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目的了解深圳地区男男性行为者(MSM)安全套使用情况,分析MSM肛交时安全套使用影响因素。方法应用同伴推动抽样(RDS)法进行抽样调查,收集MSM人群人口学和安全套使用等资料。结果共抽样调查351例MSM。最近半年,57.0%MSM肛交时每次均使用安全套,13.1%口交时每次均使用安全套,36.8%与女性发生性行为时每次均使用安全套,75.8%与男男性工作者发生性行为时每次均使用安全套。肛交时使用安全套受未婚、有女性性伴、HIV风险感知、性伴数≥5等因素影响。未婚、有女性性伴的MSM在最近半年肛交时安全套使用率高;HIV风险感知高、性伴数≥5的MSM在最近半年肛交时安全套使用率低。结论应有针对性地开展健康教育及行为干预,提高MSM安全套使用率。
Objective To understand the use of condom in men who have sex with men (MSM) in Shenzhen and analyze the influencing factors of condom use in MSM anal sex. Methods Peer sampling (RDS) method was used to collect data on demography and condom use of MSM population. Results A total of 351 MSMs were sampled. In the most recent half year, 57.0% of MSM used condoms every time they had anal sex, 13.1% used condoms every time they had oral sex, 36.8% used condoms each time they had sex with women and 75.8% Condom use times. Condom use during anal sex is influenced by unmarried, female partners, HIV risk perception, number of partners ≥5. MSM with unmarried and female partners had high rates of condom use during anal intercourse in the last six months; MSM with high HIV risk perception and a partner number ≥5 had low condom use during anal intercourse in the last six months. Conclusions Health education and behavioral intervention should be carried out in a targeted manner to improve the rate of MSM condom use.