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《Chinese Journal of Disease Control & Prevention》 2012-02
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The use of condoms among MSM and the influencing factors

WANG Yi1,XU Jie2,LI Zhi-jun3,ZHANG Guang-gui4,LI Liu-lin1,FAN Jing5.1.Institute of AIDS/STD Control and Prevention,Mianyang Center for Disease control and Prevention,Mianyang 621000,China;2.National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;3.The Chinese Office of United States CDC Global AIDS Program,Beijing 100600,China;4.Mianyang Municipal Health Bureau,Mianyang 621000,China;5.Mianyang Gay Love Group,Mianyang 621000,China  
Objective To find out the current situation of the use of condoms among men who have sex with men(MSM),and analyze the influencing factors.Methods The Respondent-driven Sampling(RDS) was used,the anonymous self-administered questionnaire was adopted for investigation.Results 400 persons including both gays and straight people were surveyed,the difference of the occupation coefficient of condoms use in the latest or past six months sex action among those persons had statistical significance(χ2=21.82,P0.001;χ2=28.26,P0.001),straight men and men prostitute had a higher occupation coefficient(73.8%,66.7%,45.5%,46.2%),men who have sex with men prostitute and women had a lower occupation coefficient(47.1%,47.9%,29.4%,30.1%).Single factor analysis showed that persons of different ages,the times of anal sex in the past 6 months,had a HIV test within one year or not,received free lubricant and publicized material or not,awareness of the healthy situation of sex partners or not,places to find sex partners,and constant use of condoms in the past 6 months had statistical significance(χ2=4.043,9.850,6.663,7.525,5.213,4.208,10.042,4.121,12.319,8.456,P0.05).Multifactor analysis showed the coincidental factors which enter the regression model finally were different ages,had a HIV test within one year or not,received free lubricant and publicized material or not,awareness of the healthy situation of sex partners or not,places to find sex partners(P0.05),had a HIV test within one year or not(OR=0.074),received free lubricant and publicized material or not(OR=0.409).Persons who found their sex partners in bars/dance hall/pubs(OR=10.495),public base houses/parks/toilets(OR=36.601),on the Internet(OR=10.807) had a higher occupation coefficient,persons older than 35 years(OR=0.330),unaware of the healthy situation of the sex partners(OR=0.892) had a lower occupation coefficient.Conclusions The occupation coefficient of using condoms among MSM is at a relatively low level,it was influenced by multifactor such as age,consciousness of health situation,etc.The pointed references should therefore be reinforced.
【Fund】: 中美艾滋病防治合作项目(6.3.3A)
【CateGory Index】: R193
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