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王英杰, 廖玫珍, 朱晓艳, 张娜, 郝连正, 王国永, 黄鹏翔. 2022年山东省男男性行为者性传播疾病患病情况及影响因素[J]. 中国公共卫生, 2023, 39(12): 1541-1546. DOI: 10.11847/zgggws1142248
引用本文: 王英杰, 廖玫珍, 朱晓艳, 张娜, 郝连正, 王国永, 黄鹏翔. 2022年山东省男男性行为者性传播疾病患病情况及影响因素[J]. 中国公共卫生, 2023, 39(12): 1541-1546. DOI: 10.11847/zgggws1142248
WANG Yingjie, LIAO Meizhen, ZHU Xiaoyan, ZHANG Na, HAO Lianzheng, WANG Guoyong, HUANG Pengxiang. Prevalence and influencing factors of sexually transmitted diseases among men who have sex with men in Shandong province, 2022: a cross-sectional survey[J]. Chinese Journal of Public Health, 2023, 39(12): 1541-1546. DOI: 10.11847/zgggws1142248
Citation: WANG Yingjie, LIAO Meizhen, ZHU Xiaoyan, ZHANG Na, HAO Lianzheng, WANG Guoyong, HUANG Pengxiang. Prevalence and influencing factors of sexually transmitted diseases among men who have sex with men in Shandong province, 2022: a cross-sectional survey[J]. Chinese Journal of Public Health, 2023, 39(12): 1541-1546. DOI: 10.11847/zgggws1142248

2022年山东省男男性行为者性传播疾病患病情况及影响因素

Prevalence and influencing factors of sexually transmitted diseases among men who have sex with men in Shandong province, 2022: a cross-sectional survey

  • 摘要:
    目的 了解山东省男男性行为者(MSM)性传播疾病(STD)患病情况及影响因素。
    方法 于2022年4 — 7在山东省11个艾滋病监测哨点招募MSM进行问卷调查。收集MSM社会人口学、性行为、患病情况等信息,采用多因素logistic回归分析STD感染的相关影响因素。
    结果 共收集4416份MSM有效问卷,自报最近1年STD患病率为5.34%,其中51.3%(121/236)仅患有梅毒,23.7%(56/236)仅患有尖锐湿疣(CA)。多因素logistic回归分析结果显示,年龄 > 35岁(OR = 1.697,95%CI = 1.046~2.755)、大专及以上(OR = 2.696,95%CI = 1.131~6.425)、认为毒品危害性为一般(OR = 11.746,95%CI = 1.523~90.568)及以上(OR = 12.335,95%CI = 1.645~92.496)、最近6个月发生同性商业性行为(OR = 2.273,95%CI = 1.477~3.498)、群交性行为(OR = 1.693,95%CI = 1.149~2.494)和暴露前预防用药(OR = 1.807,95%CI = 1.100~2.967)是MSM患STD的危险因素(P < 0.05),应用互联网/交友软件等寻找男伴是(OR = 0.486,95%CI = 0.271~0.871)患STD的保护性因素(P < 0.05)。
    结论 山东省MSM仍存在明显的“知行分离”现象,STD患病率较高,以梅毒和CA为主。高危性行为、暴露前预防用药是患STD的危险因素,应继续加强宣传教育工作,寻找更有效、全面的针对性干预措施。

     

    Abstract:
    Objective To investigate the prevalence and influencing factors of sexually transmitted diseases (STD) among men who have sex with men (MSM) in Shandong province.
    Methods Using snow bowling, one site and online sampling methods, we recruited 4 416 MSM aged ≥ 16 years and having insertive oral or anal sex during past six months in 11 STD sentinel surveillance sites across Shandong province. Face-to-face interview with an unified national questionnaire was conducted among the participants during April – July 2022 to collect participants′ information on sociodemographics, STD, STD-related sexual behaviors and intervention acceptances. Multivariate logistic regression were used to analyze influence factors of STD infection.
    Results Suffering from STD in the past one year was reported by 236 (5.34%) of the participants; of the STD sufferers, 51.3% (121) had syphilis and 23.7% (56/236) had Condyloma acuminatum (CA). Multivariate logistic regression showed that the participants with following characteristics were at an increased risk of STD infection: aged > 35 years (odds ratio OR = 1.697, 95% confidence interval 95%CI: 1.046 – 2.755), with education of college or above (OR = 2.696, 95%CI: 1.131 – 6.425), having moderate cognition on the hazards of drug abuse (OR = 11.746, 95%CI: 1.523 – 90.568) or having higher cognition on the hazards of drug abuse (OR = 12.335, 95%CI: 1.645 – 92.496), having commercial homosexual behavior during last 6 months (OR = 2.273, 95%CI: 1.477 – 3.498), ever having group sex (OR = 1.693, 95%CI: 1.149 – 2.494), and ever taking pre-exposure prophylaxis (PrEP) (OR = 1.807, 95%CI: 1.100 – 2.967); while seeking homosexual partner via internet/dating software was a protective factor against STD infection (OR = 0.486, 95%CI: 0.271 – 0.871).
    Conclusion Among MSM in Shandong province, the prevalence of STD, mainly syphilis and CA, is high and high-risk sexual behaviors and ever taking PrEP are risk factors for STD infection; the results suggest that more effective and targeted intervention measures should be developed among the MSM.

     

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