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男男性行为者定期检测现状及其影响因素分析 被引量:12

HIV regular testing and related factors among men who have sex with men
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摘要 目的了解浙江省男男性行为者(MSM)定期检测现状,及其与性行为特征和抑郁、焦虑等心理因素的关系。方法在杭州市江干区和温州市鹿城区两个县区,利用方便抽样方法招募MSM作为调查对象,调查内容包括一般人口学特征、性行为特征、抑郁和焦虑症状及MSM的定期检测状况。采用单因素和多因素统计方法分析定期检测状况及其影响因素。结果共调查MSM 529名,做过艾滋病病毒(HIV)检测的MSM比例为63.5%(336人),197人报告有定期检测的习惯,占比37.2%。多因素分析结果显示,同居或已婚[调整比值比(aOR)=0.572,95%可信区间(CI):0.371~0.883]、有抑郁症状(aOR=0.672,95%CI:0.454~0.996)的MSM,其定期检测比例较低;月收入≥3 000(aOR=1.768,95%CI:1.168~2.678)、了解对方的感染状况(aOR=2.107,95%CI:1.398~3.175)、使用助性剂(aOR=2.410,95%CI:1.447~4.015)、接受过HIV相关的宣传干预(aOR=4.232,95%CI:2.772~6.460)的MSM,其定期检测比例较高。结论 MSM中定期检测比例较低,尤其是同居或已婚以及有抑郁症状的MSM,宣传知情交友理念有助于提高MSM的定期检测习惯。 Objective To investigate HIV regular testing among MSM in Zhejiang,as well as the relationship with sexual behaviors,depression and anxiety.Methods Data of 529 MSM participants were collected in the survey by using convenience sampling method in the districts of Jianggan and Lucheng.The questionnaire was used to get their demographic information,the characteristics of sexual behavior,depression and anxiety and HIV regular testing.Results Of the 529 participants surveyed,the rate of MSM receiving HIV testing was 63.5% (336),among which 37.2% (197)reported they were used to regular testing.Multivariate logistic regression analysis showed that the married or cohabitating MSM(aOR=0.572,95% CI:0.371-0.883),and those having depressive symptoms(aOR=0.672,95% CI:0.454-0.996)had a lower proportion of regular testing;and those with monthly income≥ RMB3000(aOR=1.768,95% CI:1.168-2.678),awareness of HIV infection status of their sexual partners(aOR=2.107,95% CI:1.398-3.175),drug use for sexual aid(aOR=2.410,95% CI:1.447-4.015),receipt of health promotion and intervention(aOR=4.232,95% CI:2.772-6.460)had a higher proportion of regular testing.Conclusion MSM in the two districts have a low proportion of HIV regular testing,especially those cohabitating or married and with depressive symptoms.Regular testing should be promoted esp.for those with multiple sexual partners among MSM.
出处 《中国艾滋病性病》 CAS CSCD 北大核心 2018年第2期148-151,共4页 Chinese Journal of Aids & STD
基金 浙江省重大科技专项(2013C03047-1) 浙江省医药卫生一般研究项目(2016KYA066)~~
关键词 男男性行为者 定期检测 抑郁 影响因素 MSMI Regular testing Depression Related factors
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