武汉市浴池男男性行为人群HIV检测情况及影响因素分析  

HIV testing and its influencing factors among MSM from public baths in Wuhan City

作　　者：张敏[1] 胡雪姣 白杨 刘聪[1] 谢年华[1] 刘普林[1] ZHANG Min;HU Xuejiao;BAI Yang;LIU Cong;XIE Nianhua;LIU Pulin(Wuhan Center for Disease Control and Prevention,Wuhan,Hubei 430024,China;Jiangan District Center for Disease Control and Prevention,Wuhan,Hubei 430014,China)

机构地区：[1]武汉市疾病预防控制中心,湖北武汉430024 [2]武汉市江岸区疾病预防控制中心,湖北武汉430014

出　　处：《实用预防医学》2023年第12期1420-1424,共5页Practical Preventive Medicine

基　　金：湖北省卫生计生科研基金(WJ2017F048)。

摘　　要：目的了解武汉市浴池男男性行为人群(men who have sex with men,MSM)HIV检测情况,分析相关影响因素,为推进艾滋病防控提供科学依据。方法采用自行设计的调查问卷收集MSM的人口学特征、性行为、HIV检测情况、艾滋病知识知晓情况、风险感知情况等,采用非条件多因素logistic回归模型分析MSM近1年接受HIV检测的影响因素。结果725名调查对象中,仅56.55%近1年接受过HIV检测。多因素回归结果显示,本地居住时间>2年(OR=2.320,95%CI:1.502~3.584)、参加过防艾活动(OR=7.859,95%CI:3.656~16.896)、知晓艾滋病知识(OR=4.752,95%CI:2.112~10.692)、信息来源途径的种类≥3种(OR=1.857,95%CI:1.009~3.418)、想过不安全性行为可能感染艾滋病(OR=2.484,95%CI:1.616~3.819)是MSM近1年接受HIV检测的促进因素。估计该市浴池每100名MSM中HIV感染数为3~5名(OR=0.237,95%CI:0.112~0.504)或者1~2名(OR=0.406,95%CI:0.203~0.811)、不清楚是否有朋友感染艾滋病(OR=0.621,95%CI:0.409~0.942)是近1年内接受HIV检测的阻碍因素。结论防艾知识知晓程度高、参加过防艾活动、具有较高艾滋病感染风险意识的MSM更倾向于接受HIV检测,须开展针对性地干预,扩大MSM HIV检测覆盖面,遏制艾滋病在该人群中的流行。Objective To understand the prevalence of HIV testing and its related determinants among men who have sex with men(MSM)from public baths in Wuhan City,and to provide a scientific basis for promoting AIDS prevention and control.Methods A self-designed questionnaire was used to collect demographic characteristics,sexual behaviors,HIV testing,awareness of HIV/AIDS knowledge,and risk perception of HIV infection among the MSM.Unconditional multivariate logistic regression model was employed to analyze the factors affecting HIV testing among the MSM in the last year.Results Among 778 participants,only 56.55%accepted HIV testing in the last year.Multivariate logistic regression analysis revealed that local residence for more than two years(OR=2.320,95%CI:1.502-3.584),having participated in AIDS prevention and control activities(OR=7.859,95%CI:3.656-16.896),having awareness of HIV/AIDS knowledge(0R=4.752,95%CI:2.112-10.692),having≥3 types of routes of information sources(0R=1.857,95%CI:1.009-3.418)and realizing that unsafe sexual behavior might induce HIV infection(OR=2.484,95%CI:1.616-3.819)were promoting factors for HIV testing in the last year among the MSM.Estimating that the number of HIV infection per 100 MSM from bathhouses in the city was 3-5(OR=0.237,95%CI:0.112-0.504)or 1-2(OR=0.406,95%CI:0.203-0.811)and having no idea if any of friends were infected with HIV(0R=0.621,95%CI:0.409-0.942)were obstructive factors for HIV testing in the last year.ConclusionMSM with high awareness of knowledge about HIV prevention,those participated in AIDS prevention and control activities and those with high awareness towards risk of HIV infection are more likely to accept HIV testing.It is necessary to conduct targeted interventions,expand the coverage of HIV testing and curb the prevalence of AIDS in the MSM.

关 键 词：艾滋病 检测 男男性行为人群 浴池 影响因素 

分 类 号：R512.91[医药卫生—内科学]