湖州市区MSM人群艾滋病KAP调查及影响因素分析  

KAP of MSM population over 50 years of age in Huzhou City and its influencing factors

作　　者：许向东[1] 吕鑫[2] 凌建[2] 沈云峰[2] XU Xiangdong;LYU Xin;LING Jian;SHEN Yunfeng(Nanxun Center for Disease Control and Prevention, Huzhou,Zhejiang 313009,China;Wuxing Center for Disease Control and Prevention, Huzhou, Zhejiang 313001,China)

机构地区：[1]浙江省湖州市南浔区疾病预防控制中心,浙江湖州313009 [2]浙江省湖州市吴兴区疾病预防控制中心,浙江湖州313001

出　　处：《中国农村卫生事业管理》2019年第4期290-293,298,共5页Chinese Rural Health Service Administration

基　　金：湖州市自然科学资金项目(2016YZ08)

摘　　要：目的了解和掌握湖州市市区≥50岁男男同性恋人群(MSM)对艾滋病的知识、信念和行为及其影响因素,为针对性开展该人群艾滋病高危干预工作和制定有效的干预措施提供科学依据。方法采用滚雪球抽样的方法,抽取湖州市区50周岁及以上常住人口作为调查对象进行问卷调查,内容主要包括调查对象一般社会人口学信息;艾滋病防治相关知识、信念、行为、知识获取渠道及行为干预需求信息;非婚、商业性行为等艾滋病高危行为等信息。结果共完成有效调查94名,调查对象艾滋病相关知识的平均得分为(6. 81±1. 63)分,及格率为67. 02%。文化程度、月可支配收入越高,艾滋病相关知识及格率也越高。艾滋病相关态度平均得分为(3. 10±0. 92)分,及格率52. 13%。不同职业和婚姻状况是艾滋病相关态度及格率的影响因素,在婚或同居是影响艾滋病相关态度及格率的保护因素。艾滋病相关行为平均得分为(2. 28±0. 87)分,及格率39. 36%。不同婚姻状态和艾滋病态度是艾滋病相关行为及格率的影响因素,在婚或同居是影响艾滋病相关行为的保护因素。KAP总平均得分为(12. 22±2. 25)分,及格53人,及格率为56. 38%。不同婚姻状态、艾滋病行为及态度及格情况、是否为HIV/AIDS患者是艾滋病KAP总得分及格率的影响因素。结论湖州市区≥50岁MSM人群相对于一般社会人群艾滋病防治知识和信息的知晓水平较低,年龄大、思想相对固化,应以KAP模式理论为指导,针对性地创造艾滋病防控支持性环境,提高其艾滋病防治知识的知晓水平,帮助树立安全性行为意识,重点加强全程使用安全套的推广,从而控制HIV在老年MSM中的流行,并防止向一般人群传播。Objective To investigate the knowledge,attitude and practice( KAP) of AIDS among MSM( men who have sex with men) population aged 50 years and above in Huzhou City and its influencing factors,and to provide scientific basis for carrying out HIV/AIDS high risk intervention and taking effective intervention measures. Methods With the method of snowball sampling,the resident population aged 50 and above in Huzhou city was selected as the survey objects for a questionnaire survey,which mainly covered the general social demographic information of the survey objects,their KAP of AIDS,knowledge acquisition channels and behavior intervention needs,and high-risk behaviors of AIDS such as non-marital sex behavior or commercial sex behavior. Results The total number of valid return was 94. The average score of AIDS-related knowledge was( 6. 81 ± 1. 63),and the pass rate was 67. 02%. The higher the education level and the higher the monthly disposable income,the higher the pass rate of AIDS-related knowledge. The average score of AIDS-related attitude was( 3. 10 ± 0. 92),and the pass rate was 52. 13%. Different occupation and marital status were the influencing factors of AIDS-related attitude pass rate,and marriage or cohabitation was the protective factor of AIDS-related attitude pass rate. The average score of AIDS-related behavior was( 2. 28 ± 0. 87),and the pass rate was 39. 36%. Different marital status and AIDS attitudes were the influencing factors of AIDS-related behavior pass rate. Marriage or cohabitation was the protective factor of AIDS-related behaviors. The average total score of KAP was( 12. 22 ± 2. 25),and 53 respondents passed with a rate of 56. 38%. Different marital status,pass status of AIDS behavior and attitude,being HIV/AIDS patients or not are the influencing factors of the pass rate of AIDS KAP total score. Conclusions Compared with the general social population,the MSM population aged 50 years old and above in Huzhou City has a lower level of knowledge and information about AIDS control and prev

关 键 词：男男性行为人群 艾滋病 KAP 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]