中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2008年
12期
895-900
,共6页
朱军礼%张洪波%吴尊友%郑迎军%许娟%王君%吴红花%陈琳
硃軍禮%張洪波%吳尊友%鄭迎軍%許娟%王君%吳紅花%陳琳
주군례%장홍파%오존우%정영군%허연%왕군%오홍화%진림
获得性免疫缺陷综合征%危险行为%接触者追踪%干预性研究
穫得性免疫缺陷綜閤徵%危險行為%接觸者追蹤%榦預性研究
획득성면역결함종합정%위험행위%접촉자추종%간예성연구
Acquired immunedeficiency syndrome%Dangerous behavior%Contact tracing%Intervention studies
目的 探讨"发起人主导和同伴驱动相结合的行为干预"方法对促进我国男男性行为(MSM)人群安全套使用和降低性伴数的可行性和有效性.方法 在安徽省有同性恋酒吧的合肥、芜湖、阜阳3个城市,通过招募在MSM活动场所有影响的12名MSM作为"发起人",采用同伴网络招募MSM同伴的方法,在MSM人群中招募了218名符合研究条件的干预对象,建立12个干预活动小组.通过培训"发起人",由他们组织实施4个主题干预活动,干预活动为期1个月.通过比较干预前和干预活动结束后2个月干预对象艾滋病病毒和(或)性接触性感染(HIV/STDs)知识水平、安全套使用率、近2个月的性伴数等指标,来评估干预方法的有效性.结果 干预结束后第3个月随访到170名MSM,随访率77.9%.170名干预对象干预前HIV/STDs知识得分为(14.71±2.59)分,干预后为(16.95±1.81)分,经配对t检验,差异有统计学意义(t=-10.647,P＜0.01);干预后,最近2个月拥有女性性伴报告率由17.6%降低为11.2%,经配对x2检验,差异有统计学意义(P＜0.01);最近3次与男性性伴肛交时安全套使用率从干预前的55.3%提高到干预后的65.2%(x2=9.979,P＜0.01);与男性偶然性伴最近3次肛交时安全套使用率从干预前的43.2%提高到干预后的52.2%(x2=5.797,P＜0.05);与男性固定性伴最近3次肛交时安全套使用率从49.1%提高到60.9%(x2=13.082,P＜0.01);干预前,最近1次与男性性伴、男性偶然性伴、男性固定性伴肛交中未使用安全套的报告率分别为41.2%、35.3%和45.3%,干预后分别降低为25.3%、27.1%和31.2%,分别经配对x2检验,差异有统计学意义(P＜0.01、P＜0.05和P＜0.01).通过群组比较分析的方法,比较干预后随访到的170名干预对象与干预前的218名干预对象的上述指标,除最近2个月有女性性伴报告率、最近3次与男性偶然性伴发生肛交行为中安全套使用率和最近1次与男性偶然性伴发生无保护肛交的报告率3个指标变化差异无统计学意义外,其他指标干预前后变化与上述比较结果基本相似.结论 "发起人主导和同伴驱动相结合行为干预"方法,是可以被我国MSM人群接受并能促进MSM人群肛交性行为中使用安全套.
目的 探討"髮起人主導和同伴驅動相結閤的行為榦預"方法對促進我國男男性行為(MSM)人群安全套使用和降低性伴數的可行性和有效性.方法 在安徽省有同性戀酒吧的閤肥、蕪湖、阜暘3箇城市,通過招募在MSM活動場所有影響的12名MSM作為"髮起人",採用同伴網絡招募MSM同伴的方法,在MSM人群中招募瞭218名符閤研究條件的榦預對象,建立12箇榦預活動小組.通過培訓"髮起人",由他們組織實施4箇主題榦預活動,榦預活動為期1箇月.通過比較榦預前和榦預活動結束後2箇月榦預對象艾滋病病毒和(或)性接觸性感染(HIV/STDs)知識水平、安全套使用率、近2箇月的性伴數等指標,來評估榦預方法的有效性.結果 榦預結束後第3箇月隨訪到170名MSM,隨訪率77.9%.170名榦預對象榦預前HIV/STDs知識得分為(14.71±2.59)分,榦預後為(16.95±1.81)分,經配對t檢驗,差異有統計學意義(t=-10.647,P＜0.01);榦預後,最近2箇月擁有女性性伴報告率由17.6%降低為11.2%,經配對x2檢驗,差異有統計學意義(P＜0.01);最近3次與男性性伴肛交時安全套使用率從榦預前的55.3%提高到榦預後的65.2%(x2=9.979,P＜0.01);與男性偶然性伴最近3次肛交時安全套使用率從榦預前的43.2%提高到榦預後的52.2%(x2=5.797,P＜0.05);與男性固定性伴最近3次肛交時安全套使用率從49.1%提高到60.9%(x2=13.082,P＜0.01);榦預前,最近1次與男性性伴、男性偶然性伴、男性固定性伴肛交中未使用安全套的報告率分彆為41.2%、35.3%和45.3%,榦預後分彆降低為25.3%、27.1%和31.2%,分彆經配對x2檢驗,差異有統計學意義(P＜0.01、P＜0.05和P＜0.01).通過群組比較分析的方法,比較榦預後隨訪到的170名榦預對象與榦預前的218名榦預對象的上述指標,除最近2箇月有女性性伴報告率、最近3次與男性偶然性伴髮生肛交行為中安全套使用率和最近1次與男性偶然性伴髮生無保護肛交的報告率3箇指標變化差異無統計學意義外,其他指標榦預前後變化與上述比較結果基本相似.結論 "髮起人主導和同伴驅動相結閤行為榦預"方法,是可以被我國MSM人群接受併能促進MSM人群肛交性行為中使用安全套.
