摘要
目的 了解不同性取向的大学生男男性行为者(MSM)艾滋病相关行为的差异.方法 2022年3-7月在浙江省4个项目市(杭州市、宁波市、嘉兴市和金华市)由社会组织采用方便抽样法招募年龄≥18岁的在校大学生MSM作为研究对象.采用面对面询问的方式进行问卷调查.调查内容包括户籍、学校所在地、年级、性取向、网络临时性行为、物质滥用、艾滋病知识、暴露前后预防和艾滋病检测等.采用SPSS 25.0软件进行比较分析.结果 共招募682名在校大学生MSM,回收671份有效问卷.同性性取向、双性性取向/性取向不确定者分别占73.3％(492/671)、26.7％(179/671).与同性性取向者相比,双性/性取向不确定者出柜比例低,[50.8％(91/179)vs.60.2％(296/492)];首次男男性行为发生时间间隔在1年以内的比例高,[48.8％(81/166)vs.37.4％(176/470)],首次男男性行为为被诱导或被胁迫比例高[27.4％(49/179)vs.16.5％(81/492)],最近1次网约临时性行为使用助性剂rush popper比例高[40.7％(33/81)vs.27.1％(64/236)];获得安全套同伴教育比例低[70.9％(127/179)vs.79.1％(389/492)];既往自我检测次数≥ 1 次比例低,[64.4％(112/174)vs.76.0％(364/479)],差异均有统计学意义(P＜0.05).结论 同性性取向与双性性取向/性取向不确定大学生MSM在出柜、首次男男性行为时间间隔及发生类型、rush popper等物质滥用、安全套同伴教育和HIV自我检测等方面均存在差异,应加强针对性干预降低该人群HIV感染风险.
Abstract
Objective To examine differences in HIV-related behaviors among college students who are men who have sex with men(MSM)and of different sexual orientations.Methods A total of 682 MSM students aged≥18 years were recruited from colleges/universities in four cities(Hangzhou,Ningbo,Jiaxing and Jinhua)in Zhejiang province through convenience sampling with the help of NGO(non-governmental organization)for a web-based on-site survey with face-to-face instructions from interviewers from March to July 2022.Participants'information on household registration,campus location,years in college,public expression of sexual identity,online casual sex,substance abuse,HIV knowledge,pre-exposure and post-exposure prophylaxis,and HIV testing were collected using a self-compiled questionnaire.SPSS 25.0 software was used for data analysis.Results Of the 671 valid respondents,73.3％reported a homosexual orientation and 26.7％reported a bisexual/unsure orientation.Compared to respondents with a homosexual orientation,respondents with a bisexual/uncertain orientation reported significantly lower rates of publicly expressing their sexual identity(50.8％vs.60.2％),receiving health education about condom use from peers(70.9％vs.79.1％),and self-testing for HIV once or more(64.4％vs.76.0％),but significantly higher rates of first homosexual behavior within the past year(48.8％vs.37.4％),being seduced or coerced into first homosexual behavior(27.4％vs.16.5％),and using sex-stimulating rush popper during their last online casual sexual encounter(40.7％vs.27.1％)(P＜0.05 for all).Conclusion There are significant differences between MSM college/university students with a homosexual orientation and those with a bisexual/unsure orientation in public expression of sexual identity,timing and type of first homosexual encounter,use of rush popper and other substances,receipt of peer education about condom use,and self-testing for HIV,suggesting that targeted interventions to reduce the risk of HIV infection in this population should be strengthened.
基金项目
浙江省青少年和青少年工作研究课题(ZQ202282)
NETL
NSTL
万方数据