2013—2021年广西某市男男性行为者知行分离调查分析  

Investigation and analysis on the separation of knowledge and practice among men who have sex with men in a city of Guangxi from 2013 to 2021

作　　者：兰柳艳 朱刚劲 黄颉刚 梁浩[1] 叶力 韦发双[2] 黄运轩[2] 梁冰玉[1] Lan Liuyan;Zhu Gangjin;Huang Jiegang;Liang Hao;Ye Li;Wei Fashuang;Huang Yunxuan;Liang Bingyu(Guangxi Key Laboratory of AIDS Prevention and Treatment,School of Public Health,Guangxi Medical University,China(Guangxi)-ASEAN Joint Laboratory of Emerging Infectious Disease,Nanning 530021,China;Guigang Center for Disease Control and Prevention,Guigang 537100,China)

机构地区：[1]广西医科大学公共卫生学院艾滋病研究中心、广西艾滋病防治研究重点实验室中国(广西)-东盟新发传染病联合实验室,南宁530021 [2]贵港市疾病预防控制中心,贵港537100

出　　处：《广西医科大学学报》2023年第1期20-24,共5页Journal of Guangxi Medical University

基　　金：国家自然科学基金资助项目(No.82060366)。

摘　　要：目的:调查分析2013—2021年广西某市男男性行为(MSM)者的知行分离情况并分析其影响因素,以便制定更加有效的干预措施。方法:基于MSM哨点监测数据进行描述性研究,对2013—2021年广西某市MSM人群进行知行分离调查,用Logistic多元回归分析其知行分离的影响因素。结果:2013—2021年共调查MSM 931人,HIV总体感染率为7.196%;该人群同性肛交知行一致者415人,占比57.40%;异性性行为者161人,知行一致者51人,占比33.12%。高中及中专、本地居住时间长是影响MSM知行分离的主要原因。结论:该市MSM艾滋病感染率较高,同性或异性肛交知行分离率亦较高,需加强艾滋病干预工作,减少知行分离行为发生。Objective: To investigate and analyze the separation of knowledge and practice among men who have sex with men in a city of Guangxi from 2013 to 2021, and analyze its influencing factors, so as to formulate more effective countermeasures. Methods: Based on the sentinel monitoring data of MSM, a cross-sectional study was conducted to investigate the separation of knowledge and practice among MSM population in a city of Guangxi from 2013 to 2021, and the factors influencing the separation were analyzed with logistic multiple analysis. Results: A total of 931 MSM patients were investigated from 2013 to 2021, and the overall HIV infection rate was 7.196%. Among this group, 415 people had homosexual anal sex with knowledge and practice, accounting for 57.40%, and 161 people had heterosexual sex with knowledge and practice with 51 people, accounting for33.12%. The main reasons for the separation of knowledge and practice in MSM were high school and technical secondary school and the long time of local residence. Conclusion: In this city, the HIV infection rate of MSM is high, and so is the separation rate of homosexual or heterosexual anal sex. AIDS intervention should be strengthened to reduce the separation of knowledge and practice.

关 键 词：男男性行为 知行分离 HIV感染 

分 类 号：R512.6[医药卫生—内科学]