摘要
目的了解广西MSM中rush poppers的使用情况及相关因素,为制定有针对性的干预措施提供科学依据。方法于2022年3-7月通过多种途径招募MSM开展面对面问卷调查。采用多因素Logistic回归模型分析rush pop⁃pers使用情况的影响因素及其与高危性行为的关系。结果共调查1006名MSM,18~24岁占34.0%,本科及以上文化程度占40.0%,近6个月男性性伴数≥2人占64.3%,近1个月发生过无保护肛交占30.6%(308/1006),近1年rush poppers使用比例为35.7%。多因素分析显示,影响rush poppers使用的主要因素包括:年龄18~24岁和25~39岁[vs.≥40岁,aOR(95%CI)分别为2.93(1.66~5.14)和4.52(2.71~7.53)]、少数民族(vs.汉族,aOR=1.37,95%CI:1.03~1.83)、首次发生男男性行为的年龄<20岁(vs.≥20岁,aOR=1.80,95%CI:1.30~2.51)、近6个月男性性伴数为2~5人和≥6人[vs.≤1人,aOR(95%CI)分别为3.08(2.22~4.28)和4.59(2.91~7.23)]、近1个月有固定男性性伴(vs.无固定男性性伴,aOR=1.69,95%CI:1.23~2.31)、近1个月发生无保护被动肛交(vs.未发生过无保护被动肛交,aOR=1.84,95%CI:1.30~2.62)、近1年使用过其他娱乐性药物(vs.未使用过其他娱乐性药物,aOR=4.21,95%CI:2.29~7.73)。结论广西MSM使用rush poppers的比例较高,其使用与年龄、民族、以及多性伴、无保护被动肛交等高危性行为有关。今后应进一步加强rush poppers获取途径的调查并加强监管,充分利用网络平台加强健康宣教,提升MSM尤其是青壮年和少数民族MSM对rush poppers危害性的认知。
Objective This study explores the current situation of rush poppers use among men who have sex with men(MSM)in Guangxi,as well as its related factors,and provides scientific evidence for the formulation of targeted intervention measures.Methods MSM were recruited for a face-to-face questionnaire survey from March to July 2022 via multiple paths.A multivariate logistic regression model was used to analyze factors that influenced the use of rush poppers and its relationship with high-risk sexual behaviors.Results A total of 1006 MSM were recruited.Among them,34.0%were aged between 18 and 24 years,40.0%held a bachelor's degree or higher,64.3%had 2 or more homosexual partners in the previous six months,30.6%(308/1006)had unprotected anal intercourse within the last month,and 35.7%used rush poppers within the last year.Multivariate analysis revealed that the main factors influencing rush poppers use included age between 18 and 24 and age between 25 and 39 years(vs.≥40 years,aOR=2.93,95%CI:1.66‒5.14;aOR=4.52,95%CI:2.71‒7.53),minority ethnicity(vs.Han ethnicity,aOR=1.37,95%CI:1.03‒1.83),age at first homosexual intercourse<20 years(vs.≥20 years,aOR=1.80,95%CI:1.30‒2.51),having 2-5 or>6 homosexual partners in the previous six months(vs.≤1 homosexual partner,aOR=3.08,95%CI:2.22-4.28;aOR=4.59,95%CI:2.91-7.23),having regular homosexual partners within the last month(vs.no regular homosexual partners,aOR=1.69,95%CI:1.23-2.31),having unprotected receptive anal intercourse within the last month(vs.no unprotected receptive anal intercourse,aOR=1.84,95%CI:1.30-2.62),and using other recreational drugs within the last year(vs.no other recreational drug use,aOR=4.21,95%CI:2.29-7.73).Conclusions The proportion of using rush poppers among MSM in Guangxi is relatively high,and is associated with age,ethnicity,and high-risk sexual behaviors such as multiple sexual partners and unprotected receptive anal intercourse.The access to rush poppers should be further investigated for strengthened target supervision.Health education via online platforms should be fully utilized to enhance awareness of the harmfulness of rush poppers,especially among young adults and the MSM population from minority ethnic groups.
作者
刘露
刘君辉
阮玉华
江宇
裴恒妍
黄腾达
韦玉霞
戴学宾
茹梦
陈世文
谢艺红
LIU Lu;LIU Junhui;RUAN Yuhua;JIANG Yu;PEI Hengyan;HUANG Tengda;WEI Yuxia;DAI Xuebin;RU Meng;CHEN Shiwen;XIE Yihong(School of Public Health,Guangxi Medical University,Nanning 530021,Guangxi,China;Nanning Center for Disease Control and Prevention,Nanning 530023,Guangxi,China;State Key Laboratory of Infectious Disease Prevention and Control,Beijing 102206,China;National Center for STD/AIDS Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2024年第1期23-28,共6页
Chinese Journal of Aids & STD
