国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2014年
6期
399-402
,共4页
任胜芳%严海波%于伟%张子汉%谢天胜
任勝芳%嚴海波%于偉%張子漢%謝天勝
임성방%엄해파%우위%장자한%사천성
获得性免疫缺陷综合征%同性恋,男性%安全套%影响因素
穫得性免疫缺陷綜閤徵%同性戀,男性%安全套%影響因素
획득성면역결함종합정%동성련,남성%안전투%영향인소
Acquired immunodeficiency syndrome%Homosexuality,male%Condoms%Influencing factors
目的 比较不同干预模式下男男性行为者(MSM)HIV相关知识、行为的差异,分析MSM安全套使用的影响因素.方法 采用非概率抽样法抽取2013年3-10月在绍兴市柯桥区活动的412名MSM按照干预模式分为主动求询组(n=275)和外展干预组(n=137),进行问卷调查,比较两组高危行为差异;运用多因素Logistic回归模型进行安全套使用影响因素分析.结果 共调查412名MSM,收回有效问卷412份,有效率100.0％.主动求询组艾滋病知识知晓率为96.0％ (264/275),高于外展干预组的90.5％(124/137,x2=5.066,P＜0.05).主动求询组最近一次同性商业性行为、异性性行为安全套使用率以及最近6个月同性商业性行为、与异性性行为每次安全套使用率分别为90.9％(10/11)、79.3％ (46/58)、81.8％(9/11)和48.3％ (28/58),高于外展干预组的37.5％(3/8,确切概率法,P＜0.05)、58.8％ (20/34,x2=4.437,P＜0.05)、25.0％(2/8,确切概率法,P＜0.05)和14.7％ (5/34,x2=10.501,P＜0.01).年龄≥45岁、非婚和最近1年参加HIV检测是坚持使用安全套的影响因素(OR=3.81、1.85和2.00,P均＜0.05).结论 主动求询人群艾滋病知晓率以及安全套使用率均高于外展干预人群,要加强对＜45岁、最近1年无HIV检测史、已婚MSM人群避孕套使用的宣传干预力度.
目的 比較不同榦預模式下男男性行為者(MSM)HIV相關知識、行為的差異,分析MSM安全套使用的影響因素.方法 採用非概率抽樣法抽取2013年3-10月在紹興市柯橋區活動的412名MSM按照榦預模式分為主動求詢組(n=275)和外展榦預組(n=137),進行問捲調查,比較兩組高危行為差異;運用多因素Logistic迴歸模型進行安全套使用影響因素分析.結果 共調查412名MSM,收迴有效問捲412份,有效率100.0％.主動求詢組艾滋病知識知曉率為96.0％ (264/275),高于外展榦預組的90.5％(124/137,x2=5.066,P＜0.05).主動求詢組最近一次同性商業性行為、異性性行為安全套使用率以及最近6箇月同性商業性行為、與異性性行為每次安全套使用率分彆為90.9％(10/11)、79.3％ (46/58)、81.8％(9/11)和48.3％ (28/58),高于外展榦預組的37.5％(3/8,確切概率法,P＜0.05)、58.8％ (20/34,x2=4.437,P＜0.05)、25.0％(2/8,確切概率法,P＜0.05)和14.7％ (5/34,x2=10.501,P＜0.01).年齡≥45歲、非婚和最近1年參加HIV檢測是堅持使用安全套的影響因素(OR=3.81、1.85和2.00,P均＜0.05).結論 主動求詢人群艾滋病知曉率以及安全套使用率均高于外展榦預人群,要加彊對＜45歲、最近1年無HIV檢測史、已婚MSM人群避孕套使用的宣傳榦預力度.
목적 비교불동간예모식하남남성행위자(MSM)HIV상관지식、행위적차이,분석MSM안전투사용적영향인소.방법 채용비개솔추양법추취2013년3-10월재소흥시가교구활동적412명MSM안조간예모식분위주동구순조(n=275)화외전간예조(n=137),진행문권조사,비교량조고위행위차이;운용다인소Logistic회귀모형진행안전투사용영향인소분석.결과 공조사412명MSM,수회유효문권412빈,유효솔100.0％.주동구순조애자병지식지효솔위96.0％ (264/275),고우외전간예조적90.5％(124/137,x2=5.066,P＜0.05).주동구순조최근일차동성상업성행위、이성성행위안전투사용솔이급최근6개월동성상업성행위、여이성성행위매차안전투사용솔분별위90.9％(10/11)、79.3％ (46/58)、81.8％(9/11)화48.3％ (28/58),고우외전간예조적37.5％(3/8,학절개솔법,P＜0.05)、58.8％ (20/34,x2=4.437,P＜0.05)、25.0％(2/8,학절개솔법,P＜0.05)화14.7％ (5/34,x2=10.501,P＜0.01).년령≥45세、비혼화최근1년삼가HIV검측시견지사용안전투적영향인소(OR=3.81、1.85화2.00,P균＜0.05).결론 주동구순인군애자병지효솔이급안전투사용솔균고우외전간예인군,요가강대＜45세、최근1년무HIV검측사、이혼MSM인군피잉투사용적선전간예력도.
Objective To compare the disparity of HIV related knowledge and behaviors among men who have sex with men (MSM) in different HIV intervention modes,and to analyze influential factors of consistent condom use among MSM.Methods Four hundred and twelve MSM in Keqiao District in Shaoxing from May to October 2013 were selected by non-probability sampling method.According to the different intervention model,the MSM were divided into the actively seeking consultation group (n=275) and outreach intervention group(n=137).A questionnaire investigation was conducted among them to compare disparity of high risk behaviors between 2 groups.The influential factors of condom use were analyzed by multivariate logistic regression model.Results Four hundred and twelve valid questionares were retrieved (100.0％).The awareness rate of HIV knowledge in actively seeking consultation group (96.0％,264/275) was higher than that in outreach intervention group (90.5％,124/137) (x2=5.066,P＜0.05).The rate of condom use in the last commercial sex service with men,in the last intercourse with women,during commercial sex with men in the last 6 months and during intercourse with women in the last 6 months was all higher in actively seeking consultation group than in outreach intervention (90.9％,10/11 vs 37.5％,3/8 definite probability methods,P＜0.05; 79.3％,46/58 vs 58.8％,20/34,x2=4.437,P＜0.05; 81.8％,9/11 vs 25.0％,2/8,definite probability methods,P＜0.05 and 48.3％,28/58 vs 14.7％,15/34,x2=10.501,P＜0.01).Age (≥45 years),single,undergoing HIV detection within the past year were protective factors for consistent condom use (OR=3.81,1.85,2.00,P all ＜0.05).Conclusions MSM who are actively seeking consultation have higher awareness rate of HIV-related knowledge and more frequent use of condom compared with outreach intervention group.More effective measures should be taken to strengthen publicity of condom use among MSM under the age of 45 years,without HIV detection in the past year,and married.
