不同社交软件对HIV阳性MSM艾滋病诊疗知识干预效果评价  

Effects of interventions using different social media platforms on improving HIV/AIDS diagnosis and treatment knowledge among HIVpositive MSM:a six-month follow-up study in Ji′nan city

作　　者：陈志娴 焦珂笛 马静 林玉玺 颜钰 贾雯雯 孟静 王莉娜 曹衍雯 赵忠辉 廖玫珍[2] 康殿民[2] 马伟 CHEN Zhixian;JIAO Kedi;MA Jing;LIN Yuxi;YAN Yu;JIA Wenwen;MENG Jing;WANG Lina;CAO Yanwen;ZHAO Zhonghui;LIAO Meizhen;KANG Dianmin;MA Wei(Department of Epidemiology,School of Public Health,Cheeloo College of Medicine,Shandong University,Ji’nan 250012,China;Department of AIDS/STD Control and Prevention,Shandong Center for Disease Control and Prevention,Ji’nan 250014,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院流行病学系,济南250012 [2]山东省疾病预防控制中心性病艾滋病防制所,济南250014

出　　处：《中国公共卫生》2024年第5期563-569,共7页Chinese Journal of Public Health

基　　金：国家重点研发计划(2017YFE0103800)。

摘　　要：目的探索并比较不同社交软件改善HIV阳性男男性行为人群(men who have sex with men,MSM)艾滋病诊疗知识的干预效果。方法2020年10月—12月在山东省公共卫生临床中心招募HIV阳性MSM,按研究对象意愿将其分为3组,分别施加短信干预、微信干预、微信和QQ群干预3种社交软件干预方式,随后进行6个月的随访,采用广义估计方程分析并比较不同社交软件改善研究对象艾滋病诊疗知识总分的干预效果;采用亚组分析,比较不同社交软件对各亚组研究对象艾滋病诊疗知识总分的影响。结果共纳入288例HIV阳性MSM,平均年龄为(34.67±9.22)岁。6个月随访发现微信干预组艾滋病诊疗知识总分比短信干预组艾滋病诊疗知识总分平均升高0.38分(P=0.01),其他干预组两两比较结果差异均无统计学意义(P>0.05);在文化程度为高中及以下的亚组中,微信干预(P=0.018)、微信和QQ群干预(P=0.002)对艾滋病诊疗知识总分的改善效果均优于短信干预组。结论与短信干预相比,微信干预显著提高了HIV阳性MSM的艾滋病诊疗知识得分,微信今后可作为HIV阳性MSM艾滋病知识普及的主要媒介。Objective To explore the intervention effects of different social media platforms on improving the knowledge of human immunodeficiency virus/acquired immunodeficiency syndrome(HIV/AIDS)diagnosis and treatment among HIV-positive men who have sex with men(MSM).Methods A total of 288 HIV-positive MSM were recruited at the Shandong Provincial Public Health Clinical Center from October to December 2020,and according to their preference,the MSM were divided into three groups to receive information on the knowledge and practice of HIV/AIDS diagnosis and treatment via short message service(SMS),WeChat,and the combination of WeChat and QQ group in six months.The generalized estimating equation used to analyze and compare the intervention effects of the interventions via different social media on the overall knowledge score of HIV/AIDS diagnosis and treatment among the all and subgroups of the participants.Results The mean age of the participants was 34.67±9.22 years.Six-month follow-up showed that the total score of HIV/AIDS diagnosis and treatment knowledge in the WeChat intervention group was 0.38 points higher than that in the SMS intervention group(P=0.01),and there was no significant difference between the results of the other intervention groups(P>0.05);in the subgroup with high school education and below,WeChat intervention(P=0.018),WeChat and QQ group intervention(P=0.002)were better than SMS intervention in improving the total score of AIDS diagnosis and treatment knowledge.Conclusion Compared with SMS intervention,WeChat intervention significantly improved the HIV/AIDS diagnosis and treatment knowledge score of HIV-positive MSM,and WeChat can be used as the main media for HIV-positive MSM to popularize HIV/AIDS knowledge in the future.

关 键 词：男男性行为人群 艾滋病 诊疗知识 广义估计方程 干预 

分 类 号：R512.91[医药卫生—内科学]