男男性行为人群中强制梅毒自检：中国全国性横断面研究。

Coerced syphilis self-testing among men who have sex with men: a nationwide cross-sectional study in China.

机构信息

STD Control Department, Dermatology Hospital, Southern Medical University, Guangzhou, 510095, China.

STD Control Department, Southern Medical University Institute for Global Health, Guangzhou, China.

出版信息

BMC Infect Dis. 2022 May 23;22(1):485. doi: 10.1186/s12879-022-07476-2.

DOI:10.1186/s12879-022-07476-2

PMID:35606752

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9125904/

Abstract

BACKGROUND

Syphilis testing uptake remains low among men who have sex with men (MSM) in many low-and middle-income countries. Syphilis self-testing is an efficacious approach on increasing syphilis testing coverage. However, one unintended consequence is the syphilis self-testing coercion from others (including partners, healthcare providers, friends, etc.). This study aimed to examine the prevalence, pattern and correlates of coerced syphilis self-testing among MSM in China.

METHODS

A nationwide online cross-sectional study was conducted from 14 to 28 July 2018. Sociodemographic characteristics, sexual behaviors and coerced syphilis self-testing variables were collected through a questionnaire that targeted MSM in China. Multivariable logistic regression was used to explore associated factors with syphilis self-testing coercion.

RESULTS

Overall, 174 MSM were recruited in this study, 31 men (17.8%) reported ever experiencing syphilis self-testing coercion. The most common types of coercion before syphilis self-testing were verbal abuse (38.7%, 12/31) and threatening to end a relationship (38.7%, 12/31). After obtaining the self-test results, men were mostly subjected to end a relationship (45.2%, 14/31) and threaten of violence (35.5%, 11/31). Multivariable logistic regression indicated that men who used condoms inconsistently in the past three months, ever used substances before or during sex, ever had group sex with males and commercial sex were more likely to experience syphilis self-testing coercion.

CONCLUSIONS

Coerced syphilis self-testing was prevalent among MSM in China. Innovative intervention to reduce coerced syphilis self-testing is necessary among MSM in China.

摘要

背景

在许多中低收入国家，男男性行为者（MSM）的梅毒检测率仍然很低。梅毒自检是提高梅毒检测覆盖率的有效方法。然而，一个意想不到的后果是他人对梅毒自检的强制（包括伴侣、医疗保健提供者、朋友等）。本研究旨在调查中国 MSM 中被迫进行梅毒自检的流行率、模式和相关因素。

方法

2018 年 7 月 14 日至 28 日，进行了一项全国性的在线横断面研究。通过针对中国 MSM 的问卷收集人口统计学特征、性行为和被迫梅毒自检变量。多变量逻辑回归用于探索与梅毒自检强制相关的因素。

结果

总体而言，本研究共招募了 174 名 MSM，31 名男性（17.8%）报告曾经历过梅毒自检强制。在梅毒自检前最常见的强制类型是言语虐待（38.7%，12/31）和威胁结束关系（38.7%，12/31）。在获得自检结果后，男性大多面临结束关系（45.2%，14/31）和暴力威胁（35.5%，11/31）。多变量逻辑回归表明，过去三个月内不一致使用安全套、性前或性过程中使用物质、曾有过男男性行为和商业性行为的男性更有可能经历梅毒自检强制。