男男性行为者艾滋病知识与行为分离的影响因素分析  

Impact factor analysis on separation of AIDS knowledge and behavior in MSM

作　　者：王毅[1] 李六林[1] 张光贵 樊静[3] 赵西和[1] 贾蜀光[1] 周力[3] 龙星[3] 

机构地区：[1]绵阳绵阳市疾病预防控制中心,621000 [2]绵阳市卫生局 [3]绵阳同志关爱小组

出　　处：《中华行为医学与脑科学杂志》2014年第8期732-736,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：四川省第四轮全球基金/中英艾滋病项目（GF4SC2008012）

摘　　要：目的 了解男男性行为者（MSM）艾滋病知识与行为分离现状,分析影响因素.方法 2011年9月至2012年3月在四川省绵阳市采用滚雪球采样法,采用自行设计的调查表,对405名男男性行为者进行面对面匿名行为学调查和血清学检测.结果 艾滋病知识知晓率98.0％（397/405）,近6月男性肛交每次使用安全套56.6％ （201/355）,知识行为分离为43.7％ （152/348）.知识行为不分离、分离艾滋病病毒（HIV）感染率分别为5.1％（10/196）、7.9％（12/152）,差异无统计学意义（x2=1.127,P＞0.05）.多因素分析显示教师/干部职员/其他职业（OR =0.328,95％ CI：0.143～0.755）、艾滋病知识来源广播（OR =6.062,95％CI：1.656～22.184）、艾滋病知识来源互联网（OR=2.747,95％ CI：1.339～ 5.637）、有HIV感染风险认知（OR =4.184,95％ CI：1.354～12.923）、性角色0.5号（OR=2.161,95％ CI：0.040～4.489）、无习惯携带安全套（OR=2.750,95％ CI：1.476～5.122）、近1周肛交次数≥2（OR =2.631,95％ CI：1.115～6.209）、有男朋友（BF）期间多性伴（OR=0.430,95％ CI：1.149～4.717）是知识行为分离的独立影响因素.结论 MSM知识行为分离普遍,受人口学特征、性角色、知识接收途径和性行为等影响.在艾滋病防治中应针对知识行为分离影响因素,持续强化行为干预.Objective To understand the status of separation of AIDS knowledge and behavior in men who have sex with men （MSM） and analyze its impact factor.Method Questionnaires and serology sampling were employed by snowball sampling from September 2011 to March 2012 at Mianyang city of Sichuan Province.Self-designed questionnaires were used in a face-to-face way proceeded by the professionals on anonymous behavioral survey within 405 respondents.Result In 405 respondents,the awareness rate of AIDS knowledge was 98.0％ （397/405） and the usage rate of condoms in every anal sex among MSM for recent 6 months was 56.6％ （201/355） and separation of knowledge and behavior was 43.7％ （152/348）.5.1％ （10/196） indicates no separation of knowledge and behavior （x2 =1.127,P＞0.05）.However,HIV positive rate reached 7.9％ （12/152） when knowledge and behavior separated （x2=1.127,P＞0.05）.Via Multi-factor analysis the independent impact factors for separation of knowledge and behavior follow as before：Teachers/cadres/other occupations （OR =0.328,95％ CI：0.143-0.755）,knowledge from radio （OR =6.062,95％ CI：1.656-22.184）,knowledge from internet （OR =2.747,95％ CI：1.339-5.637）,risk Perception of HIV infection （OR =4.184,95％ CI：1.354-12.923）,sex role as versatile （OR =2.161,95％ CI：0.040-4.489）,no habit for using condoms （OR =2.750,95％ CI：1.476-5.122）,anal sex times ≥2 in recent 1 week （OR =2.631,95％ CI：1.115-6.209）,promiscuity when having boyfriend（OR =0.430,95％ CI：1.149-4.717）.Conclusion Separation of knowledge and behavior exists and which is affected by demographic characteristics,sex roles,ways of knowledge acception and sex behavior,etc.In AIDS prevention and control continuous enhancement on behavioral intervention of impact factor of separation of knowledge and behavior.

关 键 词：男男性行为者 获得性免疫缺陷综合症 知识 行为 分离 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]