不同性取向人群猴痘防治知识知晓情况及影响因素  

Awareness and Influencing Factors of the Knowledge about Monkeypox Among People with Different Sexual Orientations

作　　者：钱晓涵 郑敏[1] 姚永明[1] 陶锐[1] 马琳 黄璐[1] 周凤 朱志霖 杨杰 QIAN Xiaohan;ZHENG Min;YAO Yongming;TAO Rui;MA Lin;HUANG Lu;ZHOU Feng;ZHU Zhilin;YANG Jie(Guizhou Center for Disease Prevention and Control,Guiyang 550001,China;School of Public Health and Education,Guizhou Medical University,Guiyang 550025,China;Shenlan Public Health Consulting Service Center,Tianjin 300000,China)

机构地区：[1]贵州省疾病预防控制中心,贵州贵阳550001 [2]贵州医科大学公共卫生与健康学院,贵州贵阳550025 [3]天津深蓝公共卫生服务中心,天津300000

出　　处：《中国皮肤性病学杂志》2023年第4期422-429,共8页The Chinese Journal of Dermatovenereology

基　　金：贵州省科技厅科技支撑项目(黔科合支撑[2021]一般026);贵州省卫生健康委科学基金项目(gzwkj2022-461)。

摘　　要：目的了解我国不同性取向人群猴痘防治知识知晓情况及其影响因素。方法2022年7月1日—7月30日,通过互联网发布电子问卷招募研究对象,其中男男性行为人群(men who have sex with men,MSM)主要通过与20个省份的MSM艾防社区组织合作进行招募,对参与调查的不同性取向人群的猴痘防治相关知识等进行分析。结果共调查研究对象4953例,性取向为同性恋的占53.87%(2668/4953),自报感染HIV的占20.55%(1018/4953),有疫情地区旅居史的占2.60%(129/4953),猴痘知晓率为48.25%(2390/4953)。猴痘防治知识知晓情况的多因素Logistic回归分析显示,年龄为35~44岁(OR=1.44,95%CI:1.16~1.79)和45~54岁(OR=1.85,95%CI:1.40~2.44)高于16~24岁,性取向为同性恋(OR=1.27,95%CI:1.01~1.59)、异性恋(OR=1.40,95%CI:1.07~1.83)高于未确定者,HIV阳性(OR=1.97,95%CI:1.49~2.61)和HIV阴性(OR=2.16,95%CI:1.67~2.78)高于不知道是否感染,职业为农民工和农民(OR=0.60,95%CI:0.43~0.84)、个体户(OR=0.74,95%CI:0.58~0.94)低于干部职员/企业/事业单位人员,文化程度为初中(OR=0.38,95%CI:0.28~0.53)、高中或中专(OR=0.62,95%CI:0.48~0.81)低于硕士研究生,不担心疫情传入中国(OR=0.35,95%CI:0.30~0.40)低于担心疫情传入中国,没有国外旅居史(OR=0.63,95%CI:0.43~0.91)低于有国外旅居史的知晓率(P<0.05)。结论我国不同性取向人群猴痘防治知识知晓率均较低,具有不安全性行为的MSM人群、有境外旅居史是猴痘防控的重点人群,尤其是其中性取向未确定、文化程度低、青少年人群对猴痘传染源和临床症状的认识亟需提升,可以结合HIV检测、出入境检疫检验的宣教,增加其抵御风险的能力。Objective To investigate the status of the knowledge about prevention and control of monkeypox among people with different sexual orientation in China and its influencing factors.Methods On July 1 to July 30,2022,the participants completed the electronic questionnaires published on the Internet.Men who have sex with men(MSM)were recruited mainly through cooperation with MSM AIDS prevention community organizations in 20 provinces.Knowledge of monkeypox prevention and control were analyzed among the participants with different sexual orientations.Results A total of 4953 subjects were investigated,53.87%(2668/4953)were homosexual.The proportion of self-reported HIV infection was 20.55%(1018/4953),2.60%(129/4953)had travel history in epidemic areas,and 48.25%(2390/4953)had awareness of monkeypox.Multivariate logistic regression analysis showed that the age of 35-44 years old(OR=1.44,95%CI:1.16-1.79)and 45-54 years old(OR=1.85,95%CI:1.40-2.44)were higher than those of 16-24 years old,and the sexual orientation was homosexuality(OR=1.27,95%CI:1.01-1.59),heterosexuality(OR=1.40,95%CI:1.07-1.83)were higher than undetermined,self-reported HIV positive(OR=1.97,95%CI:1.49-2.61)and HIV negative(OR=2.16,95%CI:1.67-2.78)were higher than those who did not know whether they were infected,and those who were migrant workers and farmers(OR=0.60,95%CI:0.43-0.84)and self-employed(OR=0.74,95%CI:0.58-0.94)were lower than those who were cadres/enterprises/public institutions.The education level of junior high school students(OR=0.38,95%CI:0.28-0.53),senior high school students or technical secondary school students(OR=0.62,95%CI:0.48-0.81)were lower than those of master students,not worried about the spread of the disease into China(OR=0.35,95%CI:0.30-0.40)was lower than worried about the spread of the disease into China.The awareness rate of those without overseas travel history(OR=0.63,95%CI:0.43-0.91)was lower than that of those with overseas travel history(P<0.05).Conclusion The awareness rate of monkeypox prevention and control amo

关 键 词：同性恋 异性恋 猴痘 预防 

分 类 号：R511[医药卫生—内科学] R18[医药卫生—临床医学]