绵阳市男男性行为者对HIV暴露前预防的使用意愿及影响因素  

The willingness to use HIV pre-exposure prophylaxis and its influencing factors among men who have sex with men in Mianyang city

作　　者：王毅[1] 樊静[2] 何静[1] 朱怡静 杜婵娟 黄丽 贾修伟 李伟 刘晓琴 WANG Yi;FAN Jing;HE Jing;ZHU Yijing;DU Chanjuan;HUANG Li;JIA Xiuwei;LI Wei;LIU Xiaoqin(Mianyang Center for Disease Prevention and Control,Mianyang 621000,China;不详)

机构地区：[1]绵阳市疾病预防控制中心,621000 [2]绵阳同志关爱小组 [3]绵阳市涪城区疾病预防控制中心 [4]绵阳市游仙区疾病预防控制中心 [5]三台县疾病预防控制中心 [6]北川羌族自治县疾病预防控制中心 [7]绵阳市安州区疾病预防控制中心 [8]梓潼县疾病预防控制中心

出　　处：《首都公共卫生》2024年第2期95-100,共6页Capital Journal of Public Health

基　　金：社会组织参与艾滋病防治基金项目(编号:2019-2020510701PYDMSM003121)。

摘　　要：目的 了解绵阳市男男性行为者(MSM)对人类免疫缺陷病毒(HIV)暴露前预防(PrEP)的使用意愿,分析影响因素。方法 2022年1—12月,用滚雪球抽样法进行MSM的PrEP使用意愿等问卷调查,使用χ2检验和logistics回归模型分析PrEP使用意愿的影响因素。结果 有效问卷共981份,如药品不免费和免费MSM的PrEP使用意愿分别为19.6%(192人)和48.1%(472人)。期望获得PrEP服务的途径为医院为23.3%(229人)、疾控中心和社会组织均为43.4%(426人)、诊所为95.3%(935人)。PrEP药品不免费时,职业为学生(OR=2.660,95%CI:3.676~5.128)、月收入>5 000元(OR=2.471,95%CI:1.308~4.666),PrEP知晓(OR=6.804,95%CI:4.314~10.730),社区朋友对PrEP使用持支持态度(OR=2.323,95%CI:1.503~3.591)者PrEP的使用意愿较高,艾滋病知识全正确(OR=0.417,95%CI:0.237~0.733)、害怕感染HIV(OR=0.423,95%CI:0.258~0.895)、有预防HIV感染的能力(OR=0.426,95%CI:0.252~0.722)、性角色被插入方(OR=0.566,95%CI:0.347~0.924)和均可(OR=0.504,95%CI:0.309~0.821)者PrEP的使用意愿较低。结论 绵阳市MSM PrEP使用意愿较低,其使用意愿受多种因素影响,经济状况和社区支持不佳、对HIV感染的恐惧心理和预防感染能力的盲目自信或制约其PrEP的使用意愿,要针对性开展PrEP宣传促进。Objective To investigate the willingness of men who have sex with men(MSM)to use HIV pre-exposure prophylaxis(PrEP)in Mianyang city and analyze the influencing factors.Methods From January to December 2022,a questionnaire survey was conducted on the willingness of MSM to use PrEP by using the snowball sampling method.Theχ2 test and logistics regression model were used to analyze the influencing factors of the willingness to use PrEP.Results A total of 981 valid questionnaires were collected,and the willingness to use PrEP of MSM was 19.6%(192 cases)and 48.1%(472 cases)for non-free and free PrEP,respectively.The expected ways to obtain PrEP services were hospital 23.3%(229/981),CDC and social organizations 43.4%(426 cases),clinic 95.3%(935 cases).If PrEP drugs were not free,multivariate analysis showed that vocational students(OR=2.660,95%CI:3.676-5.128),monthly income>5000 yuan(OR=2.471,95%CI:1.308-4.666),awareness of PrEP(OR=6.804,95%CI:4.314-10.730),and community friends supported the use of PrEP(OR=2.323,95%CI:1.503-3.591)had higher willingness to use PrEP,while those who had correct knowledge of AIDS(OR=0.417,95%CI:0.237-0.733),fear of HIV infection(OR=0.423,95%CI:0.258-0.895),the ability to prevent HIV infection(OR=0.426,95%CI:0.252-0.722),the sexual role of the inserted party(OR=0.566,95%CI:0.347-0.924)and both(OR=0.504,95%CI:0.309-0.821)had lower willingness to use PrEP.Conclusions The willingness to use PrEP among MSM in Mianyang city was low,and it was influenced by various factors.Poor economic status and community support,fear of HIV infection and blind confidence in the ability to prevent infection may restrict the willingness to use PrEP,and targeted publicity and promotion of PrEP should be carried out.

关 键 词：男男性行为者 人类免疫缺陷病毒 暴露前预防 使用意愿 影响因素 

分 类 号：R512.91[医药卫生—内科学]