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云南省男男性行为人群使用交友程序高危行为及艾滋病/梅毒调查结果分析

李志晴,  马艳玲,  李佑芳,  马婧,  潘颂峰,  蔡永年,  王玉淼,  王珏

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文章导航 > 中华疾病控制杂志  > 2020 >  24(12): 1423-1427,1432
李志晴, 马艳玲, 李佑芳, 马婧, 潘颂峰, 蔡永年, 王玉淼, 王珏. 云南省男男性行为人群使用交友程序高危行为及艾滋病/梅毒调查结果分析[J]. 中华疾病控制杂志, 2020, 24(12): 1423-1427,1432. doi: 10.16462/j.cnki.zhjbkz.2020.12.012
引用本文: 李志晴, 马艳玲, 李佑芳, 马婧, 潘颂峰, 蔡永年, 王玉淼, 王珏. 云南省男男性行为人群使用交友程序高危行为及艾滋病/梅毒调查结果分析[J]. 中华疾病控制杂志, 2020, 24(12): 1423-1427,1432. doi: 10.16462/j.cnki.zhjbkz.2020.12.012
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LI Zhi-qing, MA Yan-ling, LI You-fang, MA Jing, PAN Song-feng, CAI Yong-nian, WANG Yu-miao, WANG Jue. Results analysis of AIDS/Syphilis and high risk behaviors survey among men who have sex with men who use social APPs for dating in Yunnan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1423-1427,1432. doi: 10.16462/j.cnki.zhjbkz.2020.12.012
Citation: LI Zhi-qing, MA Yan-ling, LI You-fang, MA Jing, PAN Song-feng, CAI Yong-nian, WANG Yu-miao, WANG Jue. Results analysis of AIDS/Syphilis and high risk behaviors survey among men who have sex with men who use social APPs for dating in Yunnan Province[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(12): 1423-1427,1432. doi: 10.16462/j.cnki.zhjbkz.2020.12.012
shu

云南省男男性行为人群使用交友程序高危行为及艾滋病/梅毒调查结果分析

doi: 10.16462/j.cnki.zhjbkz.2020.12.012

  • 650022 昆明，云南省疾病预防控制中心性病艾滋病防治所

基金项目: 

十三五重大专项 2017ZX10201101002011

详细信息
    通讯作者:

    王珏，E-mail：50924025@qq.com

  • 中图分类号: R181

Results analysis of AIDS/Syphilis and high risk behaviors survey among men who have sex with men who use social APPs for dating in Yunnan Province

  • Institution for AIDS/STD Control and Prevention, Center for Disease Control and Prevention of Yuannan Province, Kunming 650022, China

Funds: 

