中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2014年
11期
969-973
,共5页
陈芳%丁凡%林小杰%王晓冬%何欢%黄文%董燕燕%杨巧红%张洪波
陳芳%丁凡%林小傑%王曉鼕%何歡%黃文%董燕燕%楊巧紅%張洪波
진방%정범%림소걸%왕효동%하환%황문%동연연%양교홍%장홍파
HIV感染%性伴侣%男男性行为者%性伴告知
HIV感染%性伴侶%男男性行為者%性伴告知
HIV감염%성반려%남남성행위자%성반고지
HIV infection%Sexual partners%Men who have sex with men%HIV disclosure
目的:调查广州、重庆、成都市HIV感染者中男男性行为人群( MSM)男性固定性伴告知情况,并分析其影响因素。方法于2012年12月至2013年5月,采用“滚雪球”方法在广州、重庆、成都市开展调查。纳入≥18岁、HIV感染者、发生过男男性行为、接受调查时分别居住于3个城市者,调查其男性固定性伴告知状况,采用多因素非条件logistic回归模型分析其影响因素。本次调查共发放问卷600份,获得有效问卷541份,有效率为90畅2%。结果541例HIV感染者年龄为(30畅2±7畅7)岁,拥有男性固定性伴者占78畅2%(423/541),其中,有配偶者占10畅9%(46/423),拥有1名男性固定性伴者占58畅9%(249/423),拥有2名以上男性固定性伴者占41畅1%(174/423)。将自身 HIV 感染状况告知全部男性固定性伴、配偶和部分男性固定性伴的比例分别为41畅8%(177/423)、4畅5%(19/423)和20畅3%(86/423),未告知任何男性固定性伴者占37畅8%(160/423)。近6个月,拥有HIV阳性性伴的调查对象占35畅2%(149/423),其男性固定性伴告知率为70畅5%(105/149),高于拥有HIV阴性性伴者[26畅3%(72/274)](χ2=77畅46,P<0畅01)。拥有HIV感染状况未知性伴的调查对象占52畅7%(223/423),其男性固定性伴告知率为22畅4%(50/223),低于拥有已知HIV感染状况者[63畅5%(127/200)](χ2=73畅11,P<0畅01)。拥有HIV阳性性伴者将自身HIV感染状况告知男性固定性伴的可能性是拥有HIV阴性性伴者的6畅36(3畅75~10畅80)倍,拥有未知HIV感染状况性伴者将自身HIV感染情况告知男性固定性伴的可能性是拥有HIV已知感染状况性伴者的0畅44(0畅25~0畅76)倍,与男性固定性伴有肛交行为的调查对象,其男性固定性伴告知的可能性是无肛交行为者的0畅46(0畅22~0畅95)倍。结论广州、重庆、成都市HIV感染者中MSM的男性固定性伴告知状况处于较低水平;男性固定性伴告知状况与该部分人群拥有的性伴特征有关,有HIV阳性性伴者的男性固定性伴告知率较高。
目的:調查廣州、重慶、成都市HIV感染者中男男性行為人群( MSM)男性固定性伴告知情況,併分析其影響因素。方法于2012年12月至2013年5月,採用“滾雪毬”方法在廣州、重慶、成都市開展調查。納入≥18歲、HIV感染者、髮生過男男性行為、接受調查時分彆居住于3箇城市者,調查其男性固定性伴告知狀況,採用多因素非條件logistic迴歸模型分析其影響因素。本次調查共髮放問捲600份,穫得有效問捲541份,有效率為90暢2%。結果541例HIV感染者年齡為(30暢2±7暢7)歲,擁有男性固定性伴者佔78暢2%(423/541),其中,有配偶者佔10暢9%(46/423),擁有1名男性固定性伴者佔58暢9%(249/423),擁有2名以上男性固定性伴者佔41暢1%(174/423)。將自身 HIV 感染狀況告知全部男性固定性伴、配偶和部分男性固定性伴的比例分彆為41暢8%(177/423)、4暢5%(19/423)和20暢3%(86/423),未告知任何男性固定性伴者佔37暢8%(160/423)。近6箇月,擁有HIV暘性性伴的調查對象佔35暢2%(149/423),其男性固定性伴告知率為70暢5%(105/149),高于擁有HIV陰性性伴者[26暢3%(72/274)](χ2=77暢46,P<0暢01)。擁有HIV感染狀況未知性伴的調查對象佔52暢7%(223/423),其男性固定性伴告知率為22暢4%(50/223),低于擁有已知HIV感染狀況者[63暢5%(127/200)](χ2=73暢11,P<0暢01)。擁有HIV暘性性伴者將自身HIV感染狀況告知男性固定性伴的可能性是擁有HIV陰性性伴者的6暢36(3暢75~10暢80)倍,擁有未知HIV感染狀況性伴者將自身HIV感染情況告知男性固定性伴的可能性是擁有HIV已知感染狀況性伴者的0暢44(0暢25~0暢76)倍,與男性固定性伴有肛交行為的調查對象,其男性固定性伴告知的可能性是無肛交行為者的0暢46(0暢22~0暢95)倍。結論廣州、重慶、成都市HIV感染者中MSM的男性固定性伴告知狀況處于較低水平;男性固定性伴告知狀況與該部分人群擁有的性伴特徵有關,有HIV暘性性伴者的男性固定性伴告知率較高。
목적:조사엄주、중경、성도시HIV감염자중남남성행위인군( MSM)남성고정성반고지정황,병분석기영향인소。방법우2012년12월지2013년5월,채용“곤설구”방법재엄주、중경、성도시개전조사。납입≥18세、HIV감염자、발생과남남성행위、접수조사시분별거주우3개성시자,조사기남성고정성반고지상황,채용다인소비조건logistic회귀모형분석기영향인소。본차조사공발방문권600빈,획득유효문권541빈,유효솔위90창2%。결과541례HIV감염자년령위(30창2±7창7)세,옹유남성고정성반자점78창2%(423/541),기중,유배우자점10창9%(46/423),옹유1명남성고정성반자점58창9%(249/423),옹유2명이상남성고정성반자점41창1%(174/423)。장자신 HIV 감염상황고지전부남성고정성반、배우화부분남성고정성반적비례분별위41창8%(177/423)、4창5%(19/423)화20창3%(86/423),미고지임하남성고정성반자점37창8%(160/423)。근6개월,옹유HIV양성성반적조사대상점35창2%(149/423),기남성고정성반고지솔위70창5%(105/149),고우옹유HIV음성성반자[26창3%(72/274)](χ2=77창46,P<0창01)。옹유HIV감염상황미지성반적조사대상점52창7%(223/423),기남성고정성반고지솔위22창4%(50/223),저우옹유이지HIV감염상황자[63창5%(127/200)](χ2=73창11,P<0창01)。옹유HIV양성성반자장자신HIV감염상황고지남성고정성반적가능성시옹유HIV음성성반자적6창36(3창75~10창80)배,옹유미지HIV감염상황성반자장자신HIV감염정황고지남성고정성반적가능성시옹유HIV이지감염상황성반자적0창44(0창25~0창76)배,여남성고정성반유항교행위적조사대상,기남성고정성반고지적가능성시무항교행위자적0창46(0창22~0창95)배。결론엄주、중경、성도시HIV감염자중MSM적남성고정성반고지상황처우교저수평;남성고정성반고지상황여해부분인군옹유적성반특정유관,유HIV양성성반자적남성고정성반고지솔교고。
