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目的了解绵阳市男男性行为人群(MSM)安全套使用社会规范的现状,并分析影响因素。方法采用滚雪球抽样法招募绵阳城区符合条件的MSM,使用国内参考国外相关研究修订的安全套使用社会规范测评量表进行调查。结果共调查401名MSM。安全套使用社会规范评分中位数19.0分;量表测评总体结果,MSM社区对有关安全套使用情况,回答完全同意、基本同意、基本不同意、完全不同意的2005人次中,分别占63.7%(1277)、26.7%(535)、8.1%(163)、1.5%(305)。多因素分析结果:认识性伴公园型[比值比(OR)=0.476]、近6个月主要是固定性伴(OR=1.613)、近1年做过艾滋病咨询或检测(OR=0.465)、知晓性伴没有健康问题(OR=1.808)和社会支持(OR=1.780),是MSM安全套使用社会规范有统计学意义的独立影响因素。结论当地MSM安全套使用社会规范达到较高水平,受认识性伴场所、性伴类型、安全意识和社会支持影响,应针对影响因素进一步促进提高。
Objective To understand the status quo of using social norms of condom use in MSM in Mianyang and to analyze the influencing factors. Methods The snowball sampling method was used to recruit suitable MSMs in Mianyang urban area, and the questionnaires were surveyed by using the social norms in China. Results A total of 401 MSM were investigated. The overall score of condom use social norms score was 19.0 points. Among the 2005 total number of disregard cases, 63.7% (1277%) of the total results of the scale test and the MSM community’s consents about condom use were completely agreed, generally agreed, totally disagreed, ), 26.7% (535), 8.1% (163), 1.5% (305). In the multivariate analysis, comparisons of sexual park type [odds ratio (OR) = 0.476], fixed companion in the past 6 months (OR = 1.613), HIV counseling or testing in the past year (OR = 0.465) Knowing that sexual partners have no health problems (OR = 1.808) and social support (OR = 1.780) is an independent, statistically significant and independent predictor of MSM condom use. Conclusion The local MSM condom use social norms to reach a higher level, affected by the understanding of sexual partners, partner types, safety awareness and social support, should be further promoted for the impact of factors.