摘要
目的了解山东省男男性行为人群(MSM)卫生服务利用现状并探讨其影响因素,为后续艾滋病防治干预提供参考依据。方法于2021年1月—6月在山东省烟台市、威海市、滨州市3个地区进行匿名调查,收集有效问卷1126份,并采用多元logistic回归模型探讨影响MSM接受预防艾滋病服务及艾滋病病毒(HIV)暴露后预防用药的因素。结果1126名MSM中最近6个月发生性行为有使用安全套的有893人(79.31%),定期检测996人(88.45%);艾滋病信息知识主要来源于互联网的有943人(83.75%),交友软件931人(82.68%),咨询服务761人(67.58%);接受过预防艾滋病卫生服务的有995人(88.37%);接受过HIV暴露后预防用药的有461人(40.94%)。单因素分析结果显示,山东省MSM接受预防艾滋病卫生服务在年龄、月收入、性取向、固定性伴侣、商业性行为、酒后性行为、近6个月发生性行为时的安全套使用及艾滋病防治素养上的差异具有统计学意义(P均<0.05);接受过HIV暴露后预防用药在年龄、配偶、户籍、文化程度、月收入、性取向、固定性伴侣、无商业性行为、酒后性行为、近6个月发生性行为时的安全套使用及艾滋病防治素养上的差异具有统计学意义(P均<0.05)。多因素logistic回归分析结果显示,无固定性伴侣、近6个月发生性行为时不使用安全套、不具备艾滋病防治素养的MSM接受预防艾滋病服务的可能性更小。无配偶、同性恋、有固定伴侣、无商业性行为、无酒后性行为、近6个月发生性行为时有使用安全套、具有艾滋病防治素养的MSM更愿意接受HIV暴露后预防用药。结论山东省MSM接受过预防艾滋病卫生服务率较高,但接受过HIV暴露后预防用药的比例较低。应通过加强对HIV暴露后预防用药的宣传,降低相关药品价格,增加艾滋病预防药物售卖点等途径,通过线上线下相结合的方式提高卫生服务利用率,降低艾滋病传播风险。
Objective To investigate the health service utilization among men who have sex with men(MSM)in Shandong Province and explore its influencing factors,so as to provide evidence to prevent and treat HIV/AIDS in the future.Methods An anonymous survey was conducted in three cities(Yantai,Weihai,and Binzhou)of Shandong Province from January to June 2021,and 1,126 valid questionnaires were collected.A multivariate Logistic regression model was used to explore the factors influencing MSM’s uptake of HIV prevention interventions and post-exposure prophylaxis(PEP)for HIV.Results Among the 1,126 MSM who had had sex in the last six months,893(79.31%)used condoms and 996(88.45%)received testing regularly.Their knowledge about HIV/AIDS was mainly acquired from the Internet(n=943,83.75%),dating software(n=931,82.68%),and counseling services(n=761,67.58%).Notably,995(88.37%)had received HIV prevention services,and 461(40.94%)had received HIV PEP.Univariate analysis showed that there were statistically significant differences in age,monthly income,sexual orientation,regular sexual partners,commercial sexual behavior,sex after drinking,condom use during sex in the past 6 months,and HIV/AIDS literacy among MSM in Shandong Province who had received HIV prevention services(all P<0.05).In addition,there were also statistically significant differences in age,spouse,household registration,education,monthly income,sexual orientation,regular sexual partners,no commercial sexual behavior,sex after drinking,condom use during sex in the past 6 months,and HIV/AIDS literacy among MSM who had received HIV PEP(all P<0.05).Multivariate Logistic regression analysis showed that MSM with no regular sexual partners,no condom use during sex in the last 6 months,and no HIV literacy were less likely to receive HIV prevention interventions.MSM who had no spouse,being homosexual,with regular partners,no commercial sexual behavior,no sex after drinking,using condom during sex in the last 6 months,and with HIV literacy were more likely to receive HIV PEP.
作者
姜茂敏
王德文
吴政宇
郭佩佩
孔杨
崔倩倩
Jiang Maomin;Wang Dewen;Wu Zhengyu;Guo Peipei;Kong Yang;Cui Qianqian(Department of Public Administration,School of Public Affairs,Xiamen University,Xiamen 361005,Fujian Province,China;School of Management,Shanghai University of Engineering Science,Shanghai,China;School of Public Health and Management,Binzhou Medical College,Binzhou,China)
出处
《中国医疗管理科学》
2022年第2期89-94,共6页
Chinese Journal Of Medical Management Sciences
基金
国家自然科学基金面上项目(72074187)
国家社会科学基金项目(16BJY001)。
关键词
卫生服务利用
男男性行为
艾滋病预防
影响因素
Health service utilization
Men who have sex with men
HIV/AIDS prevention
Influencing factors
