV positive; While among those who never used rush poppers, 10.5% (45/427) were HIV positive (χ2=7.65,P=0.006). Compared with MSM who had no For One Night sex in the last 6 months,OR (95%CI) value of MSM who had 6-10 times For One Night sexes in last 6 months to use rush poppers was 4.32 (1.77-10.57). Compared with MSM who self-identified as top,OR (95%CI) value of MSM who self-identified as bottom or versatile using rush poppers were 2.99 (1.53-5.86), or 3.60 (2.13-6.09). Compared with MSM who self-identified as top, OR (95%CI) value of MSM who self-identified as bottom or versatile to infect HIV were 3.19 (1.35-7.58), or 2.33 (1.12-4.85). Compared with MSM who used condoms at every anal sex,OR (95%CI) value of MSM who used condoms sometimes or never used to infect HIV were 1.93 (1.12-3.35) or 1.87 (0.64-5.50). Compared with MSM who never used rush poppers,OR (95%CI) value of MSM who ever used rush poppers to infect HIV was 1.88 (1.12-3.16).Conclusion  A large percentage of MSM population in Changsha used rush poppers, and HIV antibody positive rate among MSM was high. MSM who had more frequencies of For One Night sexes, self-identified as bottom or versatile were more likely to use rush poppers and more susceptible to HIV infection. In addition, MSM who had low frequency of condom use in the last 6 months in anal intercourse were more likely to infect HIV.

Key words: Homosexuality, male;Sexual behavior;HIV;Rush poppers

发表日期:2016/2

引用本文:

图/表:

  • 10.3760/cma.j.issn.0253-9624.2016.02.009.T001:表1 长沙市不同特征男男性行为人群rush poppers使用和HIV感染情况比较(n=608)

    10.3760/cma.j.issn.0253-9624.2016.02.009.T001:表1 长沙市不同特征男男性行为人群rush poppers使用和HIV感染情况比较(n=608)

  • 10.3760/cma.j.issn.0253-9624.2016.02.009.T002:表2 长沙市最近6个月不同性行为特征男男性行为人群rush poppers使用及HIV感染情况比较(n=608)

    10.3760/cma.j.issn.0253-9624.2016.02.009.T002:表2 长沙市最近6个月不同性行为特征男男性行为人群rush poppers使用及HIV感染情况比较(n=608)

  • 10.3760/cma.j.issn.0253-9624.2016.02.009.T003:表3 影响长沙市男男性行为人群rush poppers使用的多因素logistic回归分析

    10.3760/cma.j.issn.0253-9624.2016.02.009.T003:表3 影响长沙市男男性行为人群rush poppers使用的多因素logistic回归分析

  • 10.3760/cma.j.issn.0253-9624.2016.02.009.T004:表4 影响长沙市男男性行为人群HIV感染的多因素logistic回归分析

    10.3760/cma.j.issn.0253-9624.2016.02.009.T004:表4 影响长沙市男男性行为人群HIV感染的多因素logistic回归分析

参考文献:

[1]KoblinBA, HusnikMJ, ColfaxG, et al. Risk factors for HIV infection among men who have sex with men[J]. Aids, 2006, 20(5): 731-739.
[2]米国栋,徐杰,斗智,等.MSM中HIV感染者无保护肛交行为及其影响因素分析[J].中国艾滋病性病,2010,16(3):255-258.
[3]王毅,李六林,徐杰,等.四川省绵阳市男男性行为人群队列研究HIV新发感染及影响因素[J].中华预防医学杂志,2015,49(1):66-69. DOI: 10.3760/cma.j.issn.0253-9624.2015.01.015.
[4]RudyET, ShoptawS, LazzarM, et al. Methamphetamine use and other club drug use differ in relation to HIV status and risk behavior among gay and bisexual men[J]. Sex Transm Dis, 2009, 36(11): 693-695. DOI: org/10.1097/OLQ.0b013e3181ad54a3.
[5]FernándezMI, JacobsR, WarrenJ, et al. Drug use and Hispanic men who have sex with men in South Florida: implications for intervention development[J]. AIDS Educ Prev, 2009, 21(5Suppl): 45-60. DOI: 10.1521/aeap.2009.21.5_supp.45.
[6]楚振兴.沈阳MSM新型毒品使用与HIV感染关系前瞻性队列研究[D].沈阳:中国医科大学,2013.
[7]LiD, YangX, ZhangZ, et al. Nitrite inhalants use and HIV infection among men who have sex with men in China[J]. Biomed Res Int, 2014, 2014: 365261. DOI: org/10.1155/2014/365261.
[8]AckersML, GreenbergAE, LinCY, et al. High and persistent HIV seroincidence in men who have sex with men across 47 U. S. cities[J]. PLoS One, 2012, 7(4): e34972. DOI: org/10.1371/journal.pone.0034972.
[9]UNAIDS. THE GAP REPORT. [EB/OL]. [2015-11-01]. http://www.unaids.org/sites/default/files/media_asset/UNAIDS_Gap_report_en. pdf.
[10]张国强,赵俊仕,彭瑾瑜,等.长沙市男男性接触人群HIV和梅毒感染横断面调查[J].中国病毒病杂志,2013,3(2):128-130.
[11]Mccarty-CaplanD, JantzI, SwartzJ. MSM and drug use: A latent class analysis of drug use and related sexual risk behaviors[J]. AIDS Behav, 2014, 18(7): 1339-1351. DOI: org/10.1007/s10461-013-0622-x.
[12]LampinenTM, MattheisK, ChanK, et al. Nitrite inhalant use among young gay and bisexual men in Vancouver during a period of increasing HIV incidence[J]. BMC Public Health, 2007, 7(6): 719-726. DOI: org/10.1186/1471-2458-7-35.
[13]ColfaxG, GuzmanR. Club drugs and HIV infection: a review[J]. Clin Infect Dis, 2006, 42(10): 1463-1469.
[14]ColfaxG, CoatesTJ, HusnikMJ, et al. Longitudinal patterns of methamphetamine, popper (amyl nitrite), and cocaine use and high-risk sexual behavior among a cohort of San Francisco men who have sex with men[J]. J Urban Health, 2005, 82(1Supplement): i62-70. DOI: org/10.1093/jurban/jti025.
[15]PlankeyMW, OstrowDR, StallR, et al. The relationship between methamphetamine and popper use and risk of HIV seroconversion in the multicenter AIDS cohort study[J]. J Acquir Immune Defic Syndr, 2007, 45(1): 85-92.
[16]戴丽萍,林玉虾,刘奇,等.广州市不同性角色MSM行为特征及艾滋病感染分析[J].中国公共卫生,2013,29(2):256-258.
[17]BuchbinderSP, VittinghoffE, HeagertyPJ, et al. Sexual risk, nitrite inhalant use, and lack of circumcision associated with HIV seroconversion in men who have sex with men in the United States[J]. J Acquir Immune Defic Syndr, 2005, 39(1): 82-89.

用户评论 0条

用户名: 密码: 登陆 注册
 
  • 9
  • 3
  •  4 : 页次:0/0页 共0条记录 5条/每页
    关于我们 | 专家风采 | 会员注册 | 继续教育
    地 址:北京市西城区东河沿街69号正弘大厦511室 邮 编:100052
    电话:010-51322302
    版权所有 中华医学会及中华预防医学杂志编辑部
    京ICP备 07035254 号