Influencing factors for unprotected anal intercourse among men who have sex with men
CHANG Tianyue1, WANG Lijuan1,2, SONG Liang2, JIANG Shulin2, DING Haifeng2, GAO Yanjie2, LI Xinge2, LIU Yingjie2
1. School of Public Health, Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, Inner Mongolia 014000, China; 2. Chaoyang District Center for Disease Control and Prevention, Beijing 100020, China
Abstract：Objective To investigate the influencing factors for unprotected anal intercourse (UAI) among men who have sex with men (MSM), so as to provide the reference for formulating intervention strategies for high-risk behaviors among MSM. Methods The MSM who had engaged in anal intercourse with men in the past six months were recruited at a HIV testing site of the "Danlan Public Welfare" organization in Beijing Municipality using the convenient sampling method from March to May 2024. Demographic information, UAI in the past six months and the situation of receiving AIDS intervention were collected through questionnaire surveys. Factors affecting UAI were analyzed using a multivariable logistic regression model. Results A total of 322 MSM were surveyed, with an average age of (32.00±8.26) years. There were 271 MSM (84.16%) with an educational level of college or above, 171 MSM (53.11%) employed in enterprises, institutions, or government sectors. In terms of the relationship/marital status, 189 MSM were single (58.70%), 90 had same-sex partners (27.95%), and 43 had opposite-sex partners or were married (13.35%). In the past six months, 252 MSM had UAI (78.26%). Multivariable logistic regression analysis showed that the MSM with same-sex partners (OR=1.995, 95%CI: 1.014-3.927), with opposite-sex partners or who were married (OR=3.081, 95%CI: 1.087-8.731), and employed in physical labor (OR=2.954, 95%CI: 1.020-8.557) were more likely to have UAI. Conclusions The prevalence of UAI among MSM is relatively high. The main influencing factors are relationship/marital status and occupation. There is a need to strengthen the promotion and intervention of condom use.
常恬悦, 王丽娟, 宋亮, 姜树林, 丁海峰, 高彦杰, 李欣格, 刘英杰. 男男性行为人群无保护肛交行为的影响因素分析[J]. 预防医学, 2025, 37(3): 233-237,242.
CHANG Tianyue, WANG Lijuan, SONG Liang, JIANG Shulin, DING Haifeng, GAO Yanjie, LI Xinge, LIU Yingjie. Influencing factors for unprotected anal intercourse among men who have sex with men. Preventive Medicine, 2025, 37(3): 233-237,242.
[1] SANTOS G M,DO T,BECK J,et al.Syndemic conditions associated with increased HIV risk in a global sample of men who have sex with men[J].Sex Transm Infect,2014,90(3):250-253. [2] BOWRING A L,VERONESE V,DOYLE J S,et al.HIV and sexual risk among men who have sex with men and women in Asia:a systematic review and meta-analysis[J].AIDS Behav,2016,20(10):2243-2265. [3] ZHAO H,LI X,WANG J H,et al.A systematic and meta-analysis of heterosexual behaviors and HIV prevalence among Chinese men who have sex with men[J].AIDS Res Ther,2021,18(1):68-80. [4] 何佳晋,居豪,吴超.中国MSM人群HIV新发感染率及其影响因素的Meta分析[J].预防医学,2022,34(1):70-77. HE J J,JU H,WU C.Incidence of new HIV infection and its influencing factors among men who have sex with men in China:a meta-analysis[J].China Prev Med J,2022,34(1):70-77.(in Chinese) [5] 艾孜买提·艾克拜尔,何倩,胡晓敏,等.乌鲁木齐市男男性行为者社会网络与无保护肛交行为的关系研究[J].