安徽省第四轮艾滋病综合防治示范区男男性行为人群宣传干预效果评估  

Effectiveness evaluation of health education and behavioral intervention for men who have sex with men of the fourth round of the Comprehensive AIDS Prevention and Control Demonstration Area Project in Anhui Province

作　　者：戴色莺[1,2] 刘爱文[1,2] 张进[1,2] 程晓莉[1,2] 吴家兵[3] DAI Seying;LIU Aiwen;ZHANG Jin;CHENG Xiaoli;WU Jiabing(AIDS Department of Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China;Center Laboratory of HIV Molecular and Immunology of Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China;Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China)

机构地区：[1]安徽省疾病预防控制中心艾滋病防治科,安徽合肥230601 [2]安徽省疾病预防控制中心艾滋病病毒分子与免疫学中心实验室,安徽合肥230601 [3]安徽省疾病预防控制中心,安徽合肥230601

出　　处：《安徽预防医学杂志》2024年第1期15-19,共5页Anhui Journal of Preventive Medicine

摘　　要：目的 评估安徽省第四轮艾滋病综合防治示范区项目实施以来男男性行为人群(简称MSM)的健康教育和行为干预效果。方法 选择合肥市、阜阳市和马鞍山市作为项目现场,采用滚雪球法和网络招募法招募MSM,分别于2020年和2022年进行基线和终期问卷调查,评估指标包括艾滋病知识知晓率、同性性行为中安全套使用率、获得艾滋病预防服务的比例和患有性病的比例。采用SPSS 17.0进行统计学分析。结果 2020年和2022年分别调查了985名和1 000名MSM。经过2年示范区项目的实施,MSM人群的艾滋病知识知晓率由2020年的57.0%提高到2022年的96.8%(χ^(2)=445.233,P<0.001);最近半年同性肛交性行为中安全套坚持使用率由2020年的47.5%上升到2022年的51.2%(χ^(2)=8.990,P=0.029);最近一年获得同伴教育、接受HIV检测、接受HIV检测者中知晓检测结果的比例分别由2020年的47.3%、52.3%和86.8%上升到2022年的57.6%、57.1%和96.7%(P值均<0.05);最近一年患有性病的比例由2020年的7.7%下降到2022年的4.1%(χ^(2)=18.243,P<0.001)。结论 安徽省第四轮艾滋病综合防治示范区MSM人群行为干预取得了一定的成效,但仍需加强对MSM人群的风险感知警示性教育和安全套使用行为干预。Objective To assess the effectiveness of health education and behavioral intervention for men who have sex with men(MSM)since the implementation of the fourth round of the Comprehensive AIDS Prevention and Control Demonstration Area Project in Anhui Province.Methods The cities of Hefei,Fuyang and Ma'anshan were selected as project sites.Snowball method and network recruitment method were used to recruit MSM.Thematic surveys were carried out for the baseline assessment in 2020 and for the final assessment in 2022,respectively.The evaluation indexes included the HIV awareness rate,rate of condom use during homosexual behavior,proportion of acquiring HIV prevention services and propor-tion of having sexually transmitted disease.SPSS 17.0 was used for statistical analysis.Results 985 and 1000 MSM were surveyed in 2020 and 2022,respectively.Through the 2-year implementation of the demonstration area project,the HIV awareness rate of the MSM increased from 57.0%in 2020 to 96.8%in 2022(x^(2)=445.233,P<0.001).The proportions of consistent use of condoms every time during homosexual anal sex in the past six months increased from 47.5%in 2020 to 51.2%in 2022(x^(2)=8.990,P=0.029).The proportions of those who received peer education in the most recent year,who were tested for HIV,and who were tested for HIV and knew the results of the test increased from 47.3%,52.3%,and 86.8%in 2020 to 57.6%,57.1%,and 96.7%in 2022,respectively(all P<0.05).The percentage with a sexually transmitted disease(STD)in the most recent year decreased from 7.7%in 2020 to 4.1%in 2022(x^(2)=18.243,P<0.001).Conclusion The behavioral intervention for MSM of the fourth round of the Comprehensive AIDS Prevention and Control Demonstration Area Project in Anhui Province have achieved certain results.It is necessary to strengthen the education of risk perception and the behavioral intervention of condom use for MSM.

关 键 词：艾滋病 男男性行为人群 知识 行为 效果评估 

分 类 号：R512.91[医药卫生—内科学]