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绵阳市男男性行为者经历亲密关系暴力现状及其关联因素

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目的 了解四川省绵阳市男男性行为者(MSM)经历亲密关系暴力(IPV)现状,分析其关联因素.方法 于2022年1至12月采用"滚雪球"抽样法选取984名MSM作为研究对象,进行问卷调查,采用x2检验和Logistic回归模型分析经历IPV的关联因素.结果 共调查984人,经历IPV者占3.7%,其中肢体暴力占8.3%、语言暴力占69.4%、性暴力和其他暴力各占11.1%,经历IPV来自固定性伴占50.0%、偶遇性伴占30.6%、都有占19.4%.经多因素分析结果显示,市级城市居住(OR=4.831)、性角色被插入方/均可(OR=3.652)、肛交人数≥4人(OR=2.740)、高性感觉寻求(OR=2.470)者经历IPV的可能性更大,知晓艾滋病知识(OR=0.141)、害怕感染人类免疫缺陷病毒(HIV)(OR=0.240)者经历IPV的可能性更小.结论 MSM经历IPV以固定性伴和语言暴力为主,其经历IPV与性角色、肛交人数和性感觉寻求等因素相关,经历IPV会增大HIV感染风险,要针对性开展健康教育和行为干预.
Intimate partner violence experience and its associated factors among men who have sex with men in Mianyang City
Objective To investigate the status quo of intimate partner violence(IPV)experience among men who have sex with men(MSM)in Mianyang City,Sichuan Province,and analyze the associated factors.Methods A total of 984 MSM were selected by"snowball"sampling method for questionnaire survey from January to December 2022.The correlation factors of MSM experience IPV were analyzed by x2test and Logistic regression model.Results A total of 984 subjects were investigated,of which 3.7%had experienced IPV,8.3%of them had experienced physical violence,69.4%of them had experienced verbal violence,and 11.1%had experienced sexual violence and other violence.50.0%had experienced IPV from regular sexual partners,30.6%had experienced IPV from casual sexual partners,and 19.4%had experienced IPV from both.The results of multivariate analysis showed that those who lived in urban areas(OR=4.831),had been inserted/flexible of the sexual role(OR=3.652),anal sex partners ≥4(OR=2.740),and had high sexual sensation seeking(OR=2.470)were more likely to experience IPV.Those with knowledge of acquired immunodeficiency syndrome(AIDS)(OR=0.141)and fear of human immunodeficiency virus(HIV)infection(OR=0.240)were less likely to experience IPV.Conclusions The IPV experience of MSM is mainly characterized by casual sexual partners and verbal violence.The IPV experience is related to sexual role,number of anal sexual partner and sexual sensation seeking,and the IPV experience increases the risk of HIV infection.Targeted health education and behavioral intervention should be carried out.

Men who have sex with menIntimate partner violenceRelated factorsAcquired immunodeficiency syndrome

王毅、樊静、何静、舒亚、周硕、周力、王思源

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绵阳市疾病预防控制中心艾滋病与结核病预防控制所,四川绵阳 621000

绵阳同志关爱小组,四川绵阳 621000

男男性行为者 亲密关系暴力 关联因素 艾滋病

社会组织参与艾滋病防治基金

2021-2022510700PYDMSM440418

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(8)
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