Condom use and its influencing factors among young men who have sex with men in Mianyang city, 2015-2017
WANG Yi1, LI Liu-li1, ZHOU Wan-ming1, FAN Jing2, ZHAO Xi-he1, TANG Yu1, HE Jing1, LIU Jiang3, ZHOU Li2, ZHANG Xiao-jun2
1.Mianyang Center for Disease Control and Prevention, Mianyang, Sichuan 621000, China; 2.MSM Support Group of Mianyang, Mianyang, Sichuan 621000, China; 3.Jiangyou Center for Disease Control and Prevention, Jiangyou, Sichuan 621700, China
Abstract：Objective To investigate the current status of condom use among young men who have sex with men (YMSM), and to analyze its influential factors. Methods YMSM aged 15 to 24 years in Mianyang city, Sichuan province, as the survey subjects, were recruited by the snowball sampling method from September 2015 to June 2017. Condom use, social behavior and sexual behavior were surveyed, and serological examination was performed. Chi-square test was used to analyze the influential factors for condoms use, and non-conditional logistic regression analysis was used to analyze the multiple factors. Results A total of 362 valid questionnaires were retrieved. The percentages of using condoms every time when having anal sex with men, having sexual behavior with commercial sexual partners, with regular sexual partners, with occasional sexual partners and with when heterosexual partners in the past six months were 55.31%, 42.11%, 49.38%, 58.10% and 39.29%, respectively. The percentages of YMSM without condom use owing to themselves, sexual partners, regular sexual partners, uncomfortableness, and unnecessariness were 26.83%, 46.34%, 29.27%, 23.17% and 14.63%, respectively. The positive rate of HIV antibody showed an upward tendency as the declining frequency of condom use in anal sex in the past six months (χ2tendency=16.82, P=0.000). Multivariate analysis revealed that the factors contributing to condom use were officials and staff members (OR=16.058, OR95%CI:1.95-132.55), pride of sexual orientation (OR=100.82, OR95%CI:8.68-1,170.39), receiving publicity materials for nearly one year (OR=5.37,OR95%CI:1.12-25.72), acquiring prevention and treatment knowledge frompublicity materials (OR=4.07, OR95%CI:1.05-15.81), persuading sexual partners who refused to use condoms (OR=3.889, OR95%CI: 8.14-293.10), insisting on using condoms when getting along with sexual partners (OR=16.058, OR95%CI: 1.03-14.70) and preparing condoms every time for anal sex in the past six months (OR=12.01, OR95%CI: 3.18-45.43). Conclusions The percentage of condom use is low among YMSM, and sexual partners have a significant restrictive effect on their partners, which is correlated with preventative services, status identity, self-adherence, etc. Therefore, behavioral interventions should be targeted.
王毅, 李六林, 周万明, 樊静, 赵西和, 唐宇, 何静, 刘江, 周力, 张晓军. 2015－2017年绵阳市年轻男男性行为者安全套使用及影响因素[J]. 实用预防医学, 2019, 26(9): 1055-1058.
WANG Yi, LI Liu-li, ZHOU Wan-ming, FAN Jing, ZHAO Xi-he, TANG Yu, HE Jing, LIU Jiang, ZHOU Li, ZHANG Xiao-jun. Condom use and its influencing factors among young men who have sex with men in Mianyang city, 2015-2017. , 2019, 26(9): 1055-1058.
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2019, Vol. 26 
