Department of Behavioral Sciences & Health Education, Emory University's Rollins School of Public Health, 1518 Clifton Road, NE, Atlanta, GA 30322, United States.
Drug Alcohol Depend. 2013 Sep 1;132(1-2):265-70. doi: 10.1016/j.drugalcdep.2013.02.016. Epub 2013 Mar 19.
We explored possible correlates of cigarette smoking and their associations with levels of smoking among a sample of Chinese men who have sex with men (MSM). We also explored the syndemic associations of substance use and psychosocial problems on sexual risk behaviors.
Cross-sectional data collection from 404 MSM in Shanghai, China.
MSM exhibit a high prevalence of smoking (66.3%). Both light and heavy smoking were associated with alcohol and drug use, depression, intimate partner violence, sexual attitudes, and gay identity (though the associations for light smokers were moderate compared to those for heavy smokers).
Our findings indicate the presence of a health syndemic among MSM, and suggest that smoking prevention and cessation and other substance abuse interventions should be integrated into efforts preventing sexual risk behaviors among MSM.
本研究旨在探讨中国男男性行为者（MSM）吸烟状况及其与吸烟水平的相关因素，同时也探讨了物质使用和心理社会问题与性行为风险之间的综合征关联。
本研究采用横断面调查方法，对来自中国上海的 404 名 MSM 进行数据收集。
研究结果显示，MSM 的吸烟率较高（66.3%）。轻、重度吸烟均与饮酒和吸毒、抑郁、亲密伴侣暴力、性态度和同性恋身份有关（尽管与重度吸烟者相比，与轻度吸烟者的关联程度适中）。
本研究结果表明，MSM 中存在健康综合征，这表明应将预防和戒烟以及其他物质滥用干预措施纳入预防 MSM 性行为风险的综合措施中。
