Zheng Jiandong, Wu Zunyou, Poundstone Katharine E, Pang Lin, Rou Keming
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
AIDS Educ Prev. 2012 Feb;24(1):78-88. doi: 10.1521/aeap.2012.24.1.78.
Young male university students who have sex with men are at high risk of HIV and sexually transmitted infections (STIs). We conducted a cross-sectional survey to assess the prevalence of risky sexual behaviors, HIV, and syphilis among male university students who have sex with men in Beijing, China; and to identify risk factors for unprotected anal intercourse (UAI). Among 157 study participants, HIV and syphilis prevalence were 2.5% and 7.0%, respectively. We found a high prevalence of UAI in our study population. Multiple logistic regression analysis revealed two significant predictors of UAI: believing it is not necessary to use a condom with a regular sex partner and not feeling anxious about being gay. Not using a condom during first sexual experience with a man was a marginally significant predictor of UAI. Male university students who have sex with men are especially vulnerable to HIV and STIs. Intensified education and HIV testing programs are needed to reduce risk in this population.
与男性发生性行为的年轻男大学生感染艾滋病毒和性传播感染的风险很高。我们进行了一项横断面调查，以评估中国北京与男性发生性行为的男大学生中危险性行为、艾滋病毒和梅毒的流行情况；并确定无保护肛交（UAI）的危险因素。在157名研究参与者中，艾滋病毒和梅毒的流行率分别为2.5%和7.0%。我们发现研究人群中UAI的流行率很高。多因素逻辑回归分析显示UAI的两个显著预测因素：认为与固定性伴侣不必使用避孕套以及对自己是同性恋不感到焦虑。与男性首次发生性行为时不使用避孕套是UAI的一个边缘显著预测因素。与男性发生性行为的男大学生特别容易感染艾滋病毒和性传播感染。需要加强教育和艾滋病毒检测项目以降低该人群的风险。
