男男同性性行为者艾滋病知识与认识的关联及其对高危性行为和HIV感染的影响  

The association between AIDS knowledge and awareness among men who have sex with men:implications for high-risk sexual behavior and HIV infection

作　　者：廖克坤[1] 王毅[1] 樊静[2] 何静[1] 熊军[3] 杜婵娟 黄丽 贾修伟 李伟 刘晓琴 LIAO Kekun;WANG Yi;FAN Jing;HE Jing;XIONG Jun;DU Chanjuan;HUANG Li;JIA Xiuwei;LI Wei;LIU Xiaoqin(Mianyang Municipal Center for Disease Control and Prevention,Mianyang,Sichuan 621000,China;不详)

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000 [3]绵阳市涪城区疾病预防控制中心,四川绵阳621000 [4]绵阳市游仙区疾病预防控制中心,四川绵阳621000 [5]三台县疾病预防控制中心,四川三台621100 [6]北川羌族自治县疾病预防控制中心,四川北川622750 [7]绵阳市安州区疾病预防控制中心,四川绵阳622650 [8]梓潼县疾病预防控制中心,四川梓潼622150

出　　处：《中国病毒病杂志》2024年第4期368-373,共6页Chinese Journal of Viral Diseases

基　　金：社会组织参与艾滋病防治基金项目(2021-2022510700PYDMSM440418C)。

摘　　要：目的 了解四川省绵阳市男男同性性行为者(men who have sex with men,MSM)艾滋病知识与认识的关联,分析其对高危性行为和人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染的影响。方法 2022年1-12月,在四川省绵阳市用“滚雪球”抽样法在MSM中进行艾滋病知识与认识(艾滋病感染风险的大小、是否害怕感染及有无预防感染的能力,分别简称感染风险、害怕感染、防治能力)的问卷调查和HIV抗体检测,艾滋病知识与认识的关联用皮尔逊列联系数分析,对高危性行为及HIV感染影响因素的多因素分析用logistics回归模型。结果 共获得合格问卷984份,艾滋病知识知晓率98.0%(964/984),自认感染风险大占11.4%(112/984)、害怕感染占81.8%(801/979)、有防治能力占83.1%(811/976)。知识知晓与感染风险呈负相关,与害怕感染、防治能力呈正相关(均P<0.05);感染风险、害怕感染与防治能力呈负相关(均P<0.05)。多因素分析结果显示,在控制基本人口学特征后,多性伴(aOR=2.303,95%CI:1.460~3.625)、无保护肛交(aOR=1.794,95%CI:1.154~2.789)是感染风险的危险因素;害怕感染(aOR=0.677, 95%CI:0.467~0.981)、防治能力(aOR=0.454, 95%CI:0.313~0.659)是无保护肛交的保护因素;知识知晓(aOR=0.188,95%CI:0.030~0.933)、防治能力(aOR=0.107,95%CI:0.042~0.273)是HIV感染的保护因素。结论 MSM艾滋病知识与认识相关联,感染风险与行为分离,害怕感染提高自我保护和防治能力可切实降低HIV感染风险,要有针对性地开展健康教育和行为干预。Objective To understand the association between AIDS knowledge and awareness among men who have sex with men(MSM)in Mianyang,Sichuan,and to analyze its impact on high-risk sexual behaviors and human immunodeficiency virus(HIV)infection.Methods From January to December 2022,a questionnaire survey on HIV knowledge and awareness(including perceived infection risk,fear of infection,and preventive ca-pability)was conducted among MSM in Mianyang using a snowball sampling method alongside HIV antibody testing.Pearson correlation coefficients were used for correlation analysis,and the logistics regression model was employed to analyze factors influencing high-risk sexual behavior and HIV infection.Results A total of 984 valid questionnaires were collected,with an HIV knowledge awareness rate of 98.0%(964/984).Among respondents,11.4%(112/984)perceived a high infection risk,81.8%(801/979)were afraid of infection,and 83.1%(811/976)could prevention and treatment.Knowledge awareness was negatively correlated with perceived infection risk and positively correlated with fear of infection and prevention ability(all P<o.05).Perceived infection risk and fear of infection were negatively correlated with prevention ability(all P<0.05).Multivariate analysis showed that after controlling basic demographic characteristics,having multiple sexual partners(aOR=2.303,95%CI:1.460-3.625)and unprotected anal sex(aOR=1.794,95% CI:1.154-2.789)were risk factors for perceived infection risk.Conversely,fear of infection(aOR=0.677,95% CI:0.467-0.981)and prevention ability(aOR=0.454,95%CI:0.313-0.659)were the protective factors against unprotected anal sex.Awareness of knowledge(aOR=0.188,95%CI:0.030-0.933)and prevention ability(aOR=0.107,95% CI:0.042-0.273)were protective factors for HIV infection.Conclusions There is a significant relationship between HIV knowledge and awareness among MSM.Perceived infection risk is distinct from behavior,and fear of infection can improve self-protection and prevention ability to reduce the risk of HIV infection e

关 键 词：男男同性性行为者 艾滋病 知识 认识 行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]