摘要
目的了解广州市海珠区男男性行为者(MSM)的艾滋病知识知晓情况及影响因素、性行为及艾滋病、梅毒感染情况,为制定MSM人群干预策略提供依据。方法 2014—2016年,由调查员对MSM进行面对面问卷调查及艾滋病、梅毒血清学检测。结果艾滋病知识总知晓率为93.63%(809/864), HIV抗体和梅毒阳性检出率分别为8.56%和5.09%。最近1次同性肛交性行为安全套使用率从2014年的70.42%上升为2016年的81.54%(x^2=8.6731,P<0.05),最近6个月发生同性肛交性行为时每次均用安全套比例从2014年的52. 82%上升为2016年的65.38%(χ~2=9.1196, P<0.05)。多因素Logistic回归分析结果显示,文化程度高(OR=3.812, 95%CI:2.046～7.100)、最近1年接受过干预服务(OR=3.714, 95%CI:1.783～7. 736)、同伴教育(OR=4.258, 95%CI:1.227～14.771)是有利于提高艾滋病知晓率的影响因素(P<0.05)。多因素分析结果显示,最近1年接受过干预服务(OR=1.617, 95%CI:1.152～2.271)的MSM更容易坚持使用安全套。结论广州市海珠区近3年的干预措施取得一定成效,但MSM人群知行分离严重,需加大安全套发放、咨询检测、同伴教育等干预力度,减少不安全性行为,降低感染艾滋病和梅毒的风险。
Objective To understand the knowledge of HIV/AIDS and associated factors, high risk behaviors,HIV and syphilis infection among men who have sex with men( MSM) in Haizhu District of Guangzhou, and to provide evidence for the development of MSM population intervention strategies. Methods The information about HIV/AIDS knowledge and related behaviors among MSM were collected with a face-to-face questionnaire interview by investigators during 2014-2016. Serological tests for HIV and syphilis were performed after questionnaire survey. Results The awareness rate of HIV/AIDS prevention-related knowledge was 93. 63%(809/864). HIV and syphilis infection rates in MSM were 8. 56%and 5. 09%, respectively. The condom use rate in the latest homosexual anal sex was increased from 70.42% in 2014 to81.54% in 2016(x^2 =8.6731, P<0.05). Condom use rate in last six months homosexual anal sex was increased from52. 82% in 2014 to 65. 38% in 2016( x^2= 9. 1196, P <0. 05). Multivariate logistic regression analysis showed that high educational level(OR= 3. 812, 95%CI: 2.046-7.100), receiving intervention services(OR =3. 714, 95%CI:1.783-7. 736) and peer education(OR =4. 258, 95% CI: 1. 227-14. 771) in the last year were conducive to improve AIDS awareness. Multivariate logistic regression analysis showed that the protective factors for condom use were receiving intervention services(OR = 1.617, 95%CI: 1. 152-2.271) in the last year. Conclusion The intervention measures in Haizhu District of Guangzhou City in recent three years had achieved, but the knowing-doing gap was big, condom use, HIV counseling and testing, peer education and other effective interventions should be improved to reduce unsafe sexual behavior and the risk of HIV infection and syphilis.
作者
朱凯星
何虹励
许美振
邓细妹
ZHU Kai-xing;HE Hong-li;XU Mei-zhen;DENG Xi-mei(Haizhu District Center for Disease Control and Prevention,Guangzhou 510288,China)
出处
《中国健康教育》
北大核心
2019年第1期40-45,共6页
Chinese Journal of Health Education
基金
广州市医药卫生科技项目(20141A010092)