목적 탐토"발기인주도화동반구동상결합적행위간예"방법대촉진아국남남성행위(MSM)인군안전투사용화강저성반수적가행성화유효성.방법 재안휘성유동성련주파적합비、무호、부양3개성시,통과초모재MSM활동장소유영향적12명MSM작위"발기인",채용동반망락초모MSM동반적방법,재MSM인군중초모료218명부합연구조건적간예대상,건립12개간예활동소조.통과배훈"발기인",유타문조직실시4개주제간예활동,간예활동위기1개월.통과비교간예전화간예활동결속후2개월간예대상애자병병독화(혹)성접촉성감염(HIV/STDs)지식수평、안전투사용솔、근2개월적성반수등지표,래평고간예방법적유효성.결과 간예결속후제3개월수방도170명MSM,수방솔77.9%.170명간예대상간예전HIV/STDs지식득분위(14.71±2.59)분,간예후위(16.95±1.81)분,경배대t검험,차이유통계학의의(t=-10.647,P＜0.01);간예후,최근2개월옹유녀성성반보고솔유17.6%강저위11.2%,경배대x2검험,차이유통계학의의(P＜0.01);최근3차여남성성반항교시안전투사용솔종간예전적55.3%제고도간예후적65.2%(x2=9.979,P＜0.01);여남성우연성반최근3차항교시안전투사용솔종간예전적43.2%제고도간예후적52.2%(x2=5.797,P＜0.05);여남성고정성반최근3차항교시안전투사용솔종49.1%제고도60.9%(x2=13.082,P＜0.01);간예전,최근1차여남성성반、남성우연성반、남성고정성반항교중미사용안전투적보고솔분별위41.2%、35.3%화45.3%,간예후분별강저위25.3%、27.1%화31.2%,분별경배대x2검험,차이유통계학의의(P＜0.01、P＜0.05화P＜0.01).통과군조비교분석적방법,비교간예후수방도적170명간예대상여간예전적218명간예대상적상술지표,제최근2개월유녀성성반보고솔、최근3차여남성우연성반발생항교행위중안전투사용솔화최근1차여남성우연성반발생무보호항교적보고솔3개지표변화차이무통계학의의외,기타지표간예전후변화여상술비교결과기본상사.결론 "발기인주도화동반구동상결합행위간예"방법,시가이피아국MSM인군접수병능촉진MSM인군항교성행위중사용안전투.
Objective To determine the feasibility and the effectiveness of HIV risk behavior intervention characterized by initiator taking the lead combined with peer's participation，as to preventing HIV epidemic through promoting condom use and reducing the number of sexual partners among men who have sex with men(MSM)groups. Methods Subjects were recruited via peer referral chain. Twelve key MSM were recruited as initiators in bars or other MSM venues in 3 cities of Hefei，Wuhu and Fuyang. Then，each initiator recruited up to 3 MSM to participate and also each of them continued recruiting others. A total of 218 eligible MSM were recruited，and there were four intervention activities conducted. Firstly，twelve initiators were trained according to intervention manual and then intervention activities were implemented by initiators based on their referral chain. Participants were required to complete self-administrated questionnaire at baseline and the third month after intervention finished. The comparison of the results before and after intervention was conducted two months later to see any improvement in HIV/AIDS knowledge，and condom use. Results Of 218 participants，170(77.9%)were followed up in assessment three months later. The results from paired t-Test and Chi Square Test showed that intervention increased HIV/STDs related knowledge(baseline，14.71±2.59；follow-up，16.95±1.81；t=-10.647，P＜0.01)and the rate of having female sexual partner during previous 2 months(baseline，17.6%；follow-up，11.2%；P＜0.01)were of significant differences. Meanwhile，the intervention increased rate of condom use in the last three times of anal intercourse with homosexual partners，casual homosexual partners and primary homosexual partners(baseline，55.3%，43.2%，49.1%；follow-up，65.2%，52.2%，60.9%；x2=9.979，P＜0.01；x2=5.797，P＜0.05；x2=13.082，P＜0.01；respectively)and decreased rate of non-condom use in the last anal intercourse with homosexual partners，casual homosexual partners and primary homosexual partners (baseline，41.2%，35.3%，45.3%；follow-up，25.3%，27.1%，31.2%；P＜0.01，P＜0.05，P＜0.01；respectively)were all of some improvement. Other relevant indicators of 218 participants with 170 followed were compared，excepting the above similar findings，there were no differences in rate of number of female sexual partner during previous 2 months and rate of condom use in the last three anal intercourse with casual homosexual partners and rate of non-condom use in the last anal intercourse with casual homosexual partners. Conclusion HIV risk behavior intervention based on MSM peer groups is feasible and might increase the condom use among MSM.
