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使用同性交友软件的男男性行为人群高危性行为认知及影响因素的定性研究

张伟杰,  郭智慧,  辛玉婷,  谢婷,  滕熠,  郭益臣,  王炳懿,  彭欣,  梁冰玉,  卞骏业,  李心一,  孙英慧,  邹华春

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文章导航 > 中华疾病控制杂志  > 2023 >  27(12): 1408-1412
张伟杰, 郭智慧, 辛玉婷, 谢婷, 滕熠, 郭益臣, 王炳懿, 彭欣, 梁冰玉, 卞骏业, 李心一, 孙英慧, 邹华春. 使用同性交友软件的男男性行为人群高危性行为认知及影响因素的定性研究[J]. 中华疾病控制杂志, 2023, 27(12): 1408-1412. doi: 10.16462/j.cnki.zhjbkz.2023.12.008
引用本文: 张伟杰, 郭智慧, 辛玉婷, 谢婷, 滕熠, 郭益臣, 王炳懿, 彭欣, 梁冰玉, 卞骏业, 李心一, 孙英慧, 邹华春. 使用同性交友软件的男男性行为人群高危性行为认知及影响因素的定性研究[J]. 中华疾病控制杂志, 2023, 27(12): 1408-1412. doi: 10.16462/j.cnki.zhjbkz.2023.12.008
shu
ZHANG Weijie, GUO Zhihui, XIN Yuting, XIE Ting, TENG Yi, GUO Yichen, WANG Bingyi, PENG Xin, LIANG Bingyu, BIAN Junye, LI Xinyi, SUN Yinghui, ZOU Huachun. A qualitative study on perception and influencing factors of high-risk sexual behaviors among men who have sex with men using geosocial networking apps[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1408-1412. doi: 10.16462/j.cnki.zhjbkz.2023.12.008
Citation: ZHANG Weijie, GUO Zhihui, XIN Yuting, XIE Ting, TENG Yi, GUO Yichen, WANG Bingyi, PENG Xin, LIANG Bingyu, BIAN Junye, LI Xinyi, SUN Yinghui, ZOU Huachun. A qualitative study on perception and influencing factors of high-risk sexual behaviors among men who have sex with men using geosocial networking apps[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(12): 1408-1412. doi: 10.16462/j.cnki.zhjbkz.2023.12.008
shu

使用同性交友软件的男男性行为人群高危性行为认知及影响因素的定性研究

doi: 10.16462/j.cnki.zhjbkz.2023.12.008
  • 1.

    中山大学公共卫生学院(深圳)，深圳 518107

  • 2.

    中国医学科学院北京协和医学院肿瘤医院，北京 100021

  • 3.

    复旦大学公共卫生学院，上海 200032

  • 4.

    广西医科大学公共卫生学院，南宁 530021

基金项目: 

国家重大传染病专项 2018ZX10721102

深圳市科技创新委员会面上项目 JCYJ20190807155409373

详细信息
    通讯作者:

    邹华春, E-mail: zouhuachun@fudan.edu.cn

    孙英慧, E-mail: sunyh33@mail2.sysu.edu.cn

  • 中图分类号: R512.91

A qualitative study on perception and influencing factors of high-risk sexual behaviors among men who have sex with men using geosocial networking apps

  • 1.

    School of Public Health, Shenzhen Campus, Sun Yat-Sen University, Shenzhen 518107, China

  • 2.

    Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China

  • 3.

    School of Public Health, Fudan University, Shanghai 200032, China

  • 4.

    School of Public Health, Guangxi Medical University, Nanning 530021, China

Funds: 

National Science and Technology Major Project of China 2018ZX10721102

Shenzhen Science and Technology Innovation Commission Basic Research Program JCYJ20190807155409373

More Information

    摘要
  • 摘要:   目的  了解使用同性交友软件的男男性行为人群(men who have sex with men, MSM)高危性行为认知及影响因素, 为制定针对性的干预策略提供科学依据。  方法  在全国7个城市与当地社会组织合作, 招募使用交友软件1年以上的MSM, 进行一对一的半结构化访谈, 采用NVivo 12.0软件对访谈材料进行分析。  结果  共招募到21名MSM, 年龄为27(24, 31)岁。使用同性交友软件的MSM的高危性行为认知主要是无保护的性行为。促进高危性行为发生的个人因素包括饮酒及娱乐性药物的使用、性角色的不同; 性伴因素包括是否为固定性伴、性伴的外貌、职业; 社会因素包括社交圈和节假日。线下健康宣教、线上健康知识推送和好友的高危经历是减少高危性行为发生的因素。  结论  使用同性交友软件的MSM高危性行为认知不全, 且影响高危性行为发生的因素复杂, 未来要加强线下机构和线上平台的联合宣教, 引导该人群形成正确且全面的高危性行为认知, 提高HIV预防意识, 减少高危性行为的发生。
    Abstract:   Objective  To investigate perception and influencing factors of high-risk sexual behaviors among men who have sex with men (MSM) using geosocial networking apps specific to MSM (gay apps) and to provide evidence for developing targeted interventional strategies.  Methods  In collaboration with local community-based organizations in seven cities of mainland China, MSM who had used gay apps for more than one year were recruited for one-on-one semi-structured interviews.The interview transcripts were analyzed by NVivo 12.0.  Results  A total of 21 MSM were recruited, with a median age of 27(24, 31) years.Perception of high-risk sexual behaviors among MSM using gay apps is mainly unprotected sex.Factors that increased the occurrence of high-risk sexual behaviors included: personal factors: alcohol and recreational drug use, and different roles in sex; factors relevant to sex partners: regular relationship with a sex partner, and the appearance and occupation of sexual partners; social factors: social circles and holidays.Factors that reduced the occurrence of high-risk sexual behaviors included offline health education, web-based health knowledge promotion, and peer's high-risk sexual experiences.  Conclusions  MSM who used gay apps have insufficient perceptions of high-risk sexual behaviors and factors influencing high-risk sexual behaviors are complex.In the future, health dissemination and education jointly provided by offline institutions and online platform are needed to guide this population to form a spectrum of correct and complete perception of high-risk sexual behaviors, raise awareness of HIV prevention, and reduce the occurrence of high-risk sexual behaviors.
    • HTML全文

