摘要
目的了解社交软件上男性同性性行为者(MSM)的丙型肝炎(简称"丙肝")知识知晓、检测意愿情况及其影响因素。方法采用网络问卷,对Blued平台用户的目标人群进行调查,内容包括一般人口学特征、性行为、吸毒行为、丙肝防治知识、丙肝既往检测情况和未来检测意愿等。知识部分共14题,以答对10题及以上定义为"知晓"。分析不同特征人群丙肝知识知晓率、检测意愿及相关影响因素。对数据采用单因素、多因素logistic回归分析。结果共完成1800份有效问卷,其中58.9%(1061/1800)听说过丙肝,总体丙肝知识知晓率为33.5%(603/1800)。年龄30岁、月收入在5000~10000元、高中及以上学历、既往做过人类免疫缺陷病毒(HIV)检测者,其丙肝知识知晓率分别为42.5%(371/873)、36.7%(191/520)、35.1%(584/1663)和37.4%(544/1453),高于相应低年龄、低收入、低学历、未做过HIV检测及未坚持使用安全套者,差异均有统计学意义(P值均<0.05)。调查对象未来3个月愿意进行丙肝检测的比例为82.5%(851/1031);既往做过HIV检测、近6个月有肛交行为以及有高风险行为者,其愿意检测的比例分别为85.2%(766/899)、86.1%(609/707)和86.6%(610/704),高于未做过HIV检测、近6个月无肛交及无高风险行为者,差异均有统计学意义(P值均<0.05)。结论调查对象丙肝知识知晓率较低,但有较高的检测意愿,应针对该人群加强针对性宣传教育,并提供便利条件促进其定期检测。
Objective To understand the cognition,willingness to test and influencing factors of hepatitis C(HCV)based on social software for men who have sex with men(MSM).Methods An online questionnaire was used to investigate the target population of Blued platform users,including general demographic characteristics,sexual behavior,drug abuse behavior,cognition of hepatitis C prevention and treatment,past hepatitis C testing status and future testing willingness.There were 14 questions in the cognition part,and answering 10 or more questions were defined as"knowing".Cognition rate,willingness to test and related influencing factors of hepatitis C were analyzed in different characteristics population.Data were analyzed by univariate and multivariate logistic regression.Results A total of 1800 valid questionnaires were completed,of which 58.9%(1061/1800)had heard of hepatitis C,and the overall cognition rate of hepatitis C was 33.5%(603/1800).The cognition rate of hepatitis C among those aged 30 years old,monthly income among RMB 5000~10000,high school education or above,and previous HIV testing[42.5%(371/873),36.7%(191/520),35.1%(584/1663)and 37.4%(544/1453)]was considerably higher than those of the corresponding low-age,low-income,low-educated,not having HIV testing and not insisting on condom use,and the differences were statistically significant(P<0.05).The proportion of respondents who were willing to undergo hepatitis C testing in the next 3 months was 82.5%(851/1031).The proportion of respondents who were tested for HIV in the past,had anal sex in the past 6 months and had high-risk behaviors[85.2%(766/899),86.1%(609/707)and 86.6%(610/704)]was considerably higher than those who had not been tested for HIV,had no anal sex and had no high-risk behaviors in the past 6 months,and the differences were statistically significant(P<0.05).Conclusion The survey respondents have a low cognition rate of hepatitis C,but have a higher willingness to test.Targeted publicity and education should be strengthened for this population,a
作者
汤杨
于飞
潘玲
苏晓威
米国栋
袁庆
杨雪
徐迪
庞琳
Tang Yang;Yu Fei;Pan Ling;Su Xiaowei;Mi Guodong;Yuan Qing;Yang Xue;Xu Di;Pang Lin(National Center for AIDS/STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Danlan(Beijing)Media Limited Liability Company,Beijing 100022,China;China Foundation for Prevention of Sexually Transmitted Diseases and AIDS,Beijing 100029,China)
出处
《中华肝脏病杂志》
CAS
CSCD
北大核心
2020年第10期850-854,共5页
Chinese Journal of Hepatology
基金
消除艾滋病病毒/丙肝病毒合并感染(NoCo)项目(IN-US-987-5557)。
关键词
肝炎
丙型
男性同性性行为者
知晓率
检测意愿
Hepatitis C
Men who have sex with men
Awareness
Testing willingness
