广西HIV阳性男男性行为者告知女性固定性伴的影响因素  

Influencing factors of HIV positive serostatus disclosure to the regular female sexual partners by HIV infected men who have sex with men in Guangxi

作　　者：蓝光华[1] 梁能秀[1] 周月姣[1] 沈智勇[1] 黄琼广 蒋家晓 蓝雪妮 李荣健[1] 钟锋 LAN Guanghua;LIANG Nengxiu;ZHOU Yuejiao;SHEN Zhiyong;HUANG Qiongguang;JIANG Jiaxiao;LAN Xueni;LI Rongjian;ZHONG Feng(Institution of AIDS Control and Prevention,Guangxi Center for Disease Prevention and Control,Nanning 530028,China;Department of Epidemiology,Public Health of Guangxi Medical University,Nanning 530021)

机构地区：[1]广西壮族自治区疾病预防控制中心,南宁530028 [2]广西医科大学,南宁530021

出　　处：《中国艾滋病性病》2020年第9期949-953,共5页Chinese Journal of Aids & STD

基　　金：广西自然科学基金项目(2017GXNSFAA198370)。

摘　　要：目的了解广西艾滋病病毒(HIV)阳性男男性行为者(MSM)告知女性固定性伴状况及告知行为的影响因素,为制定和调整该人群告知干预措施和策略提供参考。方法以广西南宁市、宾阳县、柳州市、桂林市、北海市为研究现场,采用方便抽样方法,于2019年3-6月招募了206名符合条件的研究对象,对问卷中有逻辑错误的剔除5份,最终合格问卷201份。分析其一般人口学特征、近3个月高危性行为特征、HIV感染状态的告知及其告知的相关影响因素。结果在201名调查对象中,45.3%(91例)拥有女性固定性伴,其中告知的比例为30.8%(28/91)。非条件Logistic回归分析显示,高中或中专[比值比(OR)=0.112,95%可信区间(CI):0.021~0.607]和大学及以上学历(OR=0.054,95%CI:0.008~0.378)较初中及以下学历是阻碍女性固定性伴告知的关联因素;告知男性固定性伴/男朋友(OR=9.379,95%CI:1.875~46.919)与告知父母(OR=14.429,95%CI:1.43~145.607)是促进女性固定性伴告知的关联因素。结论广西HIV阳性MSM告知女性固定性伴比例较低,存在告知阻碍因素,应加强对HIV阳性MSM检测前后咨询和干预管理,防止HIV向一般人群扩散。Objective To understand the status and related factors of HIV positive sero-status disclosure to their regular female sexual partners among men who have sex with men(MSM),so as to improve the disclosure strategies for the population in Guangxi.Methods The survey was conducted in the areas of Nanning,Binyang,Liuzhou,Guilin and Beihai.206 eligible subjects were recruited during March-June,2019 by convenient sampling method,with the 201 valid questionnaires finally collected.The general demographic information,the characteristics of high-risk sexual behavior in the past three months,the disclosure of HIV infection status and the related influencing factors were analyzed.Results Out of the 201 respondents,45.3%(91/201)had regular female sexual partners or spouses.Among them 30.8%(28/91)were disclosed with HIV positive sero-status.The non-conditional logistic regression analysis showed that the education level of high school or technical secondary school(OR=0.112,95%CI=0.021-0.607)and college(OR=0.112,95%CI=0.021-0.607)or above(OR=0.054,95%-CI=0.008-0.378)were the related factors that prevented women from being disclosed of their sexual partners,compared with that of junior high school or below.The notification of regular male sexual partners/boyfriends(OR=9.379,95%-CI=1.875-46.919)and notification of parents(OR=14.429,95%CI=1.43-145.607)were the related factors to promote the disclosure of regular female sexual partners.Conclusion There is a low proportion of HIV-infected MSM informing their regular female sexual partners in Guangxi,and there are various obstacles for the disclosure.Counseling and intervention before and after diagnosis of HIV infection among MSM should be strengthened to prevent HIV spreading to the general population.

关 键 词：艾滋病病毒 男男性行为者 女性固定性伴 告知 影响因素 

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