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.
[1] 王毅,李六林,樊静,等. 2015年四川省绵阳市男男性行为人群不同性行为时间其社会及性行为特征分析[J].实用预防医学,2017,24(12):1417-1420. [2] 迟富利,涛波,杨景元,等. 内蒙古男男性接触者HIV感染相关影响因素调查[J].实用预防医学,2018,25(2):219-222. [3] 王毅,李六林,周万明,等. 绵阳市15~24周岁年轻MSM队列研究基线调HIV感染及影响因素 [J].中国艾滋病性病,2018,24(6):478-482. [4] 曹越,孟详喻,翁鸿,等. 中国青年男男性行为人群艾滋病相关行为及感染状况Meta分析 [J].中华流行病学杂志,2016,37(7):1021-1027. [5] 吕林芳,张金艳,赵丹鹤,等. 北京市男男性行为者无保护性行为影响因素研究 [J]. 中国艾滋病性病,2016,22(10):800-804. [6] 中国疾病预防控制中心性病艾滋病预防控制中心.全国艾滋病哨点监测实方案操作手册[M].北京:中国疾病预防控制中心,2012:1-15. [7] 吴文源.焦虑自评量表[M/CD].行为医学量表手册.北京:中华医学电子音像出版社,2005:213-214. [8] 舒良.自评抑郁量表和抑郁状态问卷[J].中国心理卫生杂志,1999,( 增刊) : 194-196. [9] 柏建芸,于茂河,柳忠泉,等. 天津市730名青年学生MSM的HIV感染状况及影响因素[J]. 中国艾滋病性病,2015,21(12):1048-1051. [10] 王毅,李六林,樊静,等. 绵阳市2014年MSM艾滋病知识和行为特征及性行为保护性影响因素[J]. 实用预防医学,2016,23(9):1052-1055. [11] 刘昆仑.男男性行为人群安全套使用与需求研究[D].北京:中国疾病预防控制中心性病艾滋病控制中心,2009. [12] 白广义,王伟,张亚丽,等. 河北省三城市男男性行为者安全套使用情况及影响因素分析[J]. 河北医药,2017,39(21):3322-3324,3328. [13] 汤后林,张大鹏,吴玉华,等.男男性接触者性伴交往模式及行为特征研究[J].中华流行病学杂志,2007,28(2):144-147. [14] Mustanski B,Newcomb ME,Clerkin EM.Relationship characteristics and sexual risk-taking in young men who have sex with men [J].Health Psychol, 2011,30(5):597-605. [15] 党静,刘淑君,刘丽花. 石家庄市男男性接触者同性固定性伴保持时间影响因素[J]. 中国热带医学,2015,15(12):1448-1451. [16] 王毅,李六林,樊静,等.有同性固定性伴侣男男性行为者非专一性行为的影响因素研究[J]. 中华疾病控制杂志,2013,17(12):1025-1029. [17] Sullivan PS,Salazar L,Buchbinder S,et al. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities[J]. AIDS, 2009,23(9),1153-162. [18] 王毅,李六林,樊静,等. 四川省绵阳市MSM安全套携带现状及影响因素[J].中国艾滋病性病,2015,21(10):861-864. [19] 刘靖, 王伊欢. 同性恋者身份认同研究综述[J]. 中国农业大学学报(社会科学版),2011,28(1) : 131-139. [20] Rosario M,Hunter J,Maquen S,et al.The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: stipulation and exploration of a model[J].Am J Community Psychol,2001,29(1):133-160. [21] 李连学,马懿,高良敏,等. 玉溪市男男性接触者安全套使用及影响因素分析 [J]. 预防医学情报杂志,2011,27(10):800-804. [22] 王培玉.健康管理学[M].北京:北京大学医学出版社,2012:58-64. [23] 卢耀状,农全兴,农丽萍,等. 南宁市 MSM性行为知行分离的影响因素研究[J]. 中华疾病控制杂志,2015,19(12):1231-1234,1239. [24] 王毅,李六林,张光贵,等.男男性行为者艾滋病相关认知态度与行为分离现状和影响因素研究[J]. 中华疾病控制杂志,2014, 18(10):951-955.