Social behaviors of HIV positive MSM and influencing factors of time duration from their first homosexual in-tercourse to positive report
Objective To investigate the social behavior characteristics of HIV-positive(hereafter referred to as positive)men who have sex with men(MSM),and to analyze the factors associated with time duration from their first ho-mosexual sexual behavior to HIV positive report.Methods Data were collected from positive MSM newly diagnosed and un-derwent their first epidemiological investigation for the first time at the Mianyang Center for Disease Control and Prevention from 2007 to 2022.x2 test and logistics regression model were used to analyze factors associated with time duration from their first homosexual sexual behavior to HIV positive report.Results A total of 457 valid data were collected,63.95%of them reported congenital sexual orientation and 36.05%reported acquired sexual orientation.64%of participants searched for their first homosexual sexual partner through the internet,and 39.46%through friends or others.The average age that partic-ipants engaged in their first homosexual sexual behavior was 23.95 years old,and 44.64%of them reported they were still as student while 55.36%of them as worker at that moment.Additionally,53.75%of participants reported rush poppers use.The average time duration was 5.25 years.Results from multivariate analysis revealed that students,individuals in busi-ness services,and unemployed individuals(OR=1.868)as well as individuals who experienced their first homosexual sexual behavior during their school years(OR=1.555)were more likely to have shorter time duration.On the other hand,individuals who were married or in other types of partnerships(OR=0.566),those with three or more steady sexual part-ners(OR=0.553),and those with five or more casual sexual partners(OR=0.457)were less likely to have shorter time duration.Conclusion Positive MSM often showed congenital sexual orientation.Finding sexual partners through the Internet for their first homosexual sexual behaviors,occurring after starting work,and using new drugs are common.Positive time du-ration is correlated with marital status,the stage of first homosexual sexual behavior and the number of sexual part-ners.Targeted health education and behavioral interventions are needed.
Men who have sex with menHuman immunodeficiency virusSocial behaviorPositive timeIn-fluencing factors