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Driving force of condomless sex after online intervention among Chinese men who have sex with men

机译：在线干预后，在线干预后的有道性的动力，与男人发生性关系

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Condom use remains consistently low among Chinese men who have sex with men (MSM). This study aims to identify factors associated with condom use after online video intervention. This is a secondary data analysis of data collected from an online non-inferiority trial comparing the effectiveness of two condom use promotion video interventions among Chinese MSM. Participants from the two groups were combined since the effectiveness of two video interventions were shown to be non-inferior. Univariable and multivariable logistic regression were used to identify factors associated with condomless sex after the intervention during the follow-up interval. Overall, 1173 participants were recruited at baseline and 791 (67.4%) completed the three-month follow-up survey. 57.3% (453/791) of the participants reported condomless sex after intervention in the three-month follow-up interval. MSM who have had sex under the influence of alcohol in the last 3?months (Odds Ratio(OR)?=?1.90; 95% CI: 1.22, 2.97; Adjusted OR(AOR)?=?1.79; 95% CI: 1.13, 2.83) and ever have had sex tourism (OR?=?2.75; 95% CI: 1.34, 5.63; AOR?=?2.40; 95% CI: 1.15, 5.07) at baseline were more likely to have condomless sex after intervention in the three-month follow-up period. MSM who had a higher level of community engagement in sexual health (OR?=?0.54; 95% CI: 0.35, 0.82; AOR?=?0.49; 95% CI: 0.32, 0.75 with substantial engagement) and who viewed additional condom promotion videos during the follow-up period by themselves (OR?=?0.67; 95% CI?=?0.50, 0.89; AOR?=?0.67; 95% CI: 0.50, 0.91). were less likely to have condomless sex during the follow-up period. The intervention appeared to be effective among MSM who reported viewing additional condom promotion videos by themselves and more community engagement after the intervention. In MSM who reported risky sexual behaviors at baseline, the intervention appeared less effective. Tailored intervention videos that target particular subgroups, active in-person community engagement, and optimized intervention frequency should be considered in future sexual health interventions.
机译：避孕套使用仍然是与男性发生性关系的中国人（MSM）。本研究旨在识别在线视频干预后与避孕套使用相关的因素。这是从在线非劣升性试验中收集的数据的二级数据分析，比较中国MSM中的两个安全套使用促销视频干预的有效性。组合来自两组的参与者，因为两种视频干预的有效性被认为是非劣等的。在后续间隔期间，使用了不可变化和多变量的逻辑回归在干预后识别与静止后性别相关的因素。总体而言，1173名参与者在基线招募，791名（67.4％）完成了为期三个月的后续调查。参与者57.3％（453/791）报告了在为期三个月的跟进间隔后出现干预后的公寓性行为。在过去的3个月（赔率比（或）？=？1.90; 95％CI：1.22,2.97;调整或（AOR）？=？1.79; 95％CI：1.13 ，2.83）并且曾经有过性欲的旅游（或？= 2.75; 95％CI：1.34,5.63; AOR？=？2.40; 95％CI：1.15，5.07）在基准中更有可能在干预后发生通风性行为。三个月的随访期。 MSM在性健康（或？= 0.54; 95％CI：0.35,0.82; AOR？=？0.49; 95％CI：0.32,0.75，具有实质性参与的额外的避孕车促销，_ _ = 0.49; 95％; 95％，0.82; 95％，0.82; 95％CI：0.32,0.75在随访期间的视频（或？=？= 0.67; 95％CI？= 0.50,0.89; AOR？= 0.67; 95％CI：0.50,0.91）。在随访期间，不太可能在后续期间发生通气性。干预似乎在宣布在干预后观看额外的安全套促销视频和更多的社区参与的MSM之间有效。在据报告基线的风险性行为的MSM中，干预似乎不太有效。根据未来的性健康干预，应考虑定制特定子组，积极的亚组，积极的亚组织，积极的亚社区参与和优化干预频率的量身定制的干预视频。

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