Yu Yong, Wei Qiushuang, Tang Shishi, Xiao Fuqun, Cai Huiling, Li Jiahong
Department of Public Administration, School of Politics and Public Administration, Guangxi Normal University, Guilin, 541006, Guangxi, China.
Department of Social Work, School of Politics and Public Administration, Guangxi Normal University, Guilin, Guangxi, China.
Arch Sex Behav. 2025 Mar;54(3):1153-1163. doi: 10.1007/s10508-024-03080-4. Epub 2025 Jan 30.
Abuse of new drugs, such as Rush poppers, methamphetamine, Magu, Ketamine, and Ecstasy, is common among men who have sex with men (MSM) in China, leading to increased risks of sexually explicit media consumption, sexual violence, and sexual risk behaviors. This study aimed to explore the prevalence and relationships of these behaviors among MSM with new drug abuse. A cross-sectional study was conducted from January to June 2021, involving 453 MSM in Jinan, China. Participants completed an online questionnaire assessing behaviors over the past six months. Multiple linear regressions were conducted to investigate the correlations among the three behaviors. Results showed that 88.7% consumed sexually explicit media, and 48.3% experienced sexual violence. Regarding sexual risk behaviors, the prevalence rates for group sex, condomless anal intercourse, and commercial sex were 29.1%, 76.4%, and 11.0%, respectively. New drug abuse was positively correlated with sexual violence victimization (b = 0.38 for methamphetamine; b = 0.50 for Magu), media consumption (b = 1.58 for methamphetamine), and sexual risk behaviors (b = 0.94 for methamphetamine; b = 0.72 for Magu). The age at first exposure to sexually explicit media was negatively correlated with sexual violence victimization (b = - 0.09) and sexual risk behaviors (b = - 0.30). Preferences for violence in media were linked to higher sexual violence risk (b = 0.76), and preferences for condomless anal intercourse and group sex to higher sexual risk behaviors (b = 1.04; b = 0.83). Significant positive correlations were found among sexual violence victimization, media consumption, and sexual risk behaviors (r = 0.22-0.82, p < 0.05). These findings provide insights for future interventions to prevent HIV transmission among MSM with new drug.
在中国，男男性行为者（MSM）中滥用新型毒品的现象很常见，如“忽得水”（Rush poppers）、甲基苯丙胺、麻古、氯胺酮和摇头丸等，这导致他们接触色情制品、遭受性暴力和出现性风险行为的风险增加。本研究旨在探讨有新型毒品滥用行为的男男性行为者中这些行为的流行情况及其相互关系。2021年1月至6月进行了一项横断面研究，涉及中国济南的453名男男性行为者。参与者完成了一份在线问卷，评估过去六个月的行为。采用多元线性回归分析三种行为之间的相关性。结果显示，88.7%的人接触过色情制品，48.3%的人遭受过性暴力。在性风险行为方面，群交、无保护肛交和商业性行为的发生率分别为29.1%、76.4%和11.0%。新型毒品滥用与性暴力受害情况（甲基苯丙胺的b值为0.38；麻古的b值为0.50）、色情制品接触（甲基苯丙胺的b值为1.58）以及性风险行为（甲基苯丙胺的b值为0.94；麻古的b值为0.72）呈正相关。首次接触色情制品的年龄与性暴力受害情况（b值为 -0.09）和性风险行为（b值为 -0.30）呈负相关。对媒体中暴力内容的偏好与更高的性暴力风险相关（b值为0.76），对无保护肛交和群交的偏好与更高的性风险行为相关（b值为1.04；b值为0.83）。性暴力受害情况、色情制品接触和性风险行为之间存在显著的正相关（r = 0.22 - 0.82，p < 0.05）。这些研究结果为未来预防有新型毒品滥用行为的男男性行为者感染艾滋病毒的干预措施提供了参考。
