MSM人群HIV/AIDS病例的结婚意愿调查  

Marriage intention among HIV-infected men who have sex with men

作　　者：陈琦 薛霏 桂娟娟 吕鑫 谢锋[1] CHEN Qi;XUE Fei;GUI Juanjuan;LÜXin;XIE Feng(Department of AIDS and TB Control and Prevention,Gongshu District Center for Disease Control and Prevention,Hangzhou,Zhejiang 310022,China)

机构地区：[1]杭州市拱墅区疾病预防控制中心艾滋病结核病防制科,浙江杭州310022

出　　处：《预防医学》2024年第5期397-401,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：杭州市下城区医疗卫生科技项目(A2020)。

摘　　要：目的了解男男性行为(MSM)人群艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的结婚意愿及其影响因素,为制定MSM人群高危行为干预策略、降低艾滋病传播风险提供依据。方法选择杭州市拱墅区2020—2022年新报告的未婚MSM人群HIV/AIDS病例为调查对象;通过问卷调查收集社会人口学信息、家庭情况和结婚意愿等资料,采用多因素logistic回归模型分析结婚意愿的影响因素。结果发放问卷430份,回收有效问卷400份,问卷有效率为93.02%。调查对象年龄为(28.90±4.67)岁;非杭州市户籍271人,占67.75%。82人表示可能或一定会结婚,占20.50%;其中≥30岁46人,占56.10%;商业服务/自由职业/工人等67人,占81.71%;独生子53人,占64.63%。多因素logistic回归分析结果显示,年龄≥30岁(OR=2.751,95%CI:1.230~6.154)、月收入<10000元(5000~<10000元,OR=7.010,95%CI:2.049~23.981;<5000元,OR=5.229,95%CI:1.803~15.165)、高中及以下文化程度(OR=5.935,95%CI:1.775~19.844)、独生子(OR=3.407,95%CI:1.468~7.910)、原生家庭经济状况高于平均水平(OR=8.906,95%CI:2.070~38.308)、未公开性取向(OR=3.298,95%CI:1.118~9.727)、对政府提供相关政策持积极态度(OR=70.544,95%CI:14.583~341.237)、近6个月未发生同性性行为(OR=3.583,95%CI:1.278~10.044)、未主动告知性伴HIV感染状况(OR=2.910,95%CI:1.228~6.897)的未婚MSM人群HIV/AIDS病例更愿意结婚。结论本次调查约20%的未婚MSM人群HIV/AIDS病例具有结婚意愿,受年龄、文化程度、家庭经济条件、是否独生子、是否公开性取向、近6个月有无同性性行为、是否告知性伴HIV感染状况和对政府提供相关政策的态度的影响。Objective To investigate the marriage intention and its influencing factors among HIV-infected men who have sex with men(MSM),so as to provide the reference for formulating high-risk behavior intervention strategies and reducing the risk of HIV transmission among this population.Methods Unmarried HIV-infected MSM were sampled from newly reported HIV/AIDS patients in Gongshu District of Hangzhou City from 2020 to 2022.Participants'sociode⁃mographic information,family status and marriage intention were collected using questionnaire surveys.Factors affecting marriage intention were identified using a multivariable logistic regression model.Results A total of 430 questionnaires were allocated and 400 valid questionnaires were recovered,with an effective recovery rate of 93.02%.The respondents had a mean age of(28.90±4.67)years,and included 271 cases with registered residence outside Hangzhou City(67.75%).There were 82 cases indicating that they would probably or definitely get married,accounting for 20.50%,in⁃cluding 46 cases(56.10%)aged 30 years and older,67 cases(81.71%)engaged in commercial services/freelance work/worker and 53 cases(64.63%)being the only children.Multivariable logistic regression analysis showed that unmarried HIV-infected MSM who were aged 30 years and older(OR=2.751,95%CI:1.230-6.154),had a monthly income of<10000 Yuan(5000 to<10000 Yuan,OR=7.010,95%CI:2.049-23.981;<5000 Yuan,OR=5.229,95%CI:1.803-15.165),had a high school education and below(OR=5.935,95%CI:1.775-19.844),were the only children(OR=3.407,95%CI:1.468-7.910),came from families with economic conditions above the average level(OR=8.906,95%CI:2.070-38.308),did not disclose their sexual orientation(OR=3.298,95%CI:1.118-9.727),held a positive attitude to⁃wards government policies(OR=70.544,95%CI:14.583-341.237),had no homosexual intercourse in the past six months(OR=3.583,95%CI:1.278-10.044),and had not informed their sexual partners of their HIV status(OR=2.910,95%CI:1.228-6.897)were more willing to get married.Conclusion A certa

关 键 词：男男性行为人群 艾滋病病毒感染者和艾滋病患者 结婚意愿 影响因素 

分 类 号：R512.91[医药卫生—内科学]