年轻男男性行为者坚持使用安全套知行分离的影响因素分析  

Factors associated with the inconsistency between cognition and sexual behaviors among young men who have sex with men

作　　者：袁靓 刘昕 翟萌曦 李佳钰 王慧豪 官越 格桑曲珍 俞斌[1] 燕虹[1] YUAN Liang;LIU Xin;ZHAI Meng-xi;LI Jia-yu;WANG Hui-hao;GUAN Yue;GESANG Qu-zhen;YU Bin;YAN Hong(School of Public Health,Wuhan University,Wuhan,Hubei 430062,China)

机构地区：[1]武汉大学公共卫生学院,湖北武汉430062

出　　处：《现代预防医学》2023年第4期698-704,共7页Modern Preventive Medicine

基　　金：国家自然科学基金面上项目(81673196)。

摘　　要：目的调查年轻男男性行为者(young men who have sex with men,YMSM)“坚持使用安全套”知行分离状况并探讨其影响因素,为该人群的精准防治提供理论依据。方法2020年10月至2020年12月,在社会组织的协助下,采用线上线下相结合的方式调查YMSM队列的随访对象,通过匿名电子问卷调查其社会人口学特征、社会心理学特征、疾病感染状况和行为特征等,采用多因素logistic回归模型分析知行分离的影响因素。结果共纳入352名YMSM,其中65.60%出现知行分离。多因素logistic回归分析显示,首次性行为年龄<18岁(OR=1.837,95%CI:1.066~3.156)和近六个月存在固定性伴(OR=2.137,95%CI:1.241~3.662)的YMSM更有可能“坚持使用安全套”知行分离,而知晓性伴HIV感染状况(OR=0.476,95%CI:0.291~0.799)和自我感知HIV感染风险较大(OR=0.256,95%CI:0.109~0.529)的YMSM较少可能知行分离。结论YMSM人群“坚持使用安全套”知行分离现象严重,应根据YMSM人群特点给予针对性的行为干预措施以促进YMSM坚持使用安全套知识与行为的统一。Objective To investigate the status of condom use among young men who have sex with men(YMSM),to analyze the factors of separation between knowledge and action among young men who had sex with men(YMSM),and to provide a theoretical basis for the precise prevention and treatment in this population.Methods From October 2020 to December 2020,we surveyed the YMSM cohort with the assistance of social organizations using a combination of online and offline methods,and investigated their socio-demographic characteristics,psychosocial characteristics,disease infection status and behavioral characteristics through an anonymous electronic questionnaire.Results A total of 352 YMSM were included,and 65.60%of them showed separation of knowledge and behaviors.The logistic regression analysis showed that age at sexual debut<18 years(OR=1.837,95%CI:1.066-3.156)and the presence of a regular partner in the last six months(OR=2.137,95%CI:1.241-3.662)were the risk factors for the inconsistency between cognition of knowledge and sexual behaviors related to condom use.Knowledge of partner HIV status(OR=0.476,95%CI:0.291-0.799)and self-perceived higher risk of HIV infection(OR=0.256,95%CI:0.109-0.529)were protective factors for consistency between cognition of knowledge and sexual behaviors related to condom use.Conclusion YMSM have a higher proportion being inconsistent between cognition of knowledge and sexual behaviors related to condom use.Intervention measures should be constructed according to the characteristics of the YMSM to ensure that YMSM knowledge and behaviors are consistent.

关 键 词：年轻男性性行为者 知行分离 影响因素 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]