绵阳市MSM艾滋病知识及不同地区肛交保护性和影响因素  

MSM AIDS knowledge and sexual intercourse and its influencing factors in different areas,Mianyang city

作　　者：王毅[1] 李六林[1] 樊静[2] 赵西和[1] 王晓丽 刘江[4] 杨干金 李伟 贾秀伟 王洪明 笪旭辉 任廷飞 廖平 

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,四川绵阳621000 [3]涪城区疾病预防控制中心,四川绵阳621000 [4]江油市疾病预防控制中心,四川江油621700 [5]三台县疾病预防控制中心,四川三台621100 [6]安州区疾病预防控制中心,四川安州621650 [7]北川羌族自治县疾病预防控制中心,四川北川622750 [8]梓潼县疾病预防控制中心,四川梓潼622150 [9]游仙区疾病预防控制中心,四川绵阳621000 [10]盐亭县疾病预防控制中心,四川盐亭621600 [11]平武县疾病预防控制中心,四川平武622550

出　　处：《现代预防医学》2017年第5期872-876,共5页Modern Preventive Medicine

基　　金：四川省艾滋病防治社会动员项目[项目编号:2014(中)-M-05]

摘　　要：目的了解男男性行为人群(MSM)艾滋病知识知晓和不同地区肛交保护性现状,分析影响因素。方法 2015的3-10月,以绵阳市9个县(市、区)MSM为对象,在固定场所和知情同意下,用滚雪球抽样法,进行调查对象招募和自填式行为学调查及血清学检测。结果共调查1 271例,艾滋病知识知晓率98.2%(1 248/1 271),肛交保护性近1次92.7%(1 036/1 117)、近6月82.7%(924/1 117),不同地区差异有统计学意义(分别有=58.488、100.040,P均<0.001)。近6月肛交人群中有保护性和无保护性艾滋病病毒(HIV)感染率分别为4.7%(43/924)、9.8%(19/193)(=8.207,P=0.004)。多因素分析:文化程度、婚姻状况、艾滋病知识、认识当地MSM朋友数、压力感受、近1周肛交次数是肛交保护性的独立影响因素(P均<0.05)。结论绵阳市MSM艾滋病知识知晓率、性行为保护性较高,地区间不平衡。肛交保护性与人口学特征、知识知晓、肛交频率、压力感受相关。应关注压力感受对性行为保护性的影响。Objective To understand the awareness of HIV/AIDS knowledge and the status of sexual intercourse in different regions,and to analyze the influencing factors of the men who have sex with men（ MSM）. Methods The objects were from MSM in 9 counties（ cities,districts）,in Mianyang city,from March to October in 2015. Objects were recruited in a fixed place and informed consent,using snowball sampling. And they were investigated by self-administered behavioural investigation and done serological detection. Results A total of 1271 cases were investigated. AIDS awareness rate was 98. 2%（ 1248/1271）,protected anal intercourse of nearly 1 times 92. 7%（ 1036/1117）,nearly 6 months 82. 7%（ 924/1117）,the differences in different regions were statistically significant（ respectively,chi-square = 58. 488100. 040,P = 0. 000）. Nearly six months of anal sex and no protection of AIDS virus（ HIV） infection rates were 4. 7%（ 43/924） and 9. 8%（ 19/193）（ = 8. 207,P = 0.004）. Multi-factor analysis： cultural degree,marital status,AIDS knowledge,understanding the local MSM friends,the number of pressure,the number of anal sex in the recent week were the independent influence factors of anal sex（ P 0. 05）.Conclusion In Mianyang city,MSM AIDS knowledge awareness rate and protective behaviour are up to a high level,but with regional imbalances. Protected anal intercourse is related to demographic characteristics,knowledge,anal intercourse frequency and pressure feeling. The influence of Pressure feelings to sexual behaviour protective effect should be concerned.

关 键 词：男男性行为人群 艾滋病 知识 肛交 保护性 影响因素 

分 类 号：R195[医药卫生—卫生统计学]