北京市540名男男同性性行为者人乳头瘤病毒认知和疫苗接种意愿调查  

Survey on knowledge and vaccination willingness regarding human papillomavirus among 540 men who have sex with men in Beijing

作　　者：宋亮[1] 王睿 丁海峰[1] 李镇男 于淼[1] 张政[1] 刘英杰[1] SONG Liang;WANG Rui;DING Haifeng;LI Zhennan;YU Miao;ZHANG Zheng;LIU Yingjie'(Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China;不详)

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021 [2]华中科技大学同济医学院公共卫生学院,湖北武汉430030 [3]北京红丝带之家,北京100015

出　　处：《中国病毒病杂志》2025年第1期36-41,共6页Chinese Journal of Viral Diseases

基　　金：2021年度北京市重大疫情防治重点专科项目(建设类项目)。

摘　　要：目的了解男男同性性行为者(men who have sex with men,MSM)对人乳头瘤病毒(human papillomavirus,HPV)的认知和疫苗接种意愿,分析该人群HPV知晓和疫苗接种意愿的相关因素。方法2021年12月—2022年2月采用方便抽样方法,通过线上问卷调查了北京市540名MSM。HPV知晓和疫苗接种意愿相关因素的单因素分析采用χ^(2)检验或Fisher精确检验,多因素分析采用logistic回归。结果调查对象HPV知晓率为51.67%(279/540),愿意免费接种HPV疫苗的占98.70%(533/540),愿意自费接种的占69.26%(374/540)。多因素logistic回归分析显示:文化程度为大学/大专(OR=2.64,95%CI:1.57~4.45)和研究生及以上(OR=4.45,95%CI:2.32~8.51)的调查对象HPV知晓率更高;几天1次/只在应酬时喝酒的调查对象HPV知晓率较低(OR=0.25,95%CI:0.07~0.97);最近1年异性性行为时有时使用安全套(OR=2.17,95%CI:1.03~4.56)和每次都用安全套(OR=2.53,95%CI:1.33~4.79)、月收入≥10000元(OR=2.62,95%CI:1.65~4.15)、知晓HPV(OR=2.19,95%CI:1.49~3.24)的MSM更愿意自费接种HPV疫苗,而首次性行为年龄>20岁的MSM较不愿意自费接种(OR=0.56,95%CI:0.33~0.96)。结论北京市MSM的HPV疫苗自费接种意愿较高,应加强在该人群中的HPV相关健康教育,可考虑在该人群中启动HPV疫苗试点接种。Objective To explore the awareness and vaccination willingness of human papillomavirus(HPV)in men who have sex with men(MSM)in Beijing,as well as to analyze the factors associated with HPV awareness and vaccination willingness in this population.Methods Using a conventional sampling method,540 MSM were surveyed through online questionnaires from December 2021 to February 2022.Univariate analyses of factors related to HPV awareness and vaccination willingness were performed using chi-square tests or Fisher's exact test,while multivariate analyses were performed using logistic regression.Results The awareness rate of HPV-related knowledge was 51.67%(279/540),with 98.70%(533/540)willing to receive the HPV vaccine for free and 69.26%(374/540)willing to pay for it.Multivariate logistic regression analysis showed that individuals with a college or associate degree(OR=2.64,95%CI:1.57–4.45)and those with a graduate degree or higher(OR=4.45,95%CI:2.32–8.51)had higher HPV awareness.Those who drank alcohol occasionally or only during social events had lower awareness(OR=0.25,95%CI:0.07–0.97).MSM who occasionally used condoms during heterosexual intercourse in the past year(OR=2.17,95%CI:1.03–4.56)and those who always used condoms(OR=2.53,95%CI:1.33–4.79),individuals with a monthly income≥10000 RMB(OR=2.62,95%CI:1.65–4.15),and those who were aware of HPV(OR=2.19,95%CI:1.49–3.24)were more willing to pay for the HPV vaccine.In contrast,MSM who had their first sexual encounter at age 21or older were less willing to pay for vaccination(OR=0.56,95%CI:0.33–0.96).Conclusions The willingness to pay for HPV vaccination among MSM in Beijing is relatively high.It is essential to strengthen HPV-related health education in this population and consider initiating pilot vaccination programs targeting MSM.

关 键 词：男男同性性行为者 人乳头瘤病毒 疫苗 接种意愿 

分 类 号：R512.91[医药卫生—内科学]