浙江省金华市男男性行为人群HIV非职业暴露后预防使用意愿及影响因素  

Willingness to use nonoccupational postexposure prophylaxis for HIV and its influencing factors among men who have sex with men in Jinhua City,Zhejiang Province

作　　者：金屡华 唐慧玲[1] 王凤英[1] 朱珂 JIN Lyuhua;TANG Huiling;WANG Fengying;ZHU Ke(Jinhua Municipal Center for Disease Control and Prevention,Jinhua,Zhejiang 321002,China)

机构地区：[1]金华市疾病预防控制中心,浙江金华321002

出　　处：《实用预防医学》2025年第2期133-137,共5页Practical Preventive Medicine

基　　金：2021年金华市科学技术研究项目(2021-4-235)。

摘　　要：目的了解金华市男男性行为人群(men who have sex with men,MSM)的HIV非职业暴露后预防(nonoccupational postexposure prophylaxis,nPEP)使用意愿及影响因素。方法在2022年4—6月采用滚雪球抽样法招募≥18岁、自述最近一年内有过男男同性肛交性行为者为调查对象。采用自行设计的调查问卷收集一般人口学特征、预防艾滋病知识知晓情况、性行为史、吸毒史、性病史、综合干预服务、nPEP使用意愿及可能的影响因素等。采用多因素logistic回归模型,分析影响研究对象nPEP使用意愿的相关因素。结果共招募461例调查对象,将知晓nPEP的402例MSM纳入分析,以年龄25岁以上(80.10%)、未婚(62.19%)、外省户籍(55.97%)、在本地居住时间2年以上(60.45%)为主。调查对象主要通过社会组织获取nPEP相关信息(47.01%),愿意使用的比例为87.56%(352/402),使用过的比例为9.45%(38/402)。多因素logistic回归分析显示,年龄25岁以上(OR=2.224,95%CI:1.049~4.713)、通过社会组织和网络媒体获取nPEP相关信息(OR=2.856,95%CI:1.296~6.295;OR=2.860,95%CI:1.139~7.182)者对nPEP的使用意愿更高。结论金华市MSM人群对nPEP使用意愿较高,年龄、获取nPEP相关信息的途径是其主要影响因素。建议重点关注青少年MSM,改善社会支持环境,通过社会组织和网络媒体开展nPEP宣传推广,提高医疗机构nPEP门诊服务可及性和服药者依从性。Objective To analyze the willingness and influencing factors for usage of nonoccupational postexposure prophylaxis(nPEP)for human immunodeficiency virus(HIV)among men who have sex with men(MSM)in Jinhua City.Methods From April to June 2022,a snowball sampling method was used to recruit participants aged≥18 years who reported having male homosexual anal sex in the last year to serve the surveyed subjects.A self-designed questionnaire was used to collect the information regarding general demographic characteristics,awareness of knowledge about HIV/AIDS prevention,history of sexual behaviors,history of drug abuse,history of sexually transmitted diseases,comprehensive intervention services,willingness to use nPEP and possible influencing factors.Multifactor logistic regression model was employed to analyze the associated factors affecting willingness to use nPEP among the surveyed subjects.Results A total of 461 surveyed subjects were recruited,and 402 MSM who had heard of nPEP services were enrolled into the analysis,with the majority being MSM aged>25 years(80.10%),the unmarried(62.19%),and MSM registered permanent residence in other provinces(55.97%)and resided in the local area for more than 2 years(60.45%).47.01%of the MSM got information about nPEP through social organizations.The proportion of willingness to use nPEP was 87.56%(352/402),and 9.45%(38/402)had used nPEP among the 402 cases.Multifactor logistic regression analysis revealed that MSM aged>25 years(OR=2.224,95%CI:1.049-4.713)and getting information about nPEP through social organizations and online media(OR=2.856,95%CI:1.296-6.295;OR=2.860,95%CI:1.139-7.182)had a higher willingness to use nPEP.Conclusion The willingness for usage of nPEP was relatively high among the MSM in Jinhua City,with the main affecting factors being age and the channels of getting information about nPEP.It is suggested that special attention should be paid to adolescent MSM,improving social support environment,conducting publicity and promotion of nPEP through social organiz

关 键 词：人类免疫缺陷病毒 男男性行为者 非职业暴露后预防 影响因素 

分 类 号：R512.91[医药卫生—内科学]