HIV阳性MSM中新型毒品滥用、APP寻找性伴和高危性行为的关系研究-东南大学学报医学版

HIV阳性MSM中新型毒品滥用、APP寻找性伴和高危性行为的关系研究

单位：1. 广西师范大学政治与公共管理学院, 广西桂林 541006;
2. 山东省济南市市中区疾病预防控制中心艾滋病防制科, 山东济南 250002

分类号：R512.91;R373.9

出版年·卷·期（页码）：2022·41·第四期（532-537）

摘要：

目的：调查人类免疫缺陷病毒（HIV）阳性男男性行为者（MSM）新型毒品滥用、使用同性交友应用程序（APP）寻找同性性伴及高危性行为的现况，并分析三者间的关系。方法：对济南市市中区1 061名HIV阳性MSM进行问卷调查，收集调查对象新型毒品滥用、使用同性交友APP寻找同性性伴及高危性行为的相关信息，采用二分类非条件Logistic回归模型分析三者间的关系。结果：近6个月，18.6%（197/1 061）的调查对象曾滥用新型毒品，冰毒滥用率最高，占8.5%（90/1 061）；87.0%（923/1 061）的调查对象曾使用同性交友APP，52.2%（554/1 061）曾使用同性交友APP并约见网友，36.9%（392/1 061）曾使用同性交友APP约见网友并性交；74.3%（788/1 061）曾有高危性行为。多因素分析结果显示，控制其他变量后，HIV阳性MSM新型毒品滥用与高危性行为呈正相关（OR=6.17，95%CI 3.28~11.64），新型毒品滥用与使用同性交友APP约见网友并性交呈正相关（OR=2.44，95%CI 1.75~3.39），使用同性交友APP约见网友并性交与高危性行为呈正相关（OR=3.03，95%CI 2.15~4.27）。结论：应将新型毒品滥用、出于性目的而过度滥用同性交友APP纳入HIV阳性MSM高危性行为的干预体系中，干预模式尤应注重线上、线下相结合。

Objective: To investigate the current status of recreational drug abuse, use of same-sex dating application(APP) to find same-sex partners and high-risk sexual behavior among human immunodeficiency virus(HIV) positive men who have sex with men(MSM), and to analyze the relationship among the three.Methods: A survey of 1 061 HIV-positive MSM was conducted to collect information on recreational drug abuse, use of same-sex dating APPs to find same-sex partners and high-risk sexual behavior in Shizhong District of Jinan, and the relationship among the three was analyzed by using a binary unconditional Logistic regression model. Results: In the past 6 months, 18.6%(197/1 061) of the survey respondents reported that they had abused recreational drug, methamphetamine was the recreational drug with the highest abuse rate, accounting for 8.5%(90/1 061); 87.0%(923/1 061) had used same-sex dating APPs, 52.2%(554/1 061) used the same-sex dating APPs to meet with net friends,36.9%(392/1 061) used the same-sex dating APPs to meet and have sex with net friends; 74.3%(788/1 061) had high-risk sexual behaviors. The results of multivariate analysis showed that after controlling for other variables, among HIV-positive MSM,abuse of recreational drug was positively correlated with high-risk sexual behavior(OR=6.17, 95%CI 3.28-11.64), abuse of recreational drug was positively correlated with the use of same-sex dating APPs to meet net friends and have sex(OR=2.44, 95%CI 1.75-3.39), using the same-sex dating APPs to meet net friends and have sex was positively correlated with high-risk sexual behavior(OR=3.03, 95%CI 2.15-4.27). Conclusion: Recreational drug abuse and excessive abuse of same-sex dating APPs for sexual purpose should be put into the intervention system for high-risk sexual behavior of HIV-positive MSM, and the intervention model should especially focus on the combination of online and offline.

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