2019年我国三城市青年学生男男性行为人群HIV非职业暴露后预防用药的知识知晓和服务接受情况及相关因素  

Status and influencing factors of knowledge awareness and service acceptance of HIV non-occupational post-exposure prophylaxis of men who have sex with men among college students among three cities of China,2019

作　　者：韩晶[1] 李杰 王克荣[1] 姜天俊 宋兵 王辉[4] 刘晓宁[4] 刘俊 张广[6] 李在村[7] Han Jing;Li Jie;Wang Kerong;Jiang Tianjun;Song Bing;Wang Hui;Liu Xiaoning;Liu Jun;Zhang Guang;Li Zaicun(Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Chinese Association for STD and AIDS Prevention and Control,Beijing 100050,China;Eneral Hospital of PLA Fifth Medical Center,Beijing 100039,China;The Third People's Hospital of Shenzhen,Shenzhen 518112,China;Kunming Third People's Hospital,Kunming 650041,China;National Center for STD/AIDS Control and Prevention,Beijing 102206,China;Beijing Youan Hospital,Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学附属北京地坛医院,北京100015 [2]中国性病艾滋病防治协会,北京100050 [3]解放军总医院第五医学中心,北京100039 [4]深圳市第三人民医院,518112 [5]昆明市第三人民医院,650041 [6]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206 [7]首都医科大学附属北京佑安医院,北京100069

出　　处：《中华预防医学杂志》2020年第11期1220-1226,共7页Chinese Journal of Preventive Medicine

摘　　要：目的了解我国三城市青年学生男男性行为人群(MSM)对艾滋病暴露后药物预防(nPEP)知识知晓和接受服务情况及其相关因素。方法于2019年3月15日至4月14日,在北京、深圳、昆明3个城市,采用整群分层抽样方法选择10所大学,招募其中年龄在18周岁及以上,近3个月有过男男性行为者为研究对象。采用网上问卷调查方式收集基本情况、性行为特征、nPEP知识知晓和接受服务情况。采用多因素二分类非条件logistic回归模型分析nPEP知识知晓和接受服务的相关影响因素。结果293名研究对象年龄为(21.0±0.2)岁,本科占91.1%(267名)。研究对象近3个月,每次性行为都使用安全套的占54.3%(159名),与感染HIV的男性发生性行为的占4.4%(13名),近6个月患性病的占9.2%(27名),近1年内未进行过HIV检测占29.4%(86名)。nPEP知识知晓比例为47.8%(140名),21.2%(62名)求询过nPEP,9.9%(29名)接受过nPEP。与近1年内未检测HIV相比,HIV检测次数超过2次的nPEP知识知晓的OR(95%CI)值为3.15(1.01~9.86),HIV检测次数超过2次的求询nPEP的OR(95%CI)值为5.29(1.51~18.51);与近3个月男男性行为中未使用rush的相比,使用rush者接受nPEP服务的OR(95%CI)值为3.86(0.99~14.98);与和未感染HIV的男性发生性行为相比,和感染HIV的男性发生性行为者接受nPEP服务的OR(95%CI)值为14.30(3.35~61.03)。结论青年学生MSM对nPEP知识知晓和接受nPEP服务的比例较低。在青年学生MSM中应开展nPEP知识教育和服务信息的宣传,提高服务的可及性。Objective To understand the knowledge awareness and service acceptance of HIV non-occupational post-exposure prophylaxis(nPEP)men who have sex with men(MSM)among college students in three cities of China.Methods Male college students in 10 universities of Beijing,Shenzhen and Kunming aged 18 and above who had sex with men in the last 3 months were recruited as research objects by cluster stratified sampling from March 15,2019 to April 14,2019.Basic information,sexual behavior characteristics,knowledge,and service acceptance of nPEP were collected through online questionnaire survey.Multivariate dichotomy and unconditioned logistic regression model was used to explore related factors about knowledge awareness and service acceptance of nPEP.Results A total of 293 MSM were surveyed.The average age was(21.0±0.2)years old,and 91.1%(267)were undergraduates.In the last 3 months before the survey,54.3%(159)used condom each time of sex;4.4%(13)had intercourse with the HIV infected men,and 9.2%(27)suffered STDs in the past 6 months.The 29.4%(86)had not received HIV testing in the past year.The nPEP knowledge awareness rate was 47.8%(140).The 21.2%(62)counseled nPEP services,and 9.9%(29)received nPEP services.After multiple logistic regression analysis,compared with those who not received HIV testing in the past year,OR(95%CI)value of those who received HIV testing for more than twice in the past year to aware the nPEP knowledge was 3.15(1.01-9.86).Compared with those who not received HIV testing in the past year,OR(95%CI)value of those who received HIV testing for more than twice in the past year to counsel the nPEP services was 5.29(1.51-18.51).Compared with those who never used rush in the last 3 months,OR(95%CI)value of those who ever used rush in the last 3 months to receive the nPEP services was 3.86(0.99-14.98).Compared with those who not sexed with HIV infected in the last 3 months,OR(95%CI)value of those who sexed with HIV infected in the last 3 months to receive the nPEP services was 14.30(3.35-61.03).Conclusion

关 键 词：HIV 男男性行为者 横断面研究 大学生 

分 类 号：R512.91[医药卫生—内科学]