摘要
目的了解四川省绵阳市男男性行为者(men who have sex with men,MSM)预期人类免疫缺陷病毒(human immunodeficiency virus,HIV)阳性状况主动告诉性伴情况(以下简称阳性状况主动告知),分析相关因素。方法用滚雪球抽样法进行MSM预期阳性状况主动告知和性行为等问卷调查,采用χ^(2)检验、logistics回归模型分析预期阳性状况主动告知的相关因素。结果有效问卷1086份,预期阳性状况39.6%会主动告知。不会主动告知的主要原因中,46.1%怕泄密、31.5%怕受歧视、12.0%因内心抵触。多因素分析结果,大专及以上文化、高水平自我隐瞒、近6个月性角色插入方及均可者预期阳性状况主动告知的可能性更大,县级城市居住、性取向双性恋/异性恋/不确定、社区网络较大、近1年接受过同伴教育、传统方式寻找性伴、近6个月多性伴者预期主动告知的可能性更小。结论MSM预期阳性状况会主动告知的比例较小,隐私泄漏、歧视是主要制约原因。预期阳性状况主动告知与多种因素相关,有高危行为的MSM预期更趋于不主动告知,HIV传播的潜在风险较大。
Objective To investigate the expected active disclosure of HIV positive status among men who have sex with men(MSM)in Mianyang city,Sichuan province,and to analyze the related factors.Methods The snowball sampling method was used to conduct the questionnaire survey on the expected active disclosure of HIV positive status and sexual behavior of MSM.Theχ^(2) test and logistics regression model were used to analyze the related factors of the expected voluntary notification of HIV-positive status.Results A total of the 1086 valid questionnaires were collected,with a percent of 39.6%expected voluntary notification of the positive status.The main reasons of not voluntary notification included being afraid of disclosure(46.1%),being afraid of discrimination(31.5%)and being due to internal resistance(12.0%).Results of multivariate analysis showed that education level of junior college or above,high level of self-concealment,sexual role of insertion in the last 6 months or both were more likely to voluntarily disclose positive status.Those who lived in county-level cities,sex role bisexual/straight/not sure,having a large community network,having received peer education in the past year,seeking sexual partners in traditional ways and having multiple sexual partners in last 6 months were less likely to voluntarily disclose positive status.Conclusions The proportion of MSM expected voluntary notification of HIV-positive status is small.The privacy leakage and discrimination are the main constraints.The expected active disclosure of HIV-positive status is related with a variety of factors.MSM with high-risk behaviors are less likely to be expected voluntary notification and the potential risk of HIV transmission is high.
作者
王毅
樊静
何静
熊军
杜婵娟
刘强
贾修伟
李伟
刘晓琴
谭琴
任延飞
廖平
刘平
WANG Yi;FAN Jing;HE Jing;XIONG Jun;DU Chan-juan;LIU Qiang;JIA Xiu-wei;LI Wei;LIU Xiao-qin;TAN Qin;REN Yan-fei;LIAO Ping;LIU Ping(Mianyang Center for Disease Prevention and Control,Mianyang 621000,China)
出处
《首都公共卫生》
2023年第3期168-172,共5页
Capital Journal of Public Health
基金
社会组织参与艾滋病防治基金项目(编号:2021-2022510700PYDMSM440418)。
关键词
男男性行为者
艾滋病病毒
阳性状况
主动告知
相关因素
Men who have sex with men
Human immunodeficiency virus
Positive status
Voluntary notification
Related factors
