摘要
目的了解男男性行为者(MSM)对艾滋病病毒(HIV)感染预期影响的自我认知评价,分析关联因素。方法2016年2-11月采用滚雪球抽样法,对四川省绵阳市MSM进行自行填写问卷的匿名行为学调查及HIV、梅毒检测。结果合格调查1 170人,对HIV感染预期影响的认知评价:最担心影响前途占7. 6%、伤害家人占33. 5%、损害健康占57. 5%、其他占1. 4%,不同感染预期影响认知评价HIV阳性率分别依次为1. 1%、9. 2%、5. 3%、6. 3%,差异有统计学意义(χ2=10. 553,P=0. 014)。感染预期影响认知评价的关联因素多因素分析,担心影响前途与损害健康相比:年龄<20岁、年龄20～<30岁、不知晓艾滋病知识、生理需要为第一需要、性伴数≥2人、高频率肛交、近6个月肛交有保护性者担心影响前途比例较高,互联网型寻找性伴较低;担心伤害家人与损害健康相比:年龄<20岁、高中及以下文化、在婚及离异/丧偶、社区朋友数<5人、获得过预防服务、生理需求为第一需要、性伴数≥2人、高频率肛交者担心伤害家人的比例较高,近6个月肛交有保护性、互联网型寻找性伴较低;担心伤害家人与影响前途比:社区朋友数<5人者担心伤害家人比例较高,未婚、不知晓艾滋病知识、生理需求为第一需要、近6个月肛交有保护性者较低(均P<0. 05)。结论 MSM对HIV感染预期影响认知评价以担心损害健康、伤害家人为主,预期认知评价与人口学及性行为特征和HIV感染风险相关联,担心伤害家人者风险更大。
Objective To investigate the self-cognitive evaluation of expected impact of HIV infection among men who have sex with men(MSM),and to analyze its related factors. Methods The snowball sampling method was used to recruit MSM in Mianyang City,Sichuan Province from February to November in 2016. A self-filled anonymous questionnaire survey on behavioral science was conducted,and then HIV and syphilis detection was performed. Results A total of 1,170 available questionnaires were gathered,and the cognitive evaluation of expected impact of HIV infection was as follows: 7.6% worried about the impact on the future,33.5% the hurt to the family,57.5% damage to health,and 1.4% others. The cognitive evaluation was affected by different infection expectation,and HIV-positive rates of MSM with different infection expectation,including worrying about the impact on the future,the hurt to the family,damage to health and others,were 1.1%,9.2%,5.3% and 6.3% respectively,showing statistically significant differences(χ^2= 10.553,P = 0.014). Multi-factor logistic analysis showed that factors associated with HIV infection expectation affected cognitive evaluation. The proportions of worrying about the impact on the future in MSM aged < 20 years,aged 20-< 30 years,without HIV/AIDS-related knowledge,considering physiological need as the first need,with two or more sexual partners,with high frequency anal sex and with protective anal sex in the last six months were higher than those of worrying about damage to health,while the proportion of worrying about the impact on the future in MSM seeking sexual partners on the Internet was lower than that of worrying about damage to health. The proportions of worrying about the hurt to the family in MSM aged < 20 years,with educational background of senior high school and below,being married and being divorced/widowed,having less than five community friends,receiving preventive services,considering physiological need as the first need,with two or more sexual partners,and with high frequency anal
作者
王毅
李六林
樊静
赵西和
王晓丽
杜婵娟
刘江
杨干金
李伟
贾秀伟
王洪明
任延飞
廖平
WANG Yi;LI Liu-lin;FAN Jing;ZHAO Xi-he;WANG Xiao-li;DU Chan-juan;LJU Jiang;YANG Gan-jin;LI Wei;JIA Xiu-wei;WANG Hong-ming;REN Yan-fei;LIAO Ping(Mianyang Municipal Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China;Yanting County Center for Disease Control and Prevention,Yanting ,Sichnan 621600,China;Pingwu County Center for Disease Control and Prevention,Pingwu,Sichuan 622500,China;Mianyang Gay Love Group,Mianyang ,Sichuan 621000,China;Fucheng District Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China;Youxian District Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China;Jiangyou Municipal Center for Disease Control and Prevention,Jiangyou,Sichuan 621700,China;Santai County Center for Disease Control and Prevention,Santai,Sichnan 621100,China;Anzhou District Center for Disease Control and Prevention,Mianyang,Siehuan 622650,China;Beichuan Qiang Autonomous County Center for Disease Control and Prevention,Beich uan,Sichuan 622750,China;Zitong County Center for Disease Control and Prevention,Zitong,Sichuan 622150,China;. Yanting County Center for Disease Control and Prevention, Yanting Sichuan 621600, China;Pingwu County Center for Disease Control and Prevention , Pingwu, Sichuan 622500, China)
出处
《实用预防医学》
CAS
2019年第2期141-145,共5页
Practical Preventive Medicine
基金
2015年社会组织参与艾滋病防治基金项目(510701PYD014A22)
关键词
男男性行为者
艾滋病病毒
预期
影响
认知评价
关联因素
men who have sex with men
HIV
expectation
impact
cognitive evaluation
related factor
