绵阳市男男性行为者对HIV暴露前预防的知晓及其影响因素  

Awareness and its influencing factors of pre-exposure prophylaxis of HIV 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 任延飞 WANG Yi;FAN Jing;HE Jing;ZHU Yi-jing;DU Chan-juan;HUANG Li;JIA Xiu-wei;LI Wei;LIU Xiao-qin;REN Yan-fei(Mianyang City Center for Disease Control and Prevention,Mianyang 621000,China)

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 [9]盐亭县疾病预防控制中心,四川盐亭621600

出　　处：《中国健康教育》2024年第11期1032-1037,共6页Chinese Journal of Health Education

基　　金：中华预防医学会基金项目:社会组织参与艾滋病防治(2021-2022510700PYDMSM440418)。

摘　　要：目的了解绵阳市男男性行为者(MSM)对艾滋病病毒(HIV)暴露前预防(PrEP)的知晓情况,分析影响因素。方法2022年1—12月,用“滚雪球”抽样法进行MSM PrEP知晓等问卷调查,使用χ^(2)检验和Logistics回归模型进行PrEP知晓影响因素的单因素及多因素分析。结果合格问卷975份,PrEP知晓率36.9%,知晓途径44.0%为社交网络、44.5%为社区服务。多因素分析结果,文化程度增加(OR=1.632)、接受过同伴教育(OR=2.512)、做过HIV检测(OR=1.876)、害怕自己感染HIV(OR=1.866)、使用新型毒品(OR=1.395)、肛交人数≥4(OR=2.685)者PrEP知晓率较高,婚姻状况在婚及其他(OR=0.543)、职业工人及其他(OR=0.618)、本地居住时间>2年(OR=0.548)、性角色被插入方(OR=0.658)、无保护肛交(OR=0.543)者知晓率较低。结论MSM PrEP知晓率较低,其PrEP知晓受人口学特征、预防服务和危险行为等影响,无保护肛交者的低知晓水平,与实际需求相脱离,是PrEP推广宣传的重点。Objective To understand the awareness of pre-eposure prophylaxis(PrEP)of AIDS virus(HIV)among men who have sex with men(MSM)in Mianyang City,and to analyze its influencing factors.Methods From January to December 2022,a questionnaire survey of PrEP awareness among MSM was conducted by using snowball sampling method,and univariate and multifactor analysis on influencing factors of PrEP awareness were conducted thoughχ^(2)test and logistics regression model.Results There were 975 valid questionnaires,with PrEP awareness rate of 36.9%.44.0%of MSM were though social networks,and 44.5%of them were though community services.The results of multivariate analysis showed that individuals with increased education level(OR=1.632),received peer education(OR=2.512),having HIV testing(OR=1.876),afraid of suffering HIV(OR=1.866),used new type drugs(OR=1.395),and having more than 4 cases of anal sex(OR=2.685)had higher awareness of PrEP.MSM who was married or other(OR=0.543),occupational workers or others(OR=0.618),lived locally for more than 2 years(OR=0.548),sexual role as insertion(OR=0.658)and unprotected anal intercourse(OR=0.543)had lower awareness of PrEP.Conclusion The awareness rate of PrEP in MSM is relatively low,and its PrEP awareness are influenced by demographic characteristics,prevention services,and dangerous behaviors.The low level of awareness among unprotected anal sex patients is detached from actual needs,and is the key population of PrEP promotion.

关 键 词：男男性行为者 HIV 暴露前预防 知晓 影响因素 

分 类 号：R193[医药卫生—卫生事业管理]