成都市男男性行为人群HIV检测影响因素分析  

The Influencing Factors of HIV Testing for MSM in Chengdu

作　　者：田晋[1] 陈磊[1] 刘婷[1] 王晓冬 杨斗 徐海港[3] 陈怀良[1] 张建新[1] 

机构地区：[1]四川大学华西公共卫生学院儿少教研室,成都610041 [2]成都市同乐健康服务咨询中心 [3]江西省妇幼保健院

出　　处：《预防医学情报杂志》2012年第8期605-608,共4页Journal of Preventive Medicine Information

摘　　要：目的了解成都市男男性行为(MSM)人群的性行为状况以及HIV检测情况,探索成都市MSM人群HIV检测的影响因素。方法采用立意抽样与"滚雪球"抽样相结合方法对成都市291名男男性行为者进行一对一问卷调查,并采用Logistic回归模型对该人群HIV检测的影响因素进行分析。结果调查对象中48.5%的人在近6个月存在多性伴的现象;90.2%的人有肛交性行为;51.6%的人没有坚持使用安全套;在对肛交中的性角色回答中,49.8%的对象表示1/0皆有,只做0或1的分别为26.2%和24.0%;近1年接受过HIV检测的占59.3%。30个艾滋病知识/信息条目平均知晓率为76.4%。Logistic回归显示,条目"成都同志关爱小组每周五、周日提供免费艾滋病检测服务"以及"《艾滋病防治条例》规定相关机构应为艾滋病感染者的个人信息保密"的知晓对MSM人群HIV检测起促进作用。结论成都市MSM人群HIV检测率不高,影响因素主要为该人群缺乏HIV检测的具体信息以及害怕因为检测而暴露自己的身份,建议今后有针对性地进行干预,从检测条件以及检测信息的保密性等方面加大宣传力度,以降低艾滋病的感染风险。Objective To understand the situation of sexual behaviors and HIV-testing of men who have sex with men（MSM） in Chengdu,and to explore the factors that influenced the HIV-testing.Methods A total of 291 MSM were selected with the combination of purposive sampling and snowball sampling to carry out questionnaire survey,and the factors which influenced the HIV-testing behavior were analyzed by Logistic regression model.Results There were 48.5% of the responders had multiple sexual partners in the past six months,90.2% of them had anal sexual,and 51.6% had not insist to use condoms.When being asked the sex role in anal sex,49.8% of them answered both top and buttom,26.2% answered only buttom,and 24.0% answered only top.In the past one year,59.3% of the responders had had HIV test.The average awareness rate for 30 pieces of HIV-related knowledge and information was 76.4%.The result of Logistic regression showed that the knowledge for ＂MSM care group in Chengdu provides free HIV test on Friday and Sunday＂ and ＂The regulations on AIDS prevention and control rules related institution shall keep secret for HIV infected persons＂ could promote the HIV test for MSM.Conclusion The rate of HIV test among MSM in Chengdu is not high,the main negative influencing factors are lacking specific information of HIV test and fear of being public identity because of the test.It is suggested that interventions should be targeted.The publicity about HIV test conditions and keeping secret for HIV test information should be strengthened to reduce the risk of HIV infection.

关 键 词：男男性行为者 HIV检测 影响因素 

分 类 号：R512.91[医药卫生—内科学]