天津市青年学生男男性行为者新型毒品使用现状及影响因素分析

于泽洋; 黄慧杰; 张洪璐; 刘媛媛; 崔壮; 李长平; 马骏

doi:10.16835/j.cnki.1000-9817.2021.10.014

天津市青年学生男男性行为者新型毒品使用现状及影响因素分析

doi: 10.16835/j.cnki.1000-9817.2021.10.014

天津医科大学公共卫生学院，天津 300070

基金项目:

教育部人文社会科学研究规划基金项目 20YJAZH021

教育部人文社科青年基金 11YJCZH022

详细信息

作者简介:
于泽洋(1995-)，男，河北任丘人，在读硕士，主要研究方向为流行病与卫生统计学

通讯作者:
崔壮, E-mail: cuizhuang@tmu.edu.cn

中图分类号: R179 G478 R512.91
计量
- 文章访问数: 672
- HTML全文浏览量: 256
- PDF下载量: 41
- 被引次数: 0
出版历程
- 收稿日期: 2021-04-28
- 修回日期: 2021-05-18
- 网络出版日期: 2021-10-25
- 刊出日期: 2021-10-25

Recreational new drug use and influencing factors among young men who have sex with men in Tianjin

School of Public Health, Tianjin Medical University, Tianjin(300070), China

摘要

摘要: 目的了解天津市青年学生男男性行为者(men who have sex with men，MSM)的基本特征、性行为情况以及新型毒品的使用情况，并探究使用新型毒品青年学生MSM的特征，为高校艾滋病防控相关政策制定提供参考依据。方法于2018年1月1日至12月31日，在天津市通过滚雪球抽样的方式在同性浴池、同性酒吧和社交软件等途径招募青年学生MSM。通过面对面访谈的方式与参与者沟通。通过调查问卷收集826名参与者基本人口学信息、性行为情况、新型毒品使用等信息。使用Logistic回归分析青年学生MSM中新型毒品使用者的特征。结果经实验室确证的HIV感染者32人，总体感染率为3.87%。其中新型毒品使用者为371人(44.92%)。Rush是使用率最高(98.65%)的新型毒品。在使用新型毒品的青年学生MSM中，306人(82.48%)使用过多种毒品，65人(17.52%)仅使用过一种毒品。多种毒品使用者的HIV感染率(16.92%)高于单一毒品使用者(4.57%)。年龄、首次性行为年龄、户籍、性取向、教育程度、性伴寻找方式、无保护性肛交和HIV检测史对青年学生MSM新型毒品使用影响均有统计学意义(OR值分别为3.70，5.51，0.51，0.60，4.64，0.40，0.52，1.98，2.29，P值均 < 0.05)。结论天津市青年学生男男性行为者中新型毒品使用率偏高。相关部门应加强高校禁毒防艾宣传，提高青年学生性健康意识，建立长效的HIV和毒品预防机制。
- 同性恋，男性 /
- 性行为 /
- 物质相关性障碍 /
- 回归分析 /
- 学生
Abstract: Objective To understand the basic characteristics, sexual behavior and the use of recreational new drugs of young men who have sex with men (MSM) in Tianjin, and to explore the characteristics of young MSM who use recreational drugs, so as to provide reference for the policy making of HIV/AIDS prevention and control in universities. Methods From January 1, 2018, solstice to December 31, 2018, participants were recruited in the bathrooms, bars and social network sites in Tianjin by snowball sampling. The basic demographic information, sexual behavior and recreational drug use of the participants were collected through face-to-face interviews and questionnaires. Logistic regression was used to analyzed the characteristic differences drug users and non-users among young MSM. Results A total of 826 young MSM were included in the study, 32 were infected with HIV, and the overall prevalence rate was 3.87%. Totally 371 (44.92%) were drug users. Rush Poppers were the most common used drug (98.65%). Of the young MSM using new drugs, 306 (82.48%) multiple drugs were used, 65 people (17.52%) only one drug has been used. Among new drug users, multiple drug users had higher HIV prevalence rate (16.92%) than single drug users (4.57%). There were statistically significant differences between drug users and non-users in age, age of first sexual behavior, household registration, sexual orientation, education level, sexual partners seeking routes, unprotected anal intercourse and HIV testing history(OR=3.70, 5.51, 0.51, 0.60, 4.64, 0.40, 0.52, 1.98, 2.29, P < 0.05). Conclusion The utilization rate of recreational drugs among young MSM in Tianjin was high. Relevant departments should strengthen the propaganda of recreational drugs and HIV prevention among college students, improve the sexual health awareness of young MSM, and establish a long-term HIV and recreational drug prevention system.
- Homosexuality, male /
- Sexual behavior /
- Substance-related disorders /
- Regression analysis /
- Students

