沈阳HIV阳性已婚男男性行为者的配偶告知状况及阻碍因素分析  

Resistance factors influencing HIV serostatus disclosure to spouses among married men who have sex with men(MSM) in Shenyang

作　　者：黄掣驰 毛翔[1] 张伟 胡清海[1] 张晶[1] 楚振兴[1] 耿文清[1] 姜拥军[1] 徐俊杰[1] HUANG Chechi1 , MAO Xiang1 , ZHANG Wei1 , HU Qinghai1 , ZHANG Jing1 , CHU Zhenxing1 , GENG Wenqing1 , JIANG Yongjun1 , XU Junjie1(1. Key Laboratory of AIDS Immunology of the National Health and Family Planning Commission, the First Affiliated Hospital of China Medical University, Shenyang 110001, China; 2. PAREXE)

机构地区：[1]中国医科大学附属第一医院国家卫生和计划生育委员会艾滋病免疫学重点实验室,沈阳110001 [2]精鼎医药研究开发(上海0有限公司,沈阳110001

出　　处：《中国艾滋病性病》2018年第3期250-253,共4页Chinese Journal of Aids & STD

基　　金：“十二五”国家科技重大专项(2012ZX10001006)~~

摘　　要：目的探讨沈阳市艾滋病病毒（HIV）阳性已婚男男性行为者（MSM）的配偶告知状况及影响因素。方法采用方便抽样方法,获得2014-2016年沈阳地区中国医科大学附属第一医院阳性已婚MSM配偶告知的相关信息,用多因素Logistic回归探讨配偶告知的相关因素。结果 524例HIV阳性MSM参加调查,其中已婚有配偶者占21.9%（115/524）,配偶HIV感染率为12.2%（14/115）。总体阳性已婚MSM自报的配偶告知比例为62.6%（72/115）,其中配偶HIV阳性者的告知比例为92.9%（13/14）,而配偶HIV为阴性/未明确状态的告知比例为58.4%（59/101）。多因素Logistic回归分析显示,自报经男男性行为途径感染HIV[调整比值比（aOR）=0.23,95%可信区间（CI）：0.07~0.70）]、近6个月未与配偶发生性行为（aOR=0.24,95%CI：0.10~0.60）、梅毒现症感染（aOR=0.30,95%CI：0.11~0.79）,是阻碍配偶告知的关联因素;配偶HIV阳性（aOR=11.10,95%CI：1.37~90.21）是促进阳性已婚MSM配偶告知的关联因素。结论沈阳地区阳性已婚MSM配偶告知状况处于较低水平,且存在诸多阻碍告知因素,建议出台完善配偶告知相关政策或法规,以降低HIV通过MSM向普通人群的传播风险。Objective To investigate the status and related factors on HIV serostatus disclosure to their spouses among married MSM in Shenyang.Methods Married HIV-infected MSM were recruited by convenience sampling method in the first affiliated hospital of China medical university,Shenyang,during 2014-2016.Multivariate logistic regression was used to identify associated factors on HIV serostatus disclosure to their spouses.Results A total of524 HIV-infected MSM participated in this survey,among which 21.9%（115/524）got married with females.12.2%（14/115）spouses of HIV-positive MSM were reported as HIV-positive.By self-report,the proportion of HIV serostatus disclosure to the total spouses was 62.6%（72/115）,to the HIV-positive spouse was 92.9%（13/14）and to the HIV-negative/unknown HIV status spouse was 58.4%（59/101）.The following factors were negatively related with HIV serostatus disclosure to spouses among HIV-infected MSM：HIV-infection because of homosexual intercourse by self-report（aOR=0.23,95%CI=0.07-0.70）,no sex with spouses in the recent 6 months（aOR=0.24,95%CI=0.10-0.60）,syphilis infection（aOR=0.30,95%CI=0.11-0.79）,and HIV-positive spouses（aOR=11.10,95%CI=1.37-90.21）.Conclusion The proportion of HIV serostatus disclosure to spouses among married MSM in Shenyang is low,and there are several barriers to the disclosure.To reduce HIV transmission risks from MSM to general female population,spouse disclosure policy is urgently needed for HIV intervention and prevention.

关 键 词：艾滋病病毒 男男性行为者 配偶 告知 阻碍因素 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]