在中国性传播感染诊所就诊的异性恋男性中进行的在线寻性研究：一项横断面研究。
Online sex-seeking among Chinese heterosexual men who seek care in sexually transmitted infections clinics: a cross-sectional study.
作者信息
Li Changchang, Tang Weiming, Ho Hung Chak, Zhao Peizhen, Chen Lei, Wang Yajie, Xiong Mingzhou, Yang Bin, Zheng Heping, Wang Cheng
机构信息
Department of Sexually Transmitted Disease Prevention and Control, Dermatology Hospital of Southern Medical University, Institute for Global Health and Sexually Transmitted Infections, Southern Medical University, Guangzhou, 510095, China.
Institute for Global Health and Sexually Transmitted Infections, Southern Medical Universi-Ty, Guangzhou, China.
出版信息
Arch Public Health. 2022 Jun 1;80(1):149. doi: 10.1186/s13690-022-00903-5.
BACKGROUND
The Internet has become an important virtual venue for men who have sex with men to seek sexual partners, with a high potential threat to spread sexually transmitted infections (STIs). However, the online sex-seeking use and its risk causing STIs spread remain unclear among heterosexual men. We conducted a cross-sectional study to investigate the use of online sex-seeking venues and the related risky sex activities (e.g. condomless sex, quick sex) in STIs clinics in Guangdong, China.
METHODS
These STIs clinics were involved in the Guangdong governmental sentinel network and we recruited heterosexual men (age > = 18) between March and August 2018. Multivariable logistic regression models were used to identify the factors associated with online sex-seeking use and risky sex activities with online sex partners.
RESULTS
191 of 2,154 participants (8.9%) ever sought sex online. Among users,16.8% met their partners in-person within 24 h, 31.4% engaged in condomless sex with their last online partner. Online sex-seeking was positively associated with a) Ever been diagnosed with STIs (aOR = 3.0, 95%CI:2.0-4.6), and b) Had casual sex in the last three months (aOR = 3.3, 95%CI 2.4-4.6). Condomless sex with the last online partner was negatively associated with the correct answer of "Having only one partner can reduce the risk to infect HIV" (aOR = 0.3, 95%CI:0.1-0.8).
CONCLUSION
In China, online sex-seeking and its related risky sexual activities are not rare among heterosexual men. Future prevention strategies to reduce STIs incidence should especially target heterosexual men engaging in online sex-seeking.
背景
互联网已成为男男性行为者寻找性伴侣的重要虚拟场所，对性传播感染（STIs）的传播具有很高的潜在威胁。然而，异性恋男性中在线寻求性行为的使用情况及其导致性传播感染传播的风险仍不清楚。我们进行了一项横断面研究，以调查中国广东省性传播感染诊所中在线寻求性行为场所的使用情况以及相关的危险性行为（如无保护性行为、快速性行为）。
方法
这些性传播感染诊所参与了广东省政府的哨点监测网络，我们在2018年3月至8月期间招募了年龄大于或等于18岁的异性恋男性。使用多变量逻辑回归模型来确定与在线寻求性行为的使用以及与在线性伴侣进行危险性行为相关的因素。
结果
2154名参与者中有191名（8.9%）曾在线寻求性行为。在使用者中，16.8%在24小时内与伴侣见面，31.4%与最后一个在线伴侣进行了无保护性行为。在线寻求性行为与以下因素呈正相关：a）曾被诊断患有性传播感染（调整后的比值比[aOR]=3.0，95%置信区间[CI]：2.0-4.6），以及b）在过去三个月内有过随意性行为（aOR=3.3，95%CI 2.4-4.6）。与最后一个在线伴侣进行无保护性行为与“只有一个伴侣可以降低感染艾滋病毒的风险”这一正确答案呈负相关（aOR=0.3，95%CI：0.1-0.8）。
结论
在中国，异性恋男性中在线寻求性行为及其相关的危险性行为并不罕见。未来降低性传播感染发病率的预防策略应特别针对参与在线寻求性行为的异性恋男性。
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