The prevalence and correlated factors of alcohol use among HIV-infected men who have sex with men
姚菲菲 1陈怀良 2江灿 2马萍 2高春梅 2陈瑾3
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作者信息
1. 四川天府新区公共卫生中心,成都 610213
2. 四川天府新区人民医院,成都 610213
3. 重庆市铜梁区人民医院,重庆 402560
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摘要
目的 了解感染艾滋病病毒(human immunodeficiency virus,HIV)的男男性行为人群(Men who have sex with men,MSM)饮酒现状,分析其关联因素.方法 2022年6月至2023年5月,通过社会组织招募成都地区感染HIV的MSM进行饮酒、性行为、焦虑和抑郁等内容的匿名问卷调查.采用SPSS 21.0软件进行分析,组间比较采用x2检验,使用二元多因素Logistic回归模型分析饮酒的关联因素,检验水准α=0.05.结果 751名调查对象中,近6个月有饮酒行为178名(23.70％),近6个月有未使用安全套肛内射精(简称"无套内射")62名(8.26％),近6个月有同性商业性行为40名(5.33％),抑郁症状阳性185名(24.63％,焦虑症状阳性89名(11.85％).多因素Logistic回归结果显示,性角色为插入方(OR=2.091,95％CI:1.444～3.028)、抑郁症状阳性(OR=1.673,95％CI:1.071～2.615)、HIV感染＞2年(OR=1.689,95％CI:1.079～2.645)及首次性行为年龄＜18岁(OR=2.044,95％CI:1.028～4.061)与饮酒存在统计学关联(P均＜0.05);饮酒的调查对象更可能发生商业性行为(OR=2.786,95％CI:1.371～5.662)及无套内射(OR=2.092,95％CI:1.174～3.729)等风险性行为.结论 感染HIV的MSM饮酒行为普遍存在,且更可能在酒精的影响下发生风险性行为.需要对该人群饮酒行为进行干预,倡导健康生活方式,遏制HIV及其他性传播疾病的传播.
Abstract
Objective To describe the prevalence and correlated factors of alcohol use among HIV-infected men who have sex with men(MSM).Methods Participants were recruited to conduct anonymous questionnaire survey by non-government organizations from June 2022 to May 2023.The SPSS 21.0 software was used for analysis.The differences between alcohol users and non-alcohol users were compared by x2 test.Multivariate Logistic regression model was employed to determine factors correlated with alcohol use.Results Of the 751 HIV-infected MSM who completed questionnaire survey,23.70％(178/751)reported alcohol use in the past 6 months,there were 62 cases of anal ejaculation without condom(referred to as"no condom ejaculation")(8.26％),and 40 cases of same-sex commercial sex in the last 6 months(5.33％),185 patients showed positive symptoms of depression(24.63％,89 patients showed positive symptoms of anxiety).The test level was a=0.05.Results of multivariate logistic regression analysis indicated preferring insertive anal intercourse(OR=2.091,95％CZ:1.444-3.028),being positive depressive symptoms(OR=1.673,95％CZ:1.071-2.615),time since HIV infection＞2 years(OR=1.689,95％CZ:1.079-2.645)and age of sexual debut＜18 years old(OR=2.044,95％CI:1.028-4.061)were significantly correlated with alcohol use(P＜0.05).Alcohol-using participants were more likely to engage in commercial sex behaviors(OR=2.786,95％CZ:1.371-5.662)and condom-less internal ejaculation(OR=2.092,95％CI:1.174-3.729).Conclusions Alcohol use was common among HIV-infected MSM,and participants were more likely to engage in sexual risk behaviors under the effect of alcohol use.Measures should be intervene to decrease alcohol use and promote healthy life styles within this sub-population,so as to mitigate further HIV/STDs transmission.
关键词
男男性行为人群/艾滋病病毒/饮酒/风险性行为/关联因素
Key words
men who have sex with men/hiv/alcohol use/sexual risk behaviors/correlated factors
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