Objective To investigate the status of HIV disclosure to primary partners and to explore the correlates of HIV disclosure among HIV-infected men who have sex with men ( MSM) in Guangzhou, Chongqing and Chengdu.Methods This survey was conducted in Chengdu ,Chongqing and Guangzhou by using “snowballing” sample from December ,2012 to May,2013.Participants who were eighteen years old or elder,HIV-infected,had sex with men and lived in three cities when the survey was conducted were eligible for subjects of this survey.Primary partners and disclosure status of participants were investigated.Multiple Unconditioned Logistic Regression analysis was used to analyze the influence factors associated with HIV disclosure.Of 600 participants , 541 were excluded because of logical problem or incomplete items in questionnaire and the effective response rate was 90.2%.Results Of the 541 HIV-positive MSM participants,the mean age was (30.2 ±7.7) years old,78.2%(423/541) of the participants had male primary partners.Of the 423 participants who had male primary partner ,10.9%(46/423) had wife, 58.9%( 249/423 ) had one primary partner , and 41.1%( 174/423 ) had two or more.The proportion of HIV disclosure to all male primary sexual partners and wife was 41.8%( 177/423 ) and 4.5%( 19/423 ) respectively,20.3%(86/423) of them disclosure to some of male primary partners and 37.8%(160/423) not disclosure to any male primary partners.Participants who had HIV-positive male partners in the past 6 months ( accounting for 35.2%( 149/423 ) ) were more likely to disclose HIV infection to their primary sexual partners ( 70.5%( 105/149 ) ) than those who had non-HIV-positive sexual partners ( 26.3%(72/274)) (χ2 =77.46,P<0.01).Participants who had male unknown HIV-status sexual partners in the past 6 months(accounting for 52.7%(223/423)) were less likely to disclosure HIV infection to primary sexual partners (22.4%(50/223) )than those who had already known HIV-status sexual partners (63.5%(127/200)) (χ2 =73.11,P<0.01).The possibility of HIV disclosure to primary sexual partner among participants who had HIV-positive sexual partner increase to 6.36 ( 3.75-10.80 ) times of those who had HIV-negative partners , and the possibility among participants who had sexual partners of unknown HIV status decreased to 0.44 ( 0.25-0.76 ) times of those who had sexual partners of already known HIV status.Compared with having non-anal sex behaviors with male primary partner , the possibility of HIV disclosure to primary sexual partner decreased to 0.46 (0.22-0.95) times among participants who had anal sex behavior with male primary partners.Conclusion There were low proportion of HIV disclosure to primary sexual partners among HIV-infected MSM in Guangzhou ,Chongqing and Chengdu.HIV disclosure to primary sexual partners may beassociated with characteristics of their sexual partners , and participants who had HIV-positive male partners were more likely to disclose HIV infection to their primary sexual partners.