石家庄MSM对艾滋病PrEP知晓情况和使用意愿及影响因素调查  

Survey on awareness,level of willingness to use,and influencing factors of HIV/AIDS pre-exposure prophylaxis among men who have sex with men in Shijiazhuang

作　　者：郑超 邱延超[1] 刘淑君[1] 刘丽花[1] 李洁芳[1] 武志云 王莹莹[1] ZHENG Chao;QIU Yanchao;LIU Shujun;LIU Lihua;LI Jiefang;WU Zhiyun;WANG Yingying(Institute of STD and AIDS Prevention and Control,Center for Disease Control and Prevention,Shijiazhuang,Hebei 050011,China)

机构地区：[1]石家庄市疾病预防控制中心性病艾滋病防治所,河北石家庄050011

出　　处：《医学动物防制》2024年第1期56-60,共5页Journal of Medical Pest Control

基　　金：2019年度河北省医学科学研究重点课题(20191489)。

摘　　要：目的 调查石家庄市2022年2-3月男男性行为者(men who have sex with men, MSM)对艾滋病暴露前预防(pre-exposure prophylaxis, PrEP)的认知情况、使用意愿水平及相关影响因素。方法 采用横断面研究设计,使用方便抽样方式,从石家庄市某自愿咨询门诊、某社会公益组织和互联网社群抽取MSM群体进行问卷调查。应用χ2检验和多因素logistic回归分析方法探索影响MSM人群PrEP知晓情况和使用意愿的相关因素。结果 共获得有效问卷258份,73.2%的调查对象听说过PrEP,72.5%表示愿意使用PrEP药物,7.7%的调查对象曾经或正在使用PrEP服务。多因素logistics回归分析显示,没有PrEP获取门路(OR=3.452,95%CI:1.507~7.786)和有恐艾情绪(OR=2.084,95%CI:1.054~4.118)的调查对象PrEP的使用意愿相对较高,性角色为其他(OR=0.218,95%CI:0.049~0.971)、担心获取PrEP可能造成污名化(OR=0.233,95%CI:0.110~0.496)以及认为可能造成经济负担(OR=0.474,95%CI:0.238~0.942)或可成为影响PrEP使用的阻碍因素。结论 石家庄市MSM人群总体对PrEP有较高的认知水平和使用意愿,但存在诸多影响使用率的因素。我们需要多措并举推广PrEP并提供方便可及的服务,将PrEP使用意愿转化为使用率。Objective To investigate the cognition,level of willingness to use,and related influencing factors of HIV/AIDS pre-exposure prophylaxis(PrEP)among men who have sex with men(MSM)in Shijiazhuang City from February to March 2022.Methods The cross-sectional study design and convenience sampling were used to study.MSM groups were selected from a voluntary counselling clinic,a social welfare organization,and an internet community in Shijiazhuang City for a questionnaire survey.Chi-square test and multivariate logistic regression analysis methods were used to explore the relevant factors affecting the awareness and willingness to use PrEP among the MSM population.Results A total of 258 valid questionnaires were obtained,of which 73.2%of respondents had heard of PrEP and 72.5%said they would be willing to use PrEP medicine.However,only 7.7%of respondents had used or were using PrEP services.Multivariate logistic regression analysis showed that respondents who didn't know how to access PrEP(OR=3.452,95%CI:1.507-7.786)and with a fear of AIDS(OR=2.084,95%CI:1.054-4.118)had a relatively high willingness to use PrEP.However,sexual roles as others(OR=0.218,95%CI:0.049-0.971),worried about the potential stigmatization caused by access to PrEP(OR=0.233,95%CI:0.110-0.496),and the perception that it might be financially burdensome(0R=0.474,95%Cl:0.238-0.942)or might be an impediments influence to use PrEP.Conclusion The overall MSM population in Shijiazhuang has a high level of cognition and willingness to use PrEP,but there are a number of factors affecting the utilization rate.Therefore,we need to take multiple measures to promote PrEP and provide convenient and accessible services to convert PrEP use intention into utilization rate.

关 键 词：暴露前预防 男男性行为者 艾滋病 影响因素 

分 类 号：R512.91[医药卫生—内科学]