  • 图  1  使用同性交友软件的MSM发生高危性行为的影响因素

    MSM, 男男性行为人群。
    MSM, men who have sex with men.

    Figure  1.  Influencing factors of high-risk sexual behaviors in MSM using gay apps

    下载: 全尺寸图片 幻灯片

    表  1  使用同性交友软件的MSM社会人口学特征

    Table  1.   Sociodemographic characteristics of MSM using gay apps

    特征
    Characteristic    		 人数Number of people
    (n=21)
    城市City
      重庆市Chongqing 5
      青岛市Qingdao 5
      天津市Tianjin 3
      北京市Beijing 3
      深圳市Shenzhen 2
      广州市Guangzhou 2
      佛山市Foshan 1
    年龄组/岁Age group/year
      18~ < 30 13
      30~ < 40 5
      ≥40 3
    婚姻状况Marital status
      单身Single 12
      已婚或与异性同居
    Married or living with the opposite sex    		 8
      离异或丧偶Divorced or widowed 1
    受教育程度Educational level
      高中及以下High school and below 4
      大专或本科Bachelor degree or college 14
      研究生及以上Postgraduate and above 3
    职业Occupation
      学生Student 6
      非学生Non-student 15
    月收入情况/元Monthly income/yuan
       < 2 000 6
      2 000~ < 5 000 5
      5 000~ < 10 000 6
      ≥10 000 4
    性取向Sexual orientation
      同性恋Homosexual 16
      双性恋Bisexual 5
    肛交角色 ① Anal role ①
      “1” 11
      “0.5” 10
    注：MSM, 男男性行为人群。
    ① “1”, 仅作为肛交主动插入方；“0.5”, 既可以作为肛交主动插入方，也可以作为肛交被动插入方。
    Notes: MSM, men who have sex with men.
    ① "1", only as an active insertion party in anal sex; "0.5", both as an active insertion party and as a passive insertion party in anal sex.
    下载: 导出CSV

    表  2  使用同性交友软件的MSM高危性行为认知

    Table  2.   Perception of high-risk sexual behaviors among MSM using gay apps

    受访者Interviewees 代表性引述Representative quotations
    重庆市，35岁
    Chongqing, 35 years old    		   “没有做好安全保护的行为都算是高危行为。”
    "Any behavior that fails to provide safety protection is considered a high-risk behavior."
    佛山市，47岁
    Foshan, 47 years old    		   “不戴套或者群交之类的，都是高危性行为。”
    "Not using condoms or having sex in groups are high-risk sexual behaviors."
    北京市，28岁
    Beijing, 28 years old    		   “我吃暴露前预防用药(pre-exposure prophylaxis, PrEP)，再进行HIV检测，然后我再戴套，我是遵循这个三重保护原则，然后频繁更换性伴，我觉得HIV肯定是不会被传染的。”
    "I follow a triple protection principle of taking pre-exposure prophylaxi (PrEP), taking an HIV test, and using condoms, and then change my sexual partners frequently, so I feel that HIV will definitely not be transmitted."
    天津市，28岁
    Tianjin, 28 years old    		 “频繁更换性伴的话，就相当于一夜情，常在河边走，哪有不湿鞋的，这个肯定是高危行为。”
    "Frequently changing sexual partners is equivalent to a one-night stand. This is definitely a high-risk behavior. As the saying goes, there′s no such thing as not wetting one′s shoes when you′re always walking by the river."
    青岛市，24岁
    Qingdao, 24 years old    		 “只要做好了防护措施，可以阻挡HIV，有些性病还是能传染，只能算一点高危吧。”
    "As long as protective measures are taken, one can avoid HIV infection, but some sexually transmitted diseases can still be transmitted. This can be considered a slightly higher risk."
    广州市，31岁
    Guangzhou, 31 years old    		 “多性伴的话，如果是无套的时候，才算是高危性行为。”
    "Having multiple partners is only considered high-risk sex if they are having sex without using a condom."
    深圳市，20岁
    Shenzhen, 20 years old    		 “无套或者说很亲密接触，比如口交之类的属于高危。”
    "Non-condom use or intimate contact such as oral sex is considered high-risk sex."
    “如果做好了防护措施的话，这种频繁更换应该也不会被传染，但如果说防护措施没做到位感觉还是有危险的。”
    "If you take proper precautions, you won′t get infected if you change partners frequently. But if you don′t take proper precautions, you are still at risk."
    注：MSM, 男男性行为人群。
    Notes: MSM, men who have sex with men.
    下载: 导出CSV
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  • 收稿日期:  2022-11-15
  • 修回日期:  2023-01-12
  • 刊出日期:  2023-12-10

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