MSM人群HIV阳性者高危行为及其影响因素的研究  

The study of risk behavior and factors among HIV-positive men who have sex with men

作　　者：吴晓冰 席艳君[3] 雷卫平 王叶子 谭荣伟 Wu Xiaobing;Xi Yanjun;Lei Weiping(The Chang'an Town Community Health Services Centre of Dongguan City,Dongguan,Guangdong 523880;The Chang’an Town Center for Disease Control and Prevention Dongguan City,Dongguan,Guangdong 523880;The Chang’an Hospital of Dongguan City,Dongguan,Guangdong 523843)

机构地区：[1]东莞市长安镇社区卫生服务中心,广东东莞523880 [2]东莞市长安镇疾病预防控制中心,广东东莞523880 [3]东莞市长安医院,广东东莞523843

出　　处：《基层医学论坛》2022年第2期1-3,共3页The Medical Forum

基　　金：东莞市医疗卫生科技计划项目(201950715089573)。

摘　　要：目的调查了解HIV阳性男男性行为者(men who have sex with men,MSM)高危行为状况并分析其影响因素。方法招募年龄在18周岁及以上HIV阳性MSM为研究对象,调查内容包括社会人口学特征、健康状况、最近6个月的性行为状况等。采用卡方检验和非条件Logistic回归的方法分别进行单因素和多因素分析。结果共纳入213名调查对象,最近6个月内36.62%(78/213)有未使用安全套的高危性行为。单因素分析结果显示婚姻状况、确诊年限、未做CD4细胞检测是HIV阳性MSM高危性行为的影响因素(P<0.05)。多因素分析结果显示婚姻状况、未做过CD4细胞检测者是HIV阳性MSM高危性行为的独立危险因素(P<0.05)。结论应重点加强对HIV阳性MSM中已婚有配偶、离异或丧偶者,未进行CD4细胞检测者的防控干预。Objective The aims of study are to investigate status of risk behaviors among HIV positive men who have sex with men(MSM)and to examine the factors related to risk behaviors.Methods HIV-positive MSM who were 18 years old or elder,and confirmed HIV infection by CDC were recruited.Participants completed the questionnaire on social demographic characteristics,health status and sexual behaviors during past 6 months.Chi-square test and non-conditional multiple logistic regression was used to examine risk behaviors and its influencing factors among participants.Results A total of 213 subjects were included,and 36.62%(78/213)had unprotected sexual behavior in the last 6 months.Single factor analysis results showed that Marital status,years of HIV infection diagnosis,untested for CD;cells on the respondents were influence factors for unprotected high-risk sexual behavior in HIV-positive MSM.(P<0.05).Marital status and untested for CD;cells were all risk factors for unprotected high-risk sexual behavior in HIV-positive MSM(P<0.05).Conclusions Prevention and control intervention to those married with spous,divorced or widowed,and untested for CD;cells in HIV-positive MSM should be strengthened.

关 键 词：艾滋病病毒 男男性行为者 高危行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]