贵州省不同性向人群猴痘防控知识知晓情况及相关因素研究  

Study on knowledge of monkeypox prevention and control and related factors with different sexual orientation in Guizhou Province

作　　者：马琳 姚永明[1] 周凤 钱晓涵 陶锐[1] 郑敏[1] Ma Lin;Yao Yongming;Zhou Feng;Qian Xiaohan;Tao Rui;Zheng Min(Guizhou Provincial Center for Disease Control and Prevention,Guiyang 550001,Guizhou,China;School of Public Health and Health,Guizhou Medical University,Guiyang 550025,Guizhou,China.)

机构地区：[1]贵州省疾病预防控制中心,贵州贵阳550001 [2]贵州医科大学公共卫生与健康学院,贵州贵阳550025

出　　处：《贵州医药》2025年第3期353-356,共4页Guizhou Medical Journal

基　　金：贵州省卫生健康委科学基金项目(gzwkj2023-508);贵州省科技厅科技支撑项目[黔科合支撑(2021)一般026]。

摘　　要：目的了解贵州省不同性向人群对猴痘相关防控知识知晓情况及其影响因素。方法于2022年7月1日至2022年8月2日通过互联网在贵州省内发布电子问卷招募研究对象,对参与调查的不同性向人群的人口学特征、旅居史、性行为特征及猴痘防治相关知识等进行分析。结果共收集到1025份问卷,有效问卷993份。在993个调查对象中,平均年龄为(34.2±10.2)岁,自报人类免疫缺陷病毒(HIV)阳性者占9.2%,自报梅毒阳性者占3.3%。总体人群的猴痘防控知识知晓率为52.8%,异性恋、同性恋和双性恋人群知晓率分别为57.3%、43.4%、42.4%。多因素Logistic回归分析显示,年龄为45~54岁的知晓率高于16~24岁;担心疫情传入中国的知晓率高于不担心疫情传入;有国外旅居史的知晓率高于无国外旅居史;HIV阳性和HIV阴性的知晓率高于未检测HIV者;未感染梅毒和未检测过梅毒者的知晓率高于梅毒阳性者(P<0.05)。结论贵州省不同性向人群对猴痘防控知识的知晓率均低,尤其是发生无保护性行为的男男性行为者(MSM)是防控的重点人群;应当加强青少年、未做HIV检测和梅毒阳性人群猴痘防控相关知识的学习,尤其是提升对猴痘临床表现的认知,做好自我监测,以便于早期防控。Objective To understand the knowledge about monkeypox prevention and control of different sexual orientations in Guizhou Province and the factors influencing their knowledge.Methods From July 1 to August 2,2022,the study subjects were recruited through an electronic questionnaire published on the Internet in Guizhou Province,and the demographic characteristics,travel history,sexual behavior characteristics and knowledge related to monkeypox prevention and control of people with different sexual orientations who participated in the survey were analyzed.Results A total of 1 025 questionnaires were collected,with 993 valid questionnaires.Among the 993 respondents,the mean age was(34.2±10.2) years,and 9.2% were self-reported HIV-positive and 3.3% were self-reported syphilis-positive.The overall population knowledge of monkeypox prevention and control was 52.8%,and 57.3%,43.4% and 42.4% for heterosexual,homosexual and bisexual populations,respectively.Multi-factor logistic regression analysis showed that the awareness rate was higher among those aged 45-54 years than those aged 16~24 years.The awareness rate was higher among those who were worried about the introduction of the epidemic into China than those who were not worried about the introduction of the epidemic into China.The awareness rate was higher among those with a history of foreign residence than those without a history of foreign residence.The awareness rate was higher among those who were HIV positive and HIV negative than those who were not tested for HIV.The awareness rate was higher among those who were not infected with syphilis and those who were not tested for syphilis than those who were syphilis(P<0.05).Conclusion The knowledge of monkeypox prevention and control of different sexual orientations in Guizhou Province is low,especially among men who have sex with men(MSM),who have unprotected sex,which is a priority group for prevention and control.Self-monitoring should be done to facilitate early prevention and control.

关 键 词：同性恋 异性恋 双性恋 猴痘病毒 预防 

分 类 号：R181.3[医药卫生—流行病学]