Abstract：Objective To investigate the status of condom use and its influencing factors among men who have sex with men (MSM), so as to provide a basis for improving condom utilization rates and AIDS prevention and control in this population. Methods From May to October 2024, a snowball sampling method was employed to recruit MSM in Songjiang District, Shanghai Municipality. Self-administered questionnaires were used to collect data on demographic characteristics, AIDS-related knowledge, sexual behaviors, pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP), and condom use in the past six months. Multivariable logistic regression model was used to analyze the influencing factors for consistent condom use. Results A total of 921 MSM were surveyed, with a median age of 29.00 (interquartile range, 9.00) years. Among them, 697 (75.68%) were aware of AIDS-related knowledge, 826 (89.69%) expressed willingness to use PrEP, and 835 (90.66%) were willing to use PEP. Additionally, 787 (85.45%) MSM reported their age at first homosexual intercourse as ≥18 years, while 519 (56.35%) reported consistent condom use in the past six months. Multivariable logistic regression analysis revealed that MSM who were aware of AIDS-related knowledge (OR=0.582, 95% CI: 0.423-0.801), willing to use PrEP (OR=0.611, 95% CI: 0.385-0.969), and whose age at first homosexual intercourse was <18 years (OR=0.480, 95% CI: 0.330-0.700) were less likely to consistent use condoms. Conclusion The proportion of consistent condom use among the MSM remains relatively low, which is primarily associated with AIDS-related knowledge, willingness to use PrEP, and the age at first homosexual intercourse.
刘静, 朱晗, 尹珏, 夏曼曼, 卢怡, 戴晴, 顾承杰, 罗珍. 男男性行为人群安全套使用及影响因素分析[J]. 预防医学, 2026, 38(2): 115-118.
LIU Jing, ZHU Han, YIN Jue, XIA Manman, LU Yi, DAI Qing, GU Chengjie, LUO Zhen. Influencing factors for condom use among men who have sex with men. Preventive Medicine, 2026, 38(2): 115-118.
[1] 中国疾病预防控制中心性病艾滋病预防控制中心.2024年12月全国艾滋病性病疫情[J].中国艾滋病性病,2025,31(3):225. [2] HONG H,SHI X J,LIU Y H,et al.HIV incidence and transactional sex among men who have sex with men in Ningbo,China:prospective cohort study using a WeChat-based platform[J/OL].JMIR Public Health Surveill,2024,10[2026-01-21].https://doi.org/10.2196/52366. [3] GRAY J,PRESTAGE G,JIN F Y,et al.Condom failure among HIV-negative men in serodiscordant relationships in Australia,Brazil,and Thailand[J].AIDS Behav,2024,28(11):3587-3595. [4] TANG S Y,TANG W M,MEYERS K,et al.HIV epidemiology and responses among men who have sex with men and transgender individuals in China:a scoping review[J/OL].BMC Infect Dis,2016,16(1)[2026-01-21].https://doi.org/10.1186/s12879-016-1904-5. [5] 上海市卫生健康委员会. 2024年11月上海市法定报告传染病疫情概况[EB/OL].[2026-01-21].https://wsjkw.sh.gov.cn/gzdt1/20241201/b279c86fb16145658ef7cbcde6bb4120.html. [6] 张路坤,王辉.中国HIV暴露前预防用药专家共识(2023版)[J].中国艾滋病性病,2023,29(9):954-961. [7] 常恬悦,王丽娟,宋亮,等.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):233-236,242. [8] 李旭丹,庞轶,速丽媛.成都市MSM特征及安全套使用知行分离影响因素分析[J].现代预防医学,2024,51(19):3631-3635. [9] 王培玉. 健康管理学[M].北京:北京大学医学出版社,2012. [10] CANADY B E,LARZO M.Overconfidence in managing health concerns:the dunning-Kruger effect and health literacy[J].J Clin Psychol Med Settings,2023,30(2):460-468. [11] 陶毓敏,洪航,姜海波,等.宁波市男男性行为人群艾滋病知信行调查[J].预防医学,2018,30(3):317-319. [12] 卢耀状,农全兴,农丽萍,等.南宁市MSM性行为知行分离的影响因素研究[J].中华疾病控制杂志,2015,19(12):1231-1234,1239. [13] 李瑶,何小庆,鲁雁秋,等.男男性行为者暴露前预防风险补偿初探[J].海军军医大学学报,2023,44(3):320-324. [14] STEWARTt J,BAETEN JM.HIV pre-exposure prophylaxis and sexually transmitted infections:intersection and opportunity[J].Nat Rev Urol,2022,19(1):7-15. [15] 袁靓,刘昕,翟萌曦,等.年轻男男性行为者坚持使用安全套知行分离的影响因素分析[J].现代预防医学,2023,50(4):698-704. [16] 王毅,樊静,何静,等.HIV阳性MSM的社会行为及首次同性性行为到阳性时间的影响因素分析[J].中国健康教育,2024,40(5):461-466. [17] 陈怀良,陈瑾.重庆市男男性行为者首次肛交年龄与HIV相关高危行为的关联性分析[J].中国艾滋病性病,2021,27(11):1242-1246.
