男男性行为者艾滋病相关认知态度与行为分离现状和影响因素研究  

The separation conditions of beliefs from behaviors among men who have sex with men: an approach for influencing factors

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]绵阳市疾病预防控制中心艾滋病防治所,四川绵阳621000 [2]绵阳市卫生局,四川绵阳621000 [3]绵阳同志关爱小组,四川绵阳621000

出　　处：《中华疾病控制杂志》2014年第10期951-955,共5页Chinese Journal of Disease Control & Prevention

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（men who have sex with men,MSM）艾滋病相关认知态度、行为分离现状,分析影响因素。方法 2011年9月～2012年3月在绵阳市,采用滚雪球采样法,自行设计的调查表,由专门人员以面对面方式进行相关调查。结果共调查405名MSM,70.7%调查对象认知态度正确,其中正向认知63.2%。近6月43.5%有无保护肛交,39.8%存在认知态度与行为分离（简称信行分离）。单因素分析表明,职业、婚姻状况、收入、近1年接受同伴教育、艾滋病病毒（human immunodeficiency virus,HIV）咨询或检测、宣传材料发放、艾滋病知识来源广播、微信及网站获取同志文化、近6月男性肛交、男性肛交人数、无保护阴道交,近1周肛交次数、同性固定性伴侣期间多性伴、习惯携带安全套与信行分离差异有统计学意义（均有P〈0.05）。多因素分析表明,在婚（OR=3.425,95%CI：1.223～9.588）、艾滋病知识不是来源广播（OR=6.574,95%CI：1.065～40.559）、性角色0.5号（OR=2.072,95%CI：1.042～4.118）、近6月男性肛交人数≥7（OR=8.911,95%CI：1.770～44.867）、无习惯携带安全套（OR=2.732,95%CI：1.319～5.657）是MSM信行分离的促进因素,教师/干部职员/其他职业（OR=0.236,95%CI：0.084～0.663）是保护因素。结论 MSM信行分离较为普遍,并受人口学特征、性角色、知识接收途径和性行为等影响,在艾滋病防治中应结合影响因素开展针对性行为干预。Objective To understand the current situation of AIDS related cognitive attitudes and behavior separation in MSM, and to analyze its influencing factors. Methods Questionnaires sampling and snowball sampling were employed in behavioral survey in a face-to-face way proceeded by the professionals from September of 2011 to March of 2012 at Mianyang city of Sichuan Province. HIV test and syphilis test were performed meanwhile. Single factor for separation of knowledge and behavior was analyzed via 2 test. Multi-factor was analyzed via the unconditioned Logistic regression analysis. Results In 405 respondents, the awareness rate of AIDS knowledge was 70. 7% and positive cognition was 63.2%. The no-use rate of condoms in each anal sex among MSM in recent 6 months was 43.5% and separation of knowledge from behavior was 39. 8% （102/256）. Independent impaet factors for separation of knowledge from behavior collected via univa- riate-faetor analysis were as follows; occupation, marital status, income, peer education received nearly l year, HI~ coun- seling or testing, promotional materials distributed, AIDS knowledge sources broadcast, miero-ehannel, website for gay cul- ture, recent 6 months male anal sex, number of male anal sex, unprotected vaginal intercourse, anal number nearly one week, multiple sex partners with BF, and accustomed to carry condoms （ all P 〈 0. 05 ）. Impact factors for separation of knowledge from behavior studied via Multi-faetor analysis were as follows： occupation, marital status, AIDS knowledge from radio, sex roles, the number of male anal sex in recent 6 mouths, accustomed to carry condoms are independent factors; in marriage （ OR = 3. 425, 95 % CI： 1. 223-9. 588 ）, AIDS knowledge not from radio （ OR = 6. 574, 95 % CI： 1. 065-40. 559 ）, sex roles 0. 5 （ OR = 2. 072 , 95% CI：1.042-4.118）, sex times ≥7 in recent 6 month（OR =8.911,95% C1：1.770- 44. 867 ） , not accustomed to carry condoms（ OR = 2. 732, 95% CI： 1. 319-5. 657 ） were contributing factors ; t

关 键 词：HIV 性行为 危险因素 

分 类 号：R512.91[医药卫生—内科学]