Major Projects During the 13th Five Year Plan 2017ZX10201101002011

More Information

    摘要
  • 摘要:   目的  了解男男性行为人群(men who have sex with men，MSM)主要交友程序使用情况，分析其人口学特征、性行为特点及艾滋病和梅毒感染状况，为开展针对性的干预措施提供依据。  方法  通过MSM社区组织发布信息招募MSM调查对象，使用统一的电子问卷进行面对面调查，并采集静脉血液进行艾滋病、梅毒的血清学检测。  结果  共调查4 651名MSM，按主要使用交友程序分为3组：Blued组2 160人(46.44%)，微信组2 113人(45.43%)，QQ组378人(8.13%)。本地居住时间＜3月的比例最高为Blued组(6.9%)，本地居住时间≥12月比例最高为微信组(92.1%)，差异有统计学意义(χ2 =60.326, P < 0.001)。Blued组和微信组艾滋病防治知识知晓率、自我认同性取向为同性恋的比例均高于QQ组(均有P < 0.05)。Blued组最近6个月发生男男群交行为的比例最高(8.1%)，其次是QQ组(6.9%)和微信组(5.3%)(χ2 =13.368，P=0.001)。Blued组、微信组和QQ组艾滋病检出率分别是2.2%、3.0%和3.4%，差异无统计学意义(χ2 =3.546，P=0.170)。Blued组、微信组和QQ组梅毒检出率分别是1.9%，3.7%和2.9%，三组间差异有统计学意义(χ2 =14.017, P=0.001)。  结论  MSM使用不同交友程序在行为学特征上的差异，使其在感染性病的风险上不同，应根据各自的特点，开展针对性的干预措施。
    Abstract:   Objective  To learn which dating App is most popular among men who have sex with men (MSM), analyze their demography, sexual behavior characteristics, AcquiredImmune Deficiency Syndrome (AIDS) and syphilis infection status, and provide evidence for formulating targeted intervention strategies.  Methods  The recruitment information was released by the MSM community-based organization to recruit participants among MSM. A same electronic questionnaire was used for a face-to-face survey and venous blood was collected for serological test of AIDS and syphilis.  Results  A total of 4 651 participants were involved. Based on the App they used most frequently, participants were divided into three groups. 2 160 (46.44%) were in Blued group, 2 113 (45.43%) in Wechat group and 378 (8.13%) in QQ group. In Blued group, the proportion of participants whose local residence duration was less than 3 months was 6.9% and highest in three groups. In Wechat group, the proportion of participants whose local residence duration was more than 12 months was 92.1%and highest in three groups. The difference was significant (χ2 =60.326, P < 0.001). In Blued and Wechat group, the awareness rate of AIDS prevention knowledge and proportion of self identification as homosexual were higher than QQ group (P < 0.05). In Blued group, the proportions of participants who had group sex in the past six months were 8.1 % (highest), followed by QQ group (6.9%) and Wechat group (5.3%) (χ2 =13.368, P=0.001). The positive rates of AIDS were 2.2% in blued group, 3.0% in wechat group and 3.4% in QQ group. There is no significant difference among the three groups (χ2 =3.546, P=0.17). The positive rates of syphilis were 1.9% in Blued group, 3.7% in Wechat group and 2.9% in QQ group. There were significant differences among the three groups (χ2 =14.017, P=0.001).   Conclusions   MSM who uses different dating APP have different infection risks of sexual transmitted infection. The targeted intervention strategies should be provided for MSM based on different characteristics respectively.
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  • 表  1  不同交友程序MSM一般情况[n(%)]

    Table  1.   Compare the general situation of the different dating APP using of MSM [n(%)]

    变量 Blued
    (n=2 160)    		 微信
    (n=2 113)    		 QQ
    (n=378)    		 χ2值 P值
    年龄(岁) 19.509 0.003
       < 20 78(3.6) 84(4.0) 2(6.9)
      20~ 1 212(56.1) 1 221(57.8) 210(55.5)
      30~ 568(26.3) 508(24.0) 108(28.6)
      ≥40 302(14.0) 300(14.2) 34(9.0)
    婚姻状况 28.906 < 0.001
      未婚 1 717(79.5) 1 629(77.1) 294(77.8)
      已婚 336(15.6) 329(15.6) 44(11.6)
      同居 39(1.8) 61(2.9) 21(5.6)
      离异或丧偶 68(3.1) 94(4.4) 19(5.0)
    民族 72.709 < 0.001
      汉族 1 840(85.2) 1 586(75.1) 317(83.9)
      其它 320(14.8) 527(24.9) 61(16.16)
    在本地居住时间(月) 60.326 < 0.001
       < 3 149(6.9) 63(3.0) 19(5.0)
      3~ 180(8.3) 103(4.9) 32(8.5)
      ≥12 1 831(84.8) 1 947(92.1) 327(86.5)
    文化程度 45.157 < 0.001
      小学 56(2.6) 64(3.0) 11(2.9)
      初中 274(12.7) 374(17.7) 42(11.1)
      高中或中专 671(31.1) 731(34.6) 135(35.7)
      大专及以上 1 159(53.6) 944(44.7) 190(50.3)
    艾滋病防治知识知晓率 7.472 0.024
      知晓 2 040(94.4) 2 012(95.2) 347(91.8)
      否 120(5.6) 101(4.8) 31(8.2)
    下载: 导出CSV

    表  2  不同交友程序MSM艾滋病相关行为特征[n(%)]

    Table  2.   Characteristics of MSM AIDS related behaviors in different dating APP [n(%)]

