摘要
目的了解上海市男男性接触艾滋病病毒(HIV)感染者对早期抗病毒治疗的认知情况及行为特征,为制定相关艾滋病防治政策提供科学依据。方法选取2015年1月—2017年6月,以静安区新发现的经男男同性性行为传播的HIV抗体阳性、并且未经抗病毒治疗患者为研究对象,共有193例患者接受了调查。采用自行设计的问卷,对其人口学特征、艾滋病知识知晓率、性行为特征和对早期抗病毒认知情况等相关信息开展流行性学问卷调查,并进行统计学分析。结果 (1)调查HIV抗体阳性的男男性行为者193例,艾滋病(AIDS)相关知识知晓率为87.00%。(2)最近6个月与男性发生同性性行为的共173例,占89.60%,每次性行为均使用安全套比例仅为13.30%。(3)早期抗病毒治疗政策的知晓率为14.50%,82.90%的患者知道早期抗病毒可以提高生存率,92.7%的患者知道早期抗病毒可以延缓发病,86.00%的患者知道早期抗病毒治疗可以降低传染病、进而预防性伴/配偶被感染HIV。结论男男性接触HIV感染者对早期抗病毒治疗的政策知晓率较低,今后应加强早期抗病毒治疗的宣传和干预,提高患者的生存质量和预后,更好地推动治疗作为预防的策略。
OBJECTIVE To investigate the cognition of early antiretroviral therapy and behavior characteristic among HIV-positive menwho have sex with men, and to provide information for developing the strategies of AIDS prevention and control. METHODS From Jan-uary 2015 and June 2017, newly reported MSM infected with HIV were selected as research objects, total of 193 HIV-positive MSMwho did not receive antiretroviral therapy(ART)participated in the study.Using self-designed questionnaire,general demographicinformation,awareness of AIDS knowledge,behavior characteristic,Cognition of early antiretroviral therapy, etc. RESULTS(1)Ofthe 193 HIV infected MSM, the average age was(30.62±10.54)years old, 67.90% of them went through college. Occupational distribu-tion has a variety of characteristics, mainly for enterprise and public institution employees,accounting for 54. 9%.The awarenessrate for AIDS prevention and control knowledge was 87.00%.(2)In the last 6 months,there were 173 cases(89.60%)have sex withmen of homosexual sex, and only 13.30% used condoms for each sexual behavior. 8.80% of the subjects had sexual behavior withwomen in the last 6 months, the proportion of condoms used for each sexual behavior was 52.90%.(3)The awareness rate for earlyantiretroviral therapy was only 14.50%, but most objects had an understanding of the benefits of early antiretroviral therapy, 82.90%of objects knew early antiretroviral therapy could improve the survival rate of HIV, 92.70% knew that could delay the disease develop-ment,and 86.0% knew that could prevent partners from infection. CONCLUSION The awareness rate for early antiretroviral therapywas relatively low. It should strengthen the publicity and intervention of early antiretroviral therapy, improve the quality of life andprognosis of patients, and promote the treatment as a preventive strategy.
出处
《中国初级卫生保健》
2018年第5期66-68,共3页
Chinese Primary Health Care
基金
上海市卫生和计划生育委员会科研课题(20144Y0186)
关键词
男男性行为人群
艾滋病病毒
早期抗病毒治疗
行为
men who have sex with men(MSM)
human immunodeficiency virus(HIV)
early antiretroviral therapy
behavior
