Abstract: Objective To understand the coping methods of HIV/AIDS high-risk behaviors of young men who have sex with men （YMSM） and analyze the influencing factors. Methods YMSM were recruited in Mianyang City, Sichuan Province, by the snowball sampling method. A coping strategy questionnaire survey was conducted to investigate coping methods of sexual partners to high-risk behaviors, social and sexual behaviors, and they were tested serologically. A chi-square test and multivariate logistic regressions were used to analyze factors influencing high risk behaviors. Results A total of 362 valid questionnaires were collected. In the past six months, 64.6% （159/246） of the respondents had high-risk behavioral requirements, 50.3% （80/159） were obedient, and 49.7% （79/159） were persuasive. Of the respondents, 40.5% could persuade successfully every time, 46.8% were complied after unsuccessful persuasion, and 53.2% refused to have sexual behavior. Resolute attitude （48.0%） and rich knowledge （20.0%） were the main reasons for the successful persuasion. Strong opponents （34.0%） and impatience （27.7%） were the main reasons for failed persuasion. The positive rate of HIV was 22.5% in compliance group, higher than that in persuasion group 10.3% （P<0.05）.Multivariate logistic regression showed that respondents who chose sexual partners younger than themselves or no special （OR=4.996, 95%CI：1.091-22.878）, had no special self attitude towards sexuality/others （OR=13.148, 95%CI： 1.233-140.240）, had high frequency of anal intercourse in the past week （OR=4.153, 95%CI： 1.143-15.090）, played both active and passive sexual roles （OR=2.282, 95%CI： 1.191-28.128）, had protective anal sex in the past 6 months （OR=31.924, 95%CI： 5.677-179.520）, and had heterosexual sex in the past 6 months （OR=31.924, 95%CI： 5.677-179.520） were more likely to persuade to reply to high-risk behavior; while those who knew about health state of their sex partners （OR=0.293, 95%CI： 0.092-0.938） were. Conclusion The proportion of persuasion and compliance in YMSM high-risk behavior was similar. Coping methods were influenced by age, identity, sex role and sexual behavior,and passive compliance increased the risk of HIV infection.

Key words: Young men who have sex with men, Acquired immunodeficiency syndrome, Dangerous behavior, Factor analysis, statistical