中国艾滋病性病,2021,27(12):1379-1383. AIKEBAIER A,HE Q,HU X M,et al.The relationship between social network and sexual network of male and male actors and unprotected anal sex in Urumqi[J].Chin J AIDS STD,2021,27(12):1379-1383.(in Chinese) [6] CABALLERO-HOYOS R,MONÁRREZ-ESPINO J,RAMÍREZ-ORTÍZ M G,et al.Factors associated with unprotected anal sex among men who have sex with men in Mexico[J].Infect Dis Rep,2022,14(4):547-557. [7] 马丽娟. 我国艾滋病防治督导与评估系统能力评价研究[D].合肥:安徽医科大学,2013. MA L J.Research on capacity assessment of HIV monitoring and evaluation system in China[D].Hefei:Anhui Medical University,2013.(in Chinese) [8] 黄鹏翔,廖玫珍,韩磊,等.青岛市男男性行为者心理状况及高危行为和人类免疫缺陷病毒检测状况调查[J].中国预防医学杂志,2022,23(12):917-923. HUANG P X,LIAO M Z,HAN L,et al.Mental health,high-risk behaviors and HIV testing status among men who have sex with men in Qingdao[J].Chin Prev Med,2022,23(12):917-923.(in Chinese) [9] 张宏,陈剑惠,何鼎盛,等.福州市男男性行为人群商业同性性行为特征及无保护肛交的相关因素分析[J].中华流行病学杂志,2024,45(9):1233-1238. ZHANG H,CHEN J H,HE D S,et al.Characteristics of commercial homosexual behaviors and factors associated with unprotected anal intercourse in men who have sex with men in Fuzhou[J].Chin J Epidemiol,2024,45(9):1233-1238.(in Chinese) [10] 李佳,辛若雷,任仙龙,等.北京市基于“互联网+”自检的701名男男性行为者的无保护肛交状况及影响因素[J].中国艾滋病性病,2022,28(8):943-946. LI J,XIN R L,REN X L,et al.Analysis on unprotected anal intercourse behavior and factors among men who have sex with men with internet based HIV self-testing in Beijing[J].Chin J AIDS STD,2022,28(8):943-946.(in Chinese) [11] 郭婷,刘征,李喜英,等.2017—2022年郑州市新报告青年学生HIV/AIDS病例特征分析[J].预防医学,2023,35(12):1067-1070. GUO T,LIU Z,LI X Y,et al.Characteristics of newly reported HIV/AIDS cases among young students in Zhengzhou City from 2017 to 2022[J].China Prev Med J,2023,35(12):1067-1070.(in Chinese) [12] SHEN Y,ZHANG C,VALIMAKI M A,et al.Why do men who have sex with men practice condomless sex?A systematic review and meta-synthesis[J].BMC Infect Dis,2022,22(1):850-868. [13] 陈怀良,石波,江灿,等.HIV感染男男性行为人群商业性行为特征及影响因素分析[J].现代预防医学,2024,51(5):925-929,942. CHEN H L,SHI B,JIANG C,et al.Analysis on the characteristics and influencing factors of commercial sexual behavior among men who have sex with men infected with HIV[J].Mod Prev Med,2024,51(5):925-929,942.(in Chinese) [14] AVELINO-SILVA V I,VASCONCELOS R,CERQUEIRA N B,et al.Predictors of knowledge of and access to biomedical prevention among MSM and transgender men in Latin America:results from the Latin American internet survey[J].HIV Med,2022,23(7):764-773. [15] 杨中荣,李婧,金玫华,等.湖州市HIV/AIDS病例晚发现情况及影响因素分析[J].预防医学,2021,33(5):526-528. YANG Z R,LI J,JIN M H,et al.Delayed HIV diagnosis and its associated factors in Huzhou City[J].China Prev Med J,2021,33(5):526-528.(in Chinese) [16] 王毅,李六林,樊静,等.男男性行为者固定性伴相关特征及其无保护肛交的影响因素[J].中国健康教育,2022,38(4):339-343,363. WANG Y,LI L L,FAN J,et al.Related characteristics of fixed sexual partners of men who have sex with men and influencing factors of un-protected anal intercourse[J].Chin J Health Educ,2022,38(4):339-343,363.(in Chinese) [17] TRAEGER M W,SCHROEDER S E,WRIGHT E J,et al.Effects of pre-exposure prophylaxis for the prevention of human immunodeficiency virus infection on sexual risk behavior in men who have sex with men:a systematic review and meta-analysis[J].Clin Infect Dis,2018,67(5):676-686. [18] TAIRY D,LEVY I,TURNER D,et al.Differences in knowledge,attitudes and behaviors of Israeli HIV-uninfected gay men in HIV-discordant vs. concordant steady relationships[J].AIDS Care,2018,30(6):802-806.
