北京市200名HIV阳性男大学生性取向和性行为特征

邵英; 贺淑芳; 王娟; 陈婧; 张紫钰; 黄海静; 苑红; 孙丽君; 黄辉煌; 卢红艳; 周枫

doi:10.16835/j.cnki.1000-9817.2022.07.010

北京市200名HIV阳性男大学生性取向和性行为特征

doi: 10.16835/j.cnki.1000-9817.2022.07.010

邵英¹,
贺淑芳²,
王娟²,
陈婧²,
张紫钰³,
黄海静⁴,
苑红⁵,
孙丽君¹,
黄辉煌⁵,
卢红艳²,
周枫^2, ,

1.
首都医科大学附属北京佑安医院感染中心, 北京 100069
2.
北京市疾病预防控制中心/首都医科大学公共卫生学院
3.
南京医科大学第一临床医学院
4.
首都医科大学附属北京地坛医院
5.
解放军总医院第五临医学中心

基金项目:

国家科技重大专项项目 2018ZX10715005

详细信息

作者简介:
邵英(1971-)，女，北京市人，大学本科，主任护师，主要从事艾滋病防治工作

通讯作者:
周枫，E-mail：maplezhou2012@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: G 647.8 R 512.91 R 193
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- 被引次数: 0
出版历程
- 收稿日期: 2022-01-11
- 修回日期: 2022-04-07
- 网络出版日期: 2022-07-27
- 刊出日期: 2022-07-25

Sexual orientation and characteristics of sexual behaviors among 200 HIV-positive male college students in Beijing

1.
Clinic of Center for Infection, Beijing Youan Hospital Affiliated to Capital Medical University, Beijing (100069), China

摘要

摘要: 目的了解北京市HIV阳性男性大学生的性取向及其与HIV感染者的相关性行为特征，为制定学生人群的性健康教育和艾滋病防控策略提出建议。方法招募北京地区2016年至2019年6月30日确诊HIV感染的200名男性大学生，利用问卷回顾性调查HIV感染前的性取向和性行为特征，对比分析绝对同性性行为取向者与其他性取向者的差异。结果男性大学生HIV感染者首次确诊时平均年龄为(22.18±2.70)岁，61.5%(123名)处于本科阶段，69.5%(139名)为外地户籍，38.5%(77名)感染前性伴来源于网聊约见的人，83.0%(166名)发生过同性性行为。性取向自我评分显示，50.0%为绝对同性性行为者，绝对同性性行为组确认HIV感染时的平均年龄低于其他性行为取向组, 差异有统计学意义(t=2.77，P=0.01)，Rush的使用率、首次插入性行为对象为男性、18岁前发生首次同性性行为、同性性伴数>3人、未坚持使用安全套、有固定性伴、同性性行为频率多于每月1次比例均高于其他性行为取向者(χ²值分别为5.15，28.06，4.16，5.34，5.89，7.39，6.68，P值均 < 0.05)。绝对同性性行为组中Rush使用者性病的确诊比例高于不使用Rush者(χ²=6.26，P=0.01)。结论男性大学生HIV感染者中绝对同性性行为者高危性行为比例高于其他性取向者。学校和家庭需要关注学生的性健康教育，利用网络传媒加强健康宣传，提高大学生群体对艾滋病的警觉性。
- HIV /
- 性行为 /
- 同性恋 /
- 异性恋 /
- 学生 /
- 男(雄)性
Abstract: Objective To understand sexual orientation and characteristics of sexual behaviors related with HIV infection among HIV-positive male college students in Beijing and to provide suggestions for development of sexual health education and HIV prevention strategy for student population. Methods HIV-positive male college students diagnosed from 2016 to June 30, 2019 in Beijing were recruited. Questionnaire was used to retrospectively investigate sexual orientation and characteristics of sexual behaviors before HIV infection. Behaviors related to HIV infection were compared between absolutely homosexual and others sexual orientation. Results The average age of male students firstly identified to be HIV positive was (22.18±2.70) years old, 61.5%(123) of them were undergraduate, 69.5%(139) were not registered permanent residency in Beijing, 38.5%(77) of their interviewed sexual partners were from online chat and 83.0%(166) had homosexual behaviors. Sexual orientation score analysis showed that 50.0% of the participants self-identified as exclusively homosexual. Compared with other sexual oriental group, exclusively homosexual group had lower mean age of their HIV infection firstly identified(t=2.77, P=0.01), higher rate of Rush use, firstly insertive sexual behavior with male, firstly insertive sexual behavior before 18 years old, sexual partners more than three persons, having regular partners, nonpersistent use of condom, being diagnosed of sexual transmitted disease and the frequency of homosexual behaviors more than 1 time per month (χ²=5.15, 28.06, 4.16, 5.34, 5.89, 7.39, 6.68, P < 0.05). Rush users had higher rate of STD diagnosis than non-users in exclusively homosexual group (χ²=6.26, P=0.01). Conclusion Risky sexual behaviors associated with HIV infection were higher in exclusively homosexual group then other sexual orientation groups among HIV-positive male college students. Family and school should concern with sexual health education byreinforcing health education via network media to improve college students' awarenees on HIV/AIDS.
- HIV /
- Sexual behavior /
- Homosexuality /
- Heterosexuality /
- Students /
- Male
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

