中国男男性行为者和跨性别者中的娱乐性药物使用情况：一项全国性在线横断面研究的结果
Recreational Drug Use among Chinese MSM and Transgender Individuals: Results from a National Online Cross-Sectional Study.
作者信息
Zhao Peizhen, Tang Songyuan, Wang Cheng, Zhang Ye, Best John, Tangthanasup Thitikarn May, Huang Shujie, Yang Bin, Wei Chongyi, Tucker Joseph D, Tang Weiming
机构信息
Guangdong Center for Skin Diseases and STI Control, Guangzhou, China.
University of North Carolina at Chapel Hill Project-China, Guangzhou, China.
出版信息
PLoS One. 2017 Jan 20;12(1):e0170024. doi: 10.1371/journal.pone.0170024. eCollection 2017.
BACKGROUND
Recreational drug use has increased considerably among Chinese men who have sex with men (MSM). The phenomenon has the potentially to increase HIV transmission among Chinese MSM. The aims of this study were: 1) to investigate the prevalence of recreational drug use among Chinese MSM, and 2) to explore the correlation between gay smartphone based sex-seeking applications (gay apps), HIV/STIs testing, group sex, commercial sex, sexual roles and poppers use among Chinese MSM.
METHODS
MSM who were born biologically male, were at least 16 years of age and had engaged in anal sex with a man at least once were recruited through a nation-wide online survey in 2014. Information regarding socio-demographics, risk behaviors, recreational drug use, HIV and other STIs testing history and gay app use were collected. Univariate and multivariate analysis were used to determine factors associated with recreational drug use among Chinese MSM.
RESULTS
Among 1424 participating MSM, 1100 (77.3%) reported ever using recreational drugs in their lifetime. In the last 12 months, 303 (21.3%) used poppers, 34 (2.4%) used crystal meth and 15 (1.0%) used ecstasy. The mean age of respondents was 25.6±6.8 years, 72.9% identified as gay, 41.3% were students, and 83.8% had never been married. Multiple logistic regression models revealed that compared with non-popper users, popper users were more likely to have been tested for HIV (adjusted OR (aOR) = 1.50, 95% CI: 1.15-1.96) and other STIs (aOR = 1.65, 95% CI: 1.26-2.17). In addition, popper users were more likely to engage in group sex (aOR = 2.63, 95% CI:1.80-3.86), commercial sex (aOR = 1.86, 95% CI:1.13-3.06) and used gay mobile apps to seek sexual partners (aOR = 2.10, 95% CI:1.58-2.80).
CONCLUSION
Chinese MSM has a high rate of recreational drug use, including poppers. Public health programs serving MSM may consider integrating intervention programs to decrease recreational drug use related harms.
背景
在中国男男性行为者（MSM）中，娱乐性药物使用显著增加。这一现象有可能增加中国男男性行为者之间的艾滋病毒传播。本研究的目的是：1）调查中国男男性行为者中娱乐性药物使用的流行情况；2）探讨基于同性恋智能手机的寻性应用程序（同性恋应用程序）、艾滋病毒/性传播感染检测、群交、商业性行为、性角色以及Poppers使用在中国男男性行为者之间的相关性。
方法
2014年通过全国范围的在线调查招募了生理上为男性、年龄至少16岁且至少与一名男性进行过一次肛交的男男性行为者。收集了有关社会人口统计学、风险行为、娱乐性药物使用、艾滋病毒和其他性传播感染检测史以及同性恋应用程序使用的信息。采用单因素和多因素分析来确定与中国男男性行为者娱乐性药物使用相关的因素。
结果
在1424名参与调查的男男性行为者中，1100名（77.3%）报告一生中曾使用过娱乐性药物。在过去12个月中，303名（21.3%）使用过Poppers，34名（2.4%）使用过冰毒，15名（1.0%）使用过摇头丸。受访者的平均年龄为25.6±6.8岁，72.9%认定为同性恋，41.3%为学生，83.8%从未结婚。多因素逻辑回归模型显示，与未使用Poppers的使用者相比，使用Poppers的使用者更有可能接受过艾滋病毒检测（调整后的比值比（aOR）=1.50，95%置信区间：1.15-1.96）和其他性传播感染检测（aOR = 1.65，95%置信区间：1.26-2.17）。此外，使用Poppers的使用者更有可能参与群交（aOR = 2.63，95%置信区间：1.80-3.86）、商业性行为（aOR = 1.86，95%置信区间：1.13-3.06）并使用同性恋移动应用程序寻找性伴侣（aOR = 2.10，95%置信区间：1.58-
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