山东省年轻男男性行为者HIV感染风险认知偏差及相关影响因素  

HIV infection risk perception bias and related influencing factors among young men who have sex with men,Shandong

作　　者：马霜 廖玫珍[2] 王国永[2] 郝连正[2] 朱晓艳[2] 赵帅 康殿民 黄鹏翔[2] MA Shuang;LIAO Mei-zhen;WANG Guo-yong;HAO Lian-zheng;ZHU Xiao-yan;ZHAO Shuai;KANG Dian-min;HUANG Peng-xiang(School of Public Health,Cheeloo College of Medicine,Shandong University,Ji’nan,Shandong 250012,China;不详)

机构地区：[1]山东大学齐鲁医学院公共卫生学院,山东济南250012 [2]山东省疾病预防控制中心

出　　处：《现代预防医学》2024年第18期3271-3276,共6页Modern Preventive Medicine

基　　金：国家重点研发计划(2017YFE0103800);山东省医药卫生科技发展计划(2019WS427,2019WS430)。

摘　　要：目的 了解山东省年轻男男性行为者HIV感染风险认知偏差现状及相关影响因素,为制定切实可行的HIV健康教育计划提供参考依据。方法 2022年4~7月,在山东省6个城市招募年轻MSM,开展问卷调查并采集血样,收集MSM的人口学特征、HIV风险认知、风险行为等情况。采用logistic回归模型分析年轻MSM HIV感染风险认知偏差的影响因素。结果 共调查年轻MSM 978人,≥20岁占85%(831/978),未婚/离异/丧偶者占97.6%(955/978),大专及以上文化程度占61.1%(598/978),2.6%(25/978)HIV抗体检测阳性,3.6%(35/978)梅毒抗体检测结果阳性,HIV感染风险认知偏差者占47.1%(461/978),其中,54.0%(249/461)低估风险,46.0%(212/461)高估风险。Logistic回归分析结果显示,未婚/离异/丧偶(OR=11.693,95%CI:1.546~88.407)、自评新型毒品的危害为无或较低(OR=2.041,95%CI:1.477~2.825)是低估风险的危险因素;本省户籍(OR=2.618,95%CI:1.397~4.902)、大专及以上文化程度(OR=1.728,95%CI:1.206~2.475)、同性恋(OR=2.532,95%CI:1.093~5.845)、自评新型毒品的危害为一般或较高(OR=8.323,95%CI:4.602~15.052)、没有接受过艾滋病干预(OR=2.288,95%CI:1.224~4.292)、没有服用过暴露前预防用药(OR=11.905,95%CI:3.663~38.462)是高估风险的危险因素。结论 山东省年轻男男性行为者HIV感染风险认知偏差比例较高,HIV风险行为广泛存在,应重点加强自评HIV感染风险低但却有高危行为的MSM的教育,提高风险意识,减少危险行为的发生。Objective To understand the HIV infection risk perception bias and its related influencing factors among young men who have sex with men(MSM) in Shandong Province,so as to provide reference for making feasible HIV health education plans.Methods From April to July,2022,young MSM were recruited in six cities in Shandong province,and a questionnaire survey was conducted and blood samples were collected to collect demographic characteristics,HIV risk perception and risk behavior of MSM.Logistic regression model was used to analyze the influencing factors of HIV infection risk perception bias among young MSM.Results A total of 978 MSM were investigated,of which 85%(831/978) were over 20 years old,97.6%(955/978) were unmarried/divorced or widowed,61.1%(598/978) were college educated,2.6%(25/978) were positive for HIV antibody and 3.6%(35/978) for syphilis antibody.47.1%(461/978) had HIV infection risk perception bias,of which 54.0%(249/461) underestimate the risk and 46.0%(212/461) overestimate the risk.Logistic regression analysis showed that unmarried/divorced/widowed(OR=11.693,95%CI:1.546-88.407) and having no or low risk of new drugs(OR=2.041,95%CI:1.477-2.825) were the risk factors for underestimating the risk.Household registration in Shandong province(OR=2.618,95%CI:1.397-4.902),college education or above(OR=1.728,95%CI:1.206-2.475),homosexuality(OR=2.532,95%CI:1.093-5.845),having general or high risk of new drugs(OR=8.323,95%CI:4.602-15.052),who had not received AIDS intervention(OR=2.288,95%CI:1.224-4.292) and had not taken preventive drugs before exposure(OR=11.905,95%CI:3.663-38.462) were the risk factors for overestimating the risk.Conclusion HIV infection risk perception bias among young MSM in Shandong Province is high,and HIV risk behaviors are widespread.It is necessary to strengthen the education of MSM who have low self-rated HIV infection risk but have high-risk behaviors,improve risk awareness and reduce the occurrence of dangerous behaviors.

关 键 词：艾滋病 男男性行为者 HIV感染风险认知偏差 HIV感染行为 

分 类 号：R512.91[医药卫生—内科学]