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表 1 高危性行为分布在不同性取向北京男性大学生间比较

Table 1. Comparison of high risk behaviors before HIV infection among male college students with different sex-orientation in Beijing

高危性行为	选项	绝对同性性行为人数(n=100)	其他性取向人数(n=100)	χ²值	P值
感染HIV前是否使	是	1(1.0)	2(2.0)	0.34	0.56
用过成瘾性药物	否	99(99.0)	98(98.0)
感染HIV前是否使	是	54(54.0)	38(38.0)	5.15	0.02
用过Rush	否	46(46.0)	62(62.0)
首次性行为发生时间	入学前	49(49.0)	42(42.0)	0.99	0.32
	入学后	51(51.0)	58(58.0)
是否发生过插入性性	是	98(98.0)	94(94.0)	2.08	0.15
行为	否	2(2.0)	6(6.0)
发生首次插入性性行	≤18	53(54.1)	38(40.4)	3.59	0.06
为年龄/岁	＞18	45(45.9)	56(59.6)
首次插入性性行为对	男	95(96.9)	64(68.1)	28.06	＜0.01
象性别^*	女	3(3.1)	30(31.9)
首次与同性发生性行	≤18	51(56.7)	31(40.8)	4.16	0.04
为的年龄/岁	＞18	39(43.3)	45(59.2)
首次同性性行为对象	≤18	9(10.0)	12(15.8)	1.25	0.26
年龄/岁	＞18	81(90.0)	64(84.2)
首次同性性经历对象	网聊约见	47(52.2)	29(38.2)	3.28	0.07
	其他	43(47.8)	47(61.8)
同性性行为类型	肛交	83(92.2)	63(82.9)	3.83	0.07
	其他	7(7.8)	13(17.1)
感染前同性性伴数	≤3	28(31.1)	37(48.7)	5.34	0.02
	＞3	62(68.9)	39(51.3)
同性肛交时坚持使	未每次使用	74(82.2)	50(65.8)	5.89	0.02
用安全套	每次使用	16(17.8)	26(34.2)
有固定性伴	是	51(56.7)	27(35.5)	7.39	0.01
	否	39(43.3)	49(64.5)
每月同性性行为频	＜1	21(23.3)	32(42.1)	6.68	0.01
率/次	≥1	69(76.7)	44(57.9)
感染前发生过同性	是	85(94.4)	65(85.5)	3.76	0.05
口交	否	5(5.6)	11(4.5)
感染前发生过多人	是	19(21.1)	12(15.6)	0.77	0.38
同性性行为	否	71(78.1)	64(84.4)
曾经通过与他人发生同	是	3(3.3)	1(1.4)	0.61	0.44
性性行为获取钱物^*	否	87(96.7)	70(98.6)
曾经付钱与他人发生	是	3(3.3)	5(6.9)	1.11	0.29
同性性行为^*	否	87(96.7)	67(93.1)
是否诊断过性病	是	37(37.0)	25(25.0)	4.37	0.04
	否	63(63.0)	75(75.0)
与女性发生过性	否	97(99.0)	47(51.1)	59.32	＜0.01
行为^*	是	1(1.0)	45(48.9)
注：()内数字为构成比/%；*项目存在数据缺失。Rush是多种可吸入性亚硝酸盐(nitrite inhalants)的统称。

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