HTML全文

表 1 不同人口统计学特征天津市青年学生男男性行为者HIV感染率比较

Table 1. Comparison of HIV infection rate of MSM among young students in Tianjin with different demographic characteristics

人口统计学指标	选项	人数	HIV感染者	χ²值	P值
年龄/岁	16~18	18	1(5.56)	1.90	0.39
	19~21	349	17(4.87)
	22~24	459	14(3.05)
首次性行为年	< 18	239	15(6.28)	5.21	0.02
龄/岁	≥18	587	17(2.90)
户籍	天津	359	10(2.79)	2.05	0.16
	外地	467	22(4.71)
民族	汉	805	29(3.60)	6.27	0.04
	其他	21	3(14.29)
性取向	同性	803	31(3.86)	0.02	0.91
	异性/双性	23	1(4.35)
教育程度	大专	187	9(4.81)	0.64	0.73
	本科	603	22(3.65)
	硕士及以上	36	1(2.78)
新型毒品使用	否	455	7(1.54)	14.83	< 0.01
	是	371	25(6.74)
本地居住时间/	< 1	45	6(13.33)	11.47	< 0.01
年	1~2	69	2(2.90)
	>2	712	24(3.37)
性伴寻找方式	物理场所	129	4(3.10)	0.24	0.62
	互联网	697	28(4.02)
HIV知识知晓	不清楚	17	0(0.00)	0.69	0.40
情况	知晓	809	32(3.96)
无保护性肛交	否	411	7(1.70)	10.35	< 0.01
	是	415	25(6.02)
性病感染	否	801	32(4.00)	1.03	0.31
	是	25	0(0.00)
HIV检测史	否	249	10(4.02)	0.02	0.89
	是	577	22(3.81)
注：()内数字为检出率/%。

下载: 导出CSV

表 2 天津市青年学生MSM新型毒品使用Logistic回归分析

Table 2. Logistic regression analysis of new drug use for MSM of young students in Tianjin

组别	选项	人数	使用人数	使用率/%	调整前		调整后
组别	选项	人数	使用人数	使用率/%	OR值(OR值95%CI)	P值	aOR值(aOR值95%CI)	P值
年龄/岁	16~18	18	4	22.22	1.00		1.00
	19~21	349	147	42.12	2.54(0.82~7.89)	0.11	3.70(1.13~12.16)	0.03
	22~24	459	220	47.93	3.22(1.04~9.93)	0.04	5.51(1.66~18.34)	0.01
首次性行为年龄/岁	< 18	239	130	54.39	1.00		1.00
	≥18	587	241	41.06	0.58(0.43~0.79)	< 0.01	0.51(0.36~0.72)	< 0.01
户籍	天津市	359	194	54.04	1.00		1.00
	外地	467	177	37.90	0.51(0.39~0.68)	< 0.01	0.60(0.44~0.80)	< 0.01
民族	汉族	805	358	44.47	1.00		1.00
	其他	21	13	61.90	2.20(0.83~4.94)	0.12
性取向	同性	803	354	44.08	1.00		1.00
	异性/双性	23	17	73.91	3.59(1.40~9.21)	< 0.01	4.64(1.72~12.54)	< 0.01
教育程度	大专	187	95	50.80	1.00		1.00
	本科	603	267	44.28	0.77(0.55~1.06)	0.12	0.91(0.63~1.30)	0.59
	硕士及以上	36	9	25.00	0.32(0.14~0.72)	0.01	0.40(0.17~0.92)	0.03
本地居住时间/年	< 1	45	22	48.89	1.00
	1~2	69	23	33.33	0.52(0.24~1.12)	0.10	-	-
	>2	712	326	45.79	0.88(0.48~1.61)	0.69	-	-
性伴寻找方式	物理场所	129	79	61.24	1.00		1.00
	互联网	697	292	41.89	0.48(0.34~0.66)	< 0.01	0.52(0.34~0.80)	< 0.01
HIV知识知晓情况	不清楚	17	7	41.18	1.00		1.00
	知晓	809	364	44.99	2.48(1.09~5.66)	0.03	1.05(0.36~3.08)	0.93
无保护性肛交	否	411	166	40.39	1.00		1.00
	是	415	205	49.40	1.44(1.09~1.89)	0.01	1.98(1.45~2.69)	< 0.01
性病感染	否	801	353	44.07	1.00		1.00
	是	25	18	72.00	3.26(1.34~7.89)	0.01	2.49(0.99~6.27)	>0.05
HIV检测史	否	249	84	33.73	1.00		1.00
	是	577	287	49.74	1.94(1.42~2.64)	< 0.01	2.29(1.62~3.25)	< 0.01
注：OR值为单因素Logistic回归的结果，aOR为多因素调整变量后的结果。

