北京市2016-2019年报告的男性高校学生HIV感染者性伴告知情况  

HIV status disclosure to sexual partners and its related factors among HIV-positive college students reported from 2016 to 2019 in Beijing

作　　者：贺淑芳[1] 王娟[1] 陈婧[1] 邵英[2] 苑红 黄海静[4] 周枫[1] HE Shufang;WANG Juan;CHEN Jing;SHAO Ying;YUAN Hong;HUANG Haijing;ZHOU Feng(Beijing Center for Disease Prevention and Control,Beijing Research Center for Preventive Medicine,Beijing 100013,China;Beijing Youan Hospital Affiliated to Capital Medical University,Beijing 100069;General Hospital of PLA Fifth Medical Center,Beijing 100039;Beijing Ditan Hospital Affiliated Capital Medical University,Beijing 100015)

机构地区：[1]北京市疾病预防控制中心北京市预防医学研究中心,北京100013 [2]首都医科大学附属北京佑安医院,北京100069 [3]中国人民解放军总医院第五医学中心,北京100039 [4]首都医科大学附属北京地坛医院,北京100015

出　　处：《中国艾滋病性病》2021年第8期817-821,共5页Chinese Journal of Aids & STD

基　　金：国家“十三五”科技重大专项(2018ZX10715005-002-004)。

摘　　要：目的了解北京市2016-2019年男性高校学生HIV感染者性伴告知情况及影响因素。方法对北京市2016年1月至2019年6月报告且在北京抗病毒治疗的18岁及以上的男性高校学生HIV感染者进行调查,采用自填式电子问卷调查方式,收集调查对象的社会人口学和行为学等特征,对该人群感染后的性伴告知情况进行分析。结果共调查男性高校学生HIV感染者200例,调查对象被确认HIV感染时的平均年龄为(22.18±2.70)岁,有过男男同性性行为的占93.50%(187/200),确认感染后的性伴告知比例为63.00%(126/200)。对调查对象中的MSM进行的多因素Logistic回归结果显示,确诊HIV感染时处于本科阶段的调查对象相较于硕博阶段的更倾向于性伴告知(OR=3.285,95%CI:1.319~8.185)。与女性谈过恋爱(OR=0.427,95%CI:0.194~0.938)、与女性发生过性行为(OR=0.258,95%CI:0.075~0.893)、有同性固定性伴(OR=0.403,95%CI:0.188~0.862)、与同性性伴的性行为频率≥每月1次(OR=2.815,95%CI:1.249~6.346)的调查对象在确诊感染HIV后更有可能进行性伴告知。结论北京市男性高校学生HIV感染者以MSM为主,在确诊后的告知和随访服务中,要注意结合该人群特点,提高其性伴告知的责任感,促进性伴告知行为,减少二代传播。Objective To understand HIV status disclosure to sexual partners and its related factors among HIVpositive college students diagnosed from 2016 to 2019 in Beijing.Methods We surveyed HIV-positive male college students who were eighteen years old or elder and confirmed with an HIV infection from 2016 to 2019 in Beijing.Written informed consent was obtained from each participant before the survey was conducted.The electronic questionnaire was completed anonymously.The content of the survey included socioeconomic characteristics,sexual behaviors,and whether they disclosure HIV status to their sexual partners.Results 200 HIV-positive male college students participated in the survey.The mean age of participants at HIV diagnosis was 22.18±2.70 years old.Of the participants,93.50%(187/200)identified themselves as MSM(men who have sex with men).The proportion of participants who disclosed their HIV status to sexual partners after HIV being diagnosed was 63.00%(126/200).Results of Multiple Logistic Regression of MSM participants showed undergraduate students were more likely to inform sexual partners of their HIV status,compared to graduate students(OR=3.285,95%CI:1.319~8.185).Participants who had ever dated with a woman(OR=0.427,95%CI:0.194~0.938),who had sex with a woman(OR=0.258,95%CI:0.075~0.893),who had a fixed male sexual partner(OR=0.403,95%CI:0.188~0.862),and who had sex with another MSM≥one time per month(OR=2.815,95%CI:1.249~6.346)were more likely to disclose their HIV status to sexual partners than those who had not.Conclusions The HIV-positive male college students in Beijing were predominantly MSM.It is important to take the special characteristics of this population into account when designing tailored notification and follow-up strategies for HIV-positive college students,aiming to improve their social responsibility,promote the sexual partners’notification,and reduce second-generation transmission.

关 键 词：艾滋病 高校学生 性伴告知 男男性行为者 

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