    变量 Blued
    (n=2 160)    		 微信
    (n=2 113)    		 QQ
    (n=378)    		 χ2值 P值
    自我认同性取向 53.352 < 0.001
      同性恋 1 441(66.7) 1 436(68.0) 204(54.0)
      双性恋 564(26.1) 495(23.4) 121(32.0)
      异性恋 47(2.2) 95(4.5) 23(6.1)
      未确定 108(5.0) 87(4.1) 30(7.9)
    首次男男性行为年龄(岁) 9.057 0.060
       < 18 375(17.4) 435(20.6) 69(18.3)
      18~ 1 499(69.4) 1 384(65.5) 261(69.0)
      ≥25 286(13.2) 294(13.9) 48(12.7)
    最近6个月性角色a 123.39 < 0.001
      只做“1” 648(30.0) 924(43.7) 125(33.1)
      只做“0” 566(26.2) 570(27.0) 123(32.5)
      “1”和“0”均有 946(43.8) 619(29.3) 130(34.4)
    最近6个月男性性伴数(人) 50.598 < 0.001
      1 720(33.3) 855(40.4) 156(41.3)
      2~ 1 211(56.1) 1 039(49.2) 157(41.5)
      6~ 155(7.2) 137(6.5) 45(11.9)
      ≥10 74(3.4) 82(3.9) 20(5.3)
    最近一次肛交行为使用安全套 1.454 0.483
      是 1 898(87.9) 1 881(89.0) 336(88.9)
      否 262(12.1) 232(11.0) 42(11.1)
    最近6个月使用安全套频率 5.171 0.270
      从未 39(1.8) 36(1.7) 11(2.9)
      有时 539(25.0) 501(23.7) 102(27.0)
      每次 1 582(73.2) 1 576(74.6) 265(70.1)
    最近6个月有HIV阳性性伴侣 5.805 0.214
      有 44(2.0) 57(2.7) 7(1.9)
      没有 857(39.7) 777(36.8) 149(39.4)
      不清楚性伴HIV状态 1 259(58.3) 1 279(60.5) 222(58.7)
    最近6个月男男群交行为 13.368 0.001
      否 1 985(91.9) 2 001(94.7) 352(93.1)
      是 175(8.1) 112(5.3) 26(6.9)
    最近6个月男男商业性行为 89.879 < 0.001
      是 69(3.2) 93(4.4) 54(14.3)
      否 2 091(96.8) 2 020(95.6) 324(85.7)
    使用新型毒品/精神活性物质 8.772 0.012
      是 211(9.8) 167(7.9) 22(5.8)
      否 1 949(90.2) 1 946(92.1) 356(94.2)
    最近1年性病史 0.264 0.876
      是 52(2.4) 46(2.2) 9(2.4)
      否 2 108(97.6) 2 067(97.8) 369(97.6)
    最近1年接受艾滋病预防服务 34.571 < 0.001
      是 1 563(72.4) 1 542(73.0) 221(58.5)
      否 597(27.6) 571(27.0) 157(41.5)
    最近1年进行过HIV检测 12.756 0.002
      是 990(45.8) 966(45.7) 137(36.2)
      否 1 170(54.2) 1 147(54.3) 241(63.8)
    是否听说过暴露前预防用药 123.793 < 0.001
      是 798(36.9) 455(21.5) 102(27.0)
      否 1 362(63.1) 1 658(78.5) 276(73.0)
    是否愿意服药b 24.999 < 0.001
      是 685(85.8) 339(74.5) 84(82.4)
      否 113(14.2) 116(25.5) 18(17.6)
    是否听说过暴露后预防用药 141.393 < 0.001
      是 1 107(51.3) 707(33.5) 144(38.1)
      否 1 053(48.7) 1 406(66.5) 234(61.9)
    注：a最近6个月性角色：“1”表示插入方，“0”表示被插入方；b是否愿意服药：仅询问听说过暴露前预防服药人员。
    下载: 导出CSV

    表  3  不同交友程序MSM艾滋病和梅毒检出率[n(%)]

    Table  3.   AIDS and syphilis infection rate of MSM in different dating APP [n(%)]

    变量 Blued(n=2 160) 微信(n=2 113) QQ(n=378) χ2值 P值
    n (%) 95% CI n (%) 95% CI n (%) 95% CI
    HIV 48(2.2) 1.6~2.8 64(3.0) 2.3~3.8 13(3.4) 1.6~5.3 3.546 0.170
    梅毒 40(1.9) 1.3~2.4 79(3.7) 2.9~4.5 11(2.9) 1.2~4.6 14.017 0.001
    HIV+梅毒 13(0.6) 0.3~0.9 15(0.7) 0.4~1.1 4(1.1) 0.0~2.1 1.008 0.604
    下载: 导出CSV
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  • 收稿日期:  2020-04-20
  • 修回日期:  2020-07-28
  • 刊出日期:  2020-12-10

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