下载: 导出CSV

参考文献(14)

[1]	BEYRER C, BARAL S D, COLLINS C, et al. The global response to HIV in men who have sex with men[J]. Lancet, 2016, 388(10040): 198-206. doi: 10.1016/S0140-6736(16)30781-4
[2]	AUSTIN E L, BOZICK R. Sexual orientation, partnership formation, and substance use in the transition to adulthood[J]. J Youth Adolesc, 2012, 41(2): 167-78. doi: 10.1007/s10964-011-9653-7
[3]	JANULIS P, BIRKETT M, PHILLIPS Ⅱ G, et al. Not getting high with a little help from your friends: social versus drug network correlates of marijuana use among YMSM[J]. Addict Behav, 2019, 92: 180-185. doi: 10.1016/j.addbeh.2019.01.004
[4]	DING Y, HE N, DETELS R. Adolescent sexual debut and initiation into new-type drug use among a sample of young adults[J]. J Psychoac Drugs, 2015, 47(3): 182-186. doi: 10.1080/02791072.2015.1049725
[5]	朱正平, 张敏, 徐园园, 等. 南京市男男性行为人群使用新型毒品亚硝酸酯类吸入剂rush poppers情况调查[J]. 中华流行病学杂志, 2017, 38(2): 189-193. doi: 10.3760/cma.j.issn.0254-6450.2017.02.011 ZHU Z P, ZHANG M, XU Y Y, et al. Cross-sectional surveys on the use of recreational drug nitrous-acid-ester rush-poppers in men who have sex with men, Nanjing[J]. Chin J Epidemiol, 2017, 38(2): 189-193. doi: 10.3760/cma.j.issn.0254-6450.2017.02.011
[6]	KIRBY T, THORNBER-DUNWELL M. High-risk drug practices tigh-ten grip on London gay scene[J]. Lancet, 2013, 381(9861): 101-102. doi: 10.1016/S0140-6736(13)60032-X
[7]	LI Y, BAKER J J, KOROSTYSHEVSKIY V R, et al. The association of intimate partner violence, recreational drug use with HIV seroprevalence among MSM[J]. AIDS Behav, 2012, 16(3): 491-498. doi: 10.1007/s10461-012-0157-6
[8]	DUAN C, WEI L, CAI Y, et al. Recreational drug use and risk of HIV infection among men who have sex with men: a cross-sectional study in Shenzhen, China[J]. Drug Alcohol Depend, 2017, 181: 30-36. doi: 10.1016/j.drugalcdep.2017.09.004
[9]	樊盼英, 汪宁. 新型毒品滥用对艾滋病流行的影响[J]. 中华流行病学杂志, 2010, 31(3): 340-343. doi: 10.3760/cma.j.issn.0254-6450.2010.03.024 FAN P Y, WANG N. Impact of club drugs abuse on AIDS epidemic[J]. Chin J Epidemiol, 2010, 31(3): 340-343. doi: 10.3760/cma.j.issn.0254-6450.2010.03.024
[10]	HE L, PAN X, WANG N, et al. New types of drug use and risks of drug use among men who have sex with men: a cross-sectional study in Hangzhou, China[J]. BMC Infect Dis, 2018, 18(1): 182. doi: 10.1186/s12879-018-3091-z
[11]	CHEN X, LI X, ZHENG J, et al. Club drugs and HIV/STD infection: an exploratory analysis among men who have sex with men in Changsha, China[J]. PLoS One, 2015, 10(5): e0126320. doi: 10.1371/journal.pone.0126320
[12]	XU J J, QIAN H Z, CHU Z X, et al. Recreational drug use among Chinese men who have sex with men: a risky combination with unprotected sex for acquiring HIV infection[J]. Biomed Res Int, 2014, 2014: 725361.
[13]	DAI Y, MUSUMARI P M, CHEN H, et al. Recreational drug use, polydrug use and sexual behaviors among men who have sex with men in southwestern china: a cross-sectional study[J]. Behav Med, 2019, 45(4): 314-322. doi: 10.1080/08964289.2018.1538099
[14]	FEINSTEIN B A, MORAN K O, NEWCOMB M E, et al. Differences in HIV risk behaviors between self-identified gay and bisexual young men who are HIV-negative[J]. Arch Sex Behav, 2019, 48(1): 261-275. doi: 10.1007/s10508-018-1148-0