男男性行为人群队列维持影响因素调查  

Factors associated with cohort retention among men who have sex with men

作　　者：周建波[1] 甄森[1] 王金塔[1] 郭燕丽[1] 陈抒蕾[1] 还锡萍[2] 尹跃平[3] 郝超[1] 

机构地区：[1]常州市疾病预防控制中心性艾所,江苏213022 [2]江苏省疾病预防控制中心性艾所 [3]中国医学科学院皮肤病研究所

出　　处：《中国公共卫生》2013年第8期1162-1165,共4页Chinese Journal of Public Health

基　　金：国家科技重大专项(2008ZX10001-005);常州市卫生局重大项目(ZD200905)

摘　　要：目的探讨影响男男性行为人群(MSM)队列维持率的影响因素,为MSM队列HIV新发感染和干预研究提供参考。方法 2009年7—9月采用滚雪球方法在江苏省常州进行MSM人群HIV感染率基线调查,在此基础上,于2009年12月及2010年6月对MSM人群进行2次随访调查,统计分析调查对象人口学资料及行为学特征对队列随访观察保持率的影响。结果本调查共进入MSM队列408人,期间至少参加1次随访的对象共177人,队列保持率43.4%。单因素分析结果显示,文化程度、寻找性伴常去场所、性行为对象对队列维持率的影响有统计学意义(P<0.05)。logistic多因素分析结果显示,影响MSM队列维持率的因素主要有文化程度为高中及以上(OR=1.93,95%CI=1.24～2.99)、本地户籍(OR=2.15,95%CI=1.26～3.65)、性行为对象女性为主(OR=2.07,95%CI=1.17～3.68)、发生商业性行为(OR=0.36,95%CI=0.17～0.76)以及寻找性伴常去场所(浴室)(OR=0.47,95%CI=0.25～0.89)。结论文化程度高、本地户籍、性行为对象以女性为主、未发生商业性行为等MSM个体更易保留在随访队列中。Objective To explore factors associated with cohort retention among men who have sex with men（MSM） and to provide reference for incidence study of human immunodeficiency virus（HIV）infection. Methods MSM were recruited for a cohort using classified snowball sampling from July to September,2009 in Changzhou city.The first follow-up period began in December of 2009 and the second in June of 2010.The sociodemographic characteristics and behaviors relevant to cohort retention were analyzed. Results Totally 408 MSM were recruited for the cohort,in which 177 MSM were followed up at least one time,the cohort retention rate was 43.4%.Multivariate logistic regression analysis showed that senior high school and higher level education（odds ratio [OR]=1.93,95% confidence interval [95%CI]=1.24-2.99）,with local residence（OR=2.15,95%CI=1.26-3.65）,having commercial sex（OR=0.36,95%CI=0.17-0.76）,having more feminine sexual partner（OR=2.07,95%CI=1.17-3.68）,and sexual partner-seeking venues（OR=0.47,95%CI=0.25-0.89）were significantly associated with cohort retention（P〈0.05）. Conclusion The MSM with high education,registered local residence in Changzhou,without commercial sex and with female-dominated sexual partners were inclined to keep in the cohort.

关 键 词：男男性行为人群 队列维持 调查 

分 类 号：R512.91[医药卫生—内科学]