中国3个城市MSM人群无偿献血行为状况及影响因素分析  

Analysis on voluntary blood donation and associated factors in men who have sex with men in 3 cities in China

作　　者：孟晓军[1] 贾天剑[1] 尹寒露 罗珍胄 丁一 陈威英 黄澍杰 郑和平 杨斌 Andrew Gmlich 卢雍 王贞玉 钱燕华[1] 邹华春 Meng Xiaojun;Jia Tianjian;Yin Hanlu;Luo Zhenzhou;Ding Yi;Chen Weiying;Huang Shujie;Zheng Heping;Yang Bin;Andrew Grulich;Lu Yong;Wang Zhenyu;Oian Yanhua;Zou Huachun(Wuxi Prefectural Center for Disease Control and Prevention,Wuxi 214023,China;Nanshan District Center for Chronic Disease Control and Prevention,Shenzhen 518000,Chin;Dermatology Hospital,Southern Medical University,Guangzhou 510030,China;Kirby Institute,University of New South Wales,Sydney 2052,Australi;School of public Health,Sun Yat-sen University,Guangzhou 510008,China;School of public Health（Shenzhen）,Sun Yat-sen University,Shenzhen 518107,China)

机构地区：[1]无锡市疾病预防控制中心,214023 [2]深圳市南山区慢性病防治院,518000 [3]南方医科大学皮肤病医院,广州510030 [4]新南威尔士大学Kirby研究所,悉尼2052 [5]中山大学公共卫生学院,广州510008 [6]中山大学(深圳)公共卫生学院,深圳518107

出　　处：《中华流行病学杂志》2018年第11期1443-1448,共6页Chinese Journal of Epidemiology

基　　金：无锡市卫生和计划生育委员会面上项目（MS201613）;无锡市医学青年人才项目（QNRC033）;无锡市医学重点学科项目（ZDXK009）;无锡市科技局社会发展项目（CSZON1512）;澳大利亚国立卫生院青年学者项目（APP10992621）;国家自然科学基金（81703278）

摘　　要：目的 了解我国3个城市中MSM人群偿献血行为状况及其影响因素。方法 2017年1－8月在广州、深圳和锡市通过同志社会组织辅助招募MSM研究对象。纳入的研究对象需同时满足的标准：≥18岁男性；与男性发生过肛交或者口交；最近6个月有≥2个同性性伴，或与同性临时性伴发生过保护肛交，或有性传播疾病患病史。通过问卷调查收集研究对象的人口社会学特征、性行为特征和既往献血行为状况等信息，并采集血样检测HIV。结果 共招募研究对象603人，其中广州市302人，深圳市152人，锡市149人，年龄（27.9±7.8）岁。曾经献过血的比例为29.2%（176/603），其中3个城市的献血比例分别为广州市33.1%（100/302）、深圳市27.6%（42/152）和锡市22.8%（34/149），差异统计学意义（χ2=6.421，P=0.093）。多因素logistic回归分析结果显示，最近12个月HIV检测≥2次（比检测1次者，aOR=1.49，95% CI：1.08～2.19）、曾使用过同性恋交友软件（比不使用者，aOR=2.13，95% CI：1.12～4.44）的MSM有更高的比例曾经献过血。结论 献血行为在感染HIV的高危MSM人群中较普遍，应该加强对该人群的献血健康教育工作，以保障临床用血安全。Objective To assess the prevalence of blood donation and associated factors in men who have sex with men （MSM） in China. Methods Our observational study was conducted between January and August, 2017 in 3 cities：Guangzhou, Shenzhen and Wuxi. Eligible participants were MSM （≥ 18 years old） who had either ≥ 2 male sex partners or unprotected anal sex with casual partners, or had been diagnosed with STI in the past 6 months. A self-completed tablet-based questionnaire was used to collect the information about MSM＇s socio-demographic characteristics, sexual behaviors and blood donation history. Results A total of 603 MSM were enrolled in our study, including 302 in Guangzhou, 152 in Shenzhen and 149 in Wuxi, with a mean age of 27.9 years （SD=7.8）. Overall, 29.2% （176/603） of the MSM reported a history of blood donation, and 33.1% （100/302）in Guangzhou, 27.6% （42/152） in Shenzhen and 22.8% （34/149） in Wuxi, the differences were not significant （χ2=6.421, P=0.093）. Multivariate logistic regression analysis indicated that MSM had ever tested for HIV for ≥ 2 times in the past 12 months （vs. MSM tested for HIV one time, aOR=1.49, 95% CI：1.08-2.19） or who had ever used gay dating app （vs. MSM who not used gay dating app, aOR=2.13, 95% CI：1.12-4.44） were more likely to donate blood. Conclusions Blood donation was common in MSM in China. Health education about blood donation in MSM should be strengthened to ensure the blood safety.

关 键 词：男男性行为者 献血 影响因素 

分 类 号：R512.91[医药卫生—内科学]