2023年江苏省苏中地区男男性行为者猴痘知识知晓率现状及影响因素分析  

Current status and influencing factors of monkeypox knowledge among men who have sex with men in central Jiangsu Province,2023

作　　者：李锦成 许纯 杨文彬 姜艳 戴翔 王正光[3] 杨开玺 LI Jin-cheng;XU Chun;YANG Wen-bin;JIANG Yan;DAI Xiang;WANG Zheng-guang;YANG Kai-xi(Yangzhou Municipal Center for Disease Control and Prevention,Yangzhou,Jiangsu 225000,China;不详)

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225000 [2]江都区疾病预防控制中心 [3]高邮市疾病预防控制中心 [4]泰州市疾病预防控制中心

出　　处：《现代预防医学》2024年第16期3016-3021,共6页Modern Preventive Medicine

基　　金：国家自然科学基金项目(81803299);扬州市科技计划社会发展项目(YZ2023136);扬州市卫健委科研专项资金资助项目(2023-4-22)。

摘　　要：目的了解2023年江苏省苏中地区男男性行为者(Men who have sex with men,MSM)猴痘知识知晓情况,为制定该人群猴痘防治措施提供依据。方法利用江苏省疾控中心设计的猴痘调查表,对苏中地区艾滋病自愿咨询检测(HIV Voluntary Counseling&Testing,VCT)门诊和社会组织MSM进行问卷调查,采用单因素和多因素logistic回归分析影响猴痘知识知晓率的因素。采用χ^(2)检验比较不同特征人群对猴痘关注程度的差异。结果本次调查共回收有效问卷1290份。年龄以26~50岁为主,占比65.04%(839/1290);文化程度以大学专科、本科及以上为主,占比64.26%(829/1290)。猴痘知识知晓率26.12%,完全知晓率15.27%。多因素logistic回归分析结果显示:猴痘知晓率较高的相关因素包括地区为泰州市(OR=6.710,95%CI:4.309~10.447),文化程度为高中/中专/技校(OR=2.461,95%CI:1.270~4.769)、大学专科(OR=2.515,95%CI:1.311~4.825)、本科及以上(OR=2.253,95%CI:1.184~4.288),对于猴痘疫情及相关情况比较关注(OR=1.684,95%CI:1.188~2.387)(均P<0.05)。猴痘症状、预防措施和传播途径正确率分别为30.78%、42.25%和27.75%。1186人(91.94%)从微信、微博等网络新媒体关注猴痘的疫情和防治知识。不同地区(χ^(2)=65.348,P<0.001)、年龄(χ^(2)=19.422,P=0.001)、文化程度(χ^(2)=31.447,P<0.001)、婚姻状况(χ^(2)=11.162,P=0.025)、最近一次HIV检测结果(χ^(2)=37.793,P<0.001)、性取向(χ^(2)=39.441,P<0.001)、最近6个月是否与同性有过性接触(χ^(2)=29.329,P<0.001)、是否与境外人员有过性接触(χ^(2)=29.199,P<0.001)的MSM,对猴痘信息关注程度不同,差异有统计学意义。结论苏中地区MSM猴痘知识知晓率较低,猴痘症状、传播途径和预防控制措施正确率均偏低,所以后期需要在微信、微博、抖音、百度等新媒体采用投放广告、信息推送等形式开展猴痘症状和传播途径等知识的宣传。Objective To investigate the knowledge of monkeypox among men who have sex with men(MSM)in Central Jiangsu Province in 2023,and to provide evidence for the prevention and treatment of monkeypox in this population.Methods The monkeypox questionnaire designed by Jiangsu Provincial Center for Disease Control and Prevention was used to investigate HIV Voluntary Counseling&Testing(VCT)clinic and social organizations in central Jiangsu Province.Excel 2010 and SPSS19.0 software were used to organize and analyze the data.Also,univariate and multivariate Logistic regressions were used to analyze the factors affecting the awareness rate of monkeypox knowledge.χ^(2) test was used to compare the difference of concern degree of monkeypox among people with different characteristics.Results A total of 1290 valid questionnaires were collected.The majority were aged from 26 to 50 years,accounting for 65.04%(839/1290).The majority of the students were college students,bachelor students or above,accounting for 64.26%(829/1290).The awareness rate of monkeypox was 26.12%,and the complete awareness rate was 15.27%.The results of multivariate Logistic regression analysis showed that the related factors with higher awareness rate of monkeypox included Taizhou(OR=6.710,95%CI:4.309-10.447),high school/technical school(OR=2.461,95%CI:1.270-4.769),college(OR=2.515,95%CI:1.311-4.825),bachelor’s degree or above(OR=2.253,95%CI:1.184-4.288),concerned about monkeypox epidemic and related situation(OR=1.684,95%CI:1.188-2.387)(all P<0.05).The correct rates of monkeypox symptoms,preventive measures and transmission routes were 30.78%,42.25%and 27.75%,respectively.1186 people(91.94%)paid attention to monkeypox epidemic and prevention knowledge from WeChat,Weibo and other network new media.MSM with different regions(χ^(2)=65.348,P<0.001),age groups(χ^(2)=19.422,P=0.001),educational levels(χ^(2)=31.447,P<0.001),marital status(χ^(2)=11.162,P=0.025),results of the latest HIV test(χ^(2)=37.793,P<0.001),sexual orientations(χ^(2)=39.441,P<0.001),w

关 键 词：猴痘 知晓率 影响因素 

分 类 号：R511[医药卫生—内科学] R181.3[医药卫生—临床医学]