首页|四川省部分地区男男性行为者Rush使用情况及相关因素分析

四川省部分地区男男性行为者Rush使用情况及相关因素分析

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目的 了解四川省部分地区MSM中Rush的使用情况,并分析影响使用的因素,为制定针对MSM的干预措施提供依据.方法 采用立意抽样与滚雪球抽样相结合的方式,于2022年8-10月对成都市和德阳市的281名MSM进行问卷调查,并进行HIV抗体检测,采用x2检验比较不同社会人口学和性行为特征的MSM中Rush使用的差异,多因素Logistic回归分析Rush使用的影响因素.结果 281名MSM中,报告使用过Rush占32.7%,≤31岁者占63.0%,大专及以上者占57.3%,月收入≥5 000元占30.6%;36.3%近6个月有过同性临时性伴,10.8%存在群交行为,38.1%存在异性性行为.Logistic回归分析结果显示:与性向为同性恋者相比,性向为双性恋者(aOR=0.32,95%CI:0.16~0.64)使用Rush的概率更低;与初次男男性行为年龄>22岁者相比,初次男男性行为年龄≤22岁者(aOR=2.14,95%CI:1.07~4.30)使用Rush的概率更高;与近6个月没有同性临时性伴者相比,近6个月有同性临时性伴者(aOR=3.29,95%CI:1.75~6.16)使用Rush的概率更高;与没有过群交行为者相比,存在群交行为者(aOR=2.72,95%CI:1.20~6.16)使用Rush的概率更高.结论 四川省部分地区MSM Rush使用率较高,应该关注初次男男性行为年龄≤22岁、近6个月有同性临时性伴、发生过群交行为特征的MSM,针对具有以上特征的MSM开展成瘾性物质使用的健康教育,宣传Rush的危害性,减少HIV在该人群传播的可能性.
Rush use and related factors among men who have sex with men in selected areas of Sichuan Province
Objective To investigate the prevalence of rush use and its related factors among men who have sex with men(MSM)in selected regions of Sichuan Province,thereby providing a basis for the formulation of designating interventions for the MSM.Methods A combination of purposive sampling and snowball sampling was employed to conduct a questionnaire survey of 281 MSM in Chengdu and Deyang from August to October 2022,along with HIV antibody testing.Chi-square tests were used to compare differences in rush use among MSM with varying sociodemographic and sexual behavior characteristics,and multifactorial logistic regression analysis was performed to identify the influencing factors related to Rush use.Results Among the 281 MSM respondents,32.7%reported having used rush.Of these,63.0%were aged ≤31 years,57.3%had attained a college education or higher,and 30.6%had a monthly income of ≥5 000 yuan.Additionally,36.3%had experienced a casual homosexual partner in the past six months,10.8%reported engaging in group sexual behaviors,and 38.1%participated in heterosexual activities.The logistic regression analysis indicated that,compared to those identifying as homosexual,bisexual individuals(aOR=0.32,95%CI:0.16-0.64)were less likely to use rush;individuals who had their first homosexual encounter at or below the age of 22(aOR=2.14,95%CI:1.07-4.30)had a higher likelihood of Rush use compared to those whose first encounter occurred above the age of 22;those with a casual homosexual partner in the past six months(aOR=3.29,95%CI:1.75-6.16)were more likely to use rush compared to those without;and individuals who engaged in group sexual behaviors(aOR=2.72,95%CI:1.20-6.16)had a higher probability of rush use compared to those who did not.Conclusions The prevalence of rush use among MSM in selected regions of Sichuan Province is relatively high.Attention should be directed towards MSM characterized by being ≤22 years old at their first homosexual encounter,having had a homosexual casual partner in the past six months,and engaging in group sexual behaviors.Health education on substance use should be conducted for MSM exhibiting these characteristics,highlighting the risks associated with Rush to reduce the potential for HIV transmission within this population.

men who have sex with men(MSM)rushrelated factors

李双如、何欢、李苑、何勤英、杨碧辉、李娜、何佳、伍桃、梁姝、杨义

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成都中医药大学管理学院/健康四川研究院,成都 611137

西南财经大学公共管理学院,成都 610072

成都中医药大学公共卫生学院,成都 610041

成都市疾病预防控制中心,成都 610047

彭州市疾病预防控制中心,成都 611930

四川省疾病预防控制中心,成都 610044

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男男性行为者 亚硝酸盐吸入剂 相关性

四川省2022年中央财政补助艾滋病等重大传染病和地方病防治项目(第一批)

319/319022401

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(9)
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