绵阳市男男性行为人群队列研究艾滋病相关行为变化及影响因素分析  

Analysis on the factors of AIDS related behavior changes in MSM cohort in Mianyang City

作　　者：王毅[1] 李六林[1] 徐杰[2] 李志军 张光贵 樊静[5] 赵西和[1] 苏娅[1] 杨红[1] 周力[5] 

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]中国疾病预防控制中心性病艾滋病控制中心,北京100050 [3]美国CDC全球艾滋病项目中国办事处,北京100600 [4]绵阳市卫生局,四川绵阳621000 [5]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12期1157-1161,共5页Chinese Journal of Disease Control & Prevention

基　　金：中美艾滋病防治合作项目(6.3.3A);四川省第四轮全球基金/中英艾滋病项目(GF4SC2008012);四川省卫生厅课题(122012)

摘　　要：目的了解绵阳市男男性行为者（men who have sex with men,MSM）艾滋病相关行为变化及影响因素。方法 2009年6～9月采用同伴推动招募法（respondent driven sampling,RDS）在绵阳城区招募调查符合条件MSM共400人,去除HIV阳性对象建立开放性前瞻队列,进行每年1次为期3年的行为学随访。随访中不足基线调查样本结合滚雪球抽查法,依据纳入条件补充调查对象。队列管理中实施＂2＋3＂个体强化干预。结果队列共纳入725人,研究对象艾滋病知识,健康意识,近1年接受过预防服务,近6月有男朋友、有固定性伴,寻找性伴场所,近1周肛交次数,近1次、近6月肛交保护性变化均有统计学意义（均有P〈0.05）,多因素分析：年龄21～30岁（RR=2.61,95%CI：1.42～4.76）、知晓艾滋病知识（RR=4.56,95%CI：1.21～17.16）、近1年接受过同伴教育（RR=2.12,95%CI：1.19～3.79）行为变化比例较高,近6月有偶然性伴行为（RR=0.47,95%CI：0.28～0.78）变化较低。结论当地MSM艾滋病知识、健康意识和高危行为明显改变,干预措施有效。但高危行为仍较普遍,应针对行为变化影响因素,改进和强化防治措施。objective To understand the related behaviors and influencing factors of AIDS in men who have sex with men （MSM） in Mianyang. Methods 400 MSM were recruited by the Respondent Driven Sampling （RDS） method in Mianyang from June to September in 2009. The open prospective cohort was set up after removal of. Follow-up survey was carried out once a year for a period of three years. The lack of baseline survey sample should be combined with snowball sampling for supplementary investigation. The ＂2 ＋ 3＂ individual intensive intervention was conducted in the cohort management. Results During the study period, 725 people were included in the cohort. Statistical significances were noted in those who had the knowledge about AIDS, health consciousness, received preventive services in the recent one year, sexual partners in the recent six months, and those who tried to find the sexual partners place, and had anal sex in the recent one week （ all P 〈 0.05 ）. Multiple factors analysis revealed that ： The behavior change ratio was high in those who had the age of 21 to 30 years （RR = 2. 61,95% CI： 1.42-4. 76）, knowledge about AIDS（RR = 4. 56, 95 % CI： 1.21-17. 16）, and partner＇ s education in the recent one year（RR = 2. 12, 95% CI： 1.19-3.79）. The behavior change is low who had the occasional sexual partners in the recent six months. Conclusions Knowledge about AIDS in MSM, health consciousness and high-risk behaviors changed significantly. The interventions are effective. But the high-risk behaviors are still relatively common. The prevention and control measures should improved focused on the influencing factors of behavior changes.

关 键 词：危险性行为 队列研究 获得性免疫缺陷综合征 

分 类 号：R512.91[医药卫生—内科学]