年轻男男性行为者艾滋病预防服务覆盖现状及信息获取渠道关联因素分析  

Coverage of HIV/AIDS prevention services among young men who have sex with men and factors influencing information access channels

作　　者：王毅[1] 李六林[1] 周万明 樊静[2] 赵西和[1] 唐宇 何静[1] 刘江[3] 周力[2] 张晓军 WANG Yi;LI Liu-lin;ZHOU Wan-ruing;FAN Jing;ZHAO Xi-he;TANG Yu;HE Jing;LIU Jiang;ZHOU Li;ZHANG Xiao-jun(Mianyang Center for Disease Control and Prevention,Mianyang 621000,China;Mianyang Gay Love Group;Jiangyou Center for Disease Control and Prevention)

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组 [3]江油市疾病预防控制中心

出　　处：《华南预防医学》2018年第6期506-512,共7页South China Journal of Preventive Medicine

基　　金：四川省财政补助艾滋病防治项目(ZC2015007;SCWJWZC2016013);绵阳市应用技术研究与开发项目(15S-01-10)

摘　　要：目的了解年轻男男性行为者(YMSM)艾滋病(AIDS)预防服务覆盖现状,分析防治信息获取渠道关联因素。方法以四川省绵阳市15～24周岁YMSM为对象,用滚雪球抽样法招募调查对象,进行预防服务、信息渠道、性行为等调查和血清学检测。防治信息获取渠道关联因素单因素分析采用c2检验,多因素分析采用非条件logistic回归。结果共对362名YMSM进行调查,调查对象年龄中位数为21.0岁,大专及以上文化程度224人(占61.9%),学生213人(占58.8%)。预防服务覆盖率为78.6%(278/362),主要信息渠道为互联网,占62.4%(226/362),其次为朋友46.6%(168/362)、电视41.4%(150/362)、宣传材料40.6%(147/362)、学校34.0%(123/362)。以电视、宣传材料为信息渠道者艾滋病病毒(HIV)抗体阳性率低于其他信息渠道YMSM(均P<0.05)。多因素分析结果显示,大专及以上文化程度(OR=1.814)、学生(OR=1.880)、做过HIV检测(OR=1.807)、互联网寻找性伴者(OR=2.328)主要信息渠道为互联网渠道的可能性大,有抑郁症状者(OR=0.579)互联网渠道可能性小;接受同伴教育(OR=3.391)、固定性行为(OR=3.269)、偶然性行为者(OR=2.756)主要信息渠道为朋友渠道可能性大,肛交数≥2人者(OR=0.475)可能性小;坚持准备安全套(OR=0.280)、偶然性伴数(OR=0.301)、HIV-抗体阳性者(OR=0.142)主要信息渠道为电视渠道可能性小;接受同伴教育者(OR=5.022)主要信息渠道为宣传材料渠道较大,而有焦虑症状(OR=0.151)、HIV-抗体阳性者(OR=0.177)可能性较小。结论 YMSM预防服务覆盖率不高,互联网作为主要信息获取渠道的作用明显,电视、宣传材料传播效力较高,AIDS防治应充分利用和强化各类信息渠道的优点。Objective To understand the status of the coverage of HIV/AIDS prevention servicesin young men who have sex with men(YMSM)and analyze factors influencing channels of prevention and treatment information access. Methods YMSM aged 15 to 24 years in Mianyang City,Sichuan Provincewere recruited by the snowball sampling method. Prevention services,information access channels,and sexual behavior were investigated and serological tests were conducted among the selected subjects. Datawere analyzed using the chi-square test or multivariate logistic regression model. Results A total of 362 YMSMs were surveyed,with a median age of 21.0 years. Of the respondents,224(61.9%)had the educa-tional level of college degree or above and 213(58.8%)were students. The coverage of prevention services was 78.6%(278/362). The main channels of obtaining information were the internet,accounting for62.4% of the participants(226/362),followed by friends(46.6%;168/362),television(41.4%;150/362),publicity materials(40.6%;147/362),and schools(34.0%;123/362). The HIV antibody positive rate in those who took the television and publicity materials as the information dissemination channels was lower than those who did not(all P<0.05). Multivariate logistic regression showed that,YMSMs who had a college degree or above(OR=1.814),were students(OR=1.880),had HIV tested(OR=1.807)or searched for sexual partners through the internet(OR=2.328)were more likely to take the internet as the main information channel,but those who had depressive symptoms were less likely(OR=0.579);those who accepted peer education(OR=3.391),had fixed sexual behavior(OR=3.269)or occasional sexual behavior(OR=2.756)were more likely to take friends as the main information channel,while those who had more than 2 anal sexual partners(OR=0.475)were less likely;those who insisted on using condoms(OR=0.280),had occasional sexual partners(OR=0.301)or were positive for HIV-antibody(OR=0.142)were less likely to take the television as the main information channel;the persons accepting peer

关 键 词：男男性行为者 获得性免疫缺陷综合征 预防卫生服务 信息传播 因素分析 统计学 

分 类 号：R512.91[医药卫生—内科学]