男男性行为者固定性伴HIV感染状态知晓及其方式的关联因素  

The connected factors between the knowledge of infection status of HIV and its way of the fixed sexual partners of men who have sex with men

作　　者：王毅[1] 李六林[1] 樊静[2] 何静[1] 周力[2] 张晓军 王思源[2] WANG Yi;LI Liu-lin;FAN Jin;HE Jing;ZHOU Li;ZHANG Xiao-jun;WANG Si-yuan(Mianyang Center.for Disease Control and Prevention,Mianyang 621000,Sichuan Province,China;Mianyang Gay Care Group,Mianyang 621000,Sichuan Prorince,China)

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000

出　　处：《预防医学情报杂志》2022年第9期1223-1229,共7页Journal of Preventive Medicine Information

基　　金：社会组织参与艾滋病防治基金项目(项目编号:2019-2020510701PYDMSM003121)。

摘　　要：目的 了解男男性行为者(MSM)固定性伴关系确定前艾滋病病毒(HIV)感染状态(简称感染状态)的知晓现状,分析了解方式的关联因素。方法 采用“滚雪球”抽样法,对四川省绵阳市MSM固定性伴感染状态了解等进行问卷调查和血清学检测,采用SPSS 19.0统计软件,用χ^(2)检验、Logistic回归模型进行固定性伴感染状态了解方式关联因素的单因素及多因素分析。检验水准为双侧,以P<0.05为差异有统计学意义。结果 有效问卷1 117份,89.5%过去或现在拥有固定性伴,74.6%会了解其HIV感染状态,以主观方式了解47.1%、客观方式了解52.9%。了解固定性伴感染状态者HIV、梅毒阳性率均低于不了解者,主观方式了解的HIV阳性率高于客观方式了解者(P均<0.05)。多因素分析结果,以主观方式了解固定性伴感染状态在大专及以上文化程度(OR=2.134)者可能更大,在干部职员(OR=0.395)、社区朋友人数较多(OR=0.573)、近1年接受同伴教育(OR=0.690)、近1周肛交次数增多(OR=0.690)、近6个月固定性伴肛交有保护(OR=0.488)者可能更小。结论 绵阳市MSM固定性伴感染状态了解方式的主观性较大,主观方式了解增大HIV感染风险,应提高其了解方式的客观性。Objective To understand the status of HIV infection(referred to as infection status) of men who have sex with men(MSM) before the determination of a fixed sexual partnership, and to analyze the related factors of knowing mode. Methods The questionnaire survey and serological test of MSM fixation and infection status in Mianyang city of Sichuan province were conducted by“snowball” sampling method. SPSS 19.0 statistical software were used, the univariate and multivariate analysis of the related factors of fixed partner infection status awareness mode were analyzed by χ^(2)test and logisticst regression model. The test level was bilateral, and P<0.05 was considered statistically significant. Results Of the 1 117 valid questionnaires, 89.5% had regular sexual partners in the past or present,74.6% of them knew their HIV infection status,47.1% knew about them subjectively and 52.9% knew about them objectively. The positive rates of HIV and syphilis was lower in those who knew about constant sexual partner infection than in those who did not, and the positive rate of HIV knowledge in subjective way was higher than that in objective way(P<0.05). The results of multivariate analysis showed that those who knew the infection status of a fixed sex partner subjectively had a college degree or above(OR=2.134) likely more,staff in cadres(OR=0.395),more friends in the community(OR=0.573),receive peer education within the past year(OR=0.690),increased frequency of anal sex in the past week(OR=0.690),protected during anal sex with a fixed partner in the past 6 months(OR=0.488) were less likely.Conclusions The way to know the status of MSM with fixed coinfection in Mianyang city is subjective. Subjective understanding of HIV increases the risk of HIV infection, so the objectivity of knowing HIV infection mode should be improved.

关 键 词：男男性行为者 固定性伴 感染状态 了解方式 艾滋病 关联因素 

分 类 号：R512[医药卫生—内科学]