中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
Chinese Journal of Preventive Medicine
2015年
11期
973-977
,共5页
同性恋,男性%HIV%问卷调查%暴露前预防用药
同性戀,男性%HIV%問捲調查%暴露前預防用藥
동성련,남성%HIV%문권조사%폭로전예방용약
Homosexuality,male%HIV%Questionnaires%Pre-exposure prophylaxis
目的 分析男男性行为人群(MSM)对HIV暴露前预防用药的使用意愿及其影响因素.方法 于2013年11月27日至12月17日间,通过网络招募年满18岁且有过同性性行为的男性作为调查对象,共887名.采用自行设计的问卷收集调查对象人口学特征、对暴露前预防用药的使用意愿及影响使用暴露前预防的因素等信息,分析调查对象暴露前预防用药使用意愿及影响因素.结果 共获得有效问卷760份.调查对象中最小18岁,最大60岁;以单身为主,占58.2％(442名);大专以上文化程度者占78.9％(600名);年收入≤6万元者占60.4％(459名);只跟男性有性行为的占73.3％(557名);自我定位性取向为同性恋者占77.2％(587名).有32.1％(243/758)表示会用HIV暴露前预防用药.有61.0％(305/500)的调查对象"肯定愿意"或"很可能愿意"每天口服暴露前预防用药.如使用暴露前预防用药后,有70.9％ (354/499)的应答对象表示在单身时会保持与现在一样的安全套使用频率.年收入≤6万元者愿意使用暴露前预防用药的比例为27.7％ (127/458),低于年收入＞6万元者[44.7％(116/260)](x2=27.61,P＜0.001);理解暴露前预防用药内容者愿意使用暴露前预防用药的比例为35.4％(196/554),高于不理解者[22.8％ (44/206)](x2=10.99,P=0.001).多因素分析显示,与年收入＞6万元相比,≤6万元者愿意使用暴露前预防用药的OR(95％CI)值为0.64(0.45 ～0.92);与不理解暴露前预防用药内容相比,理解者愿意使用暴露前预防用药的0R(95％CI)值为1.98(1.36 ～ 2.88).结论 MSM对于HIV暴露前预防用药不够了解,经济因素及对药物副作用的担忧是影响其使用意愿的因素.
目的 分析男男性行為人群(MSM)對HIV暴露前預防用藥的使用意願及其影響因素.方法 于2013年11月27日至12月17日間,通過網絡招募年滿18歲且有過同性性行為的男性作為調查對象,共887名.採用自行設計的問捲收集調查對象人口學特徵、對暴露前預防用藥的使用意願及影響使用暴露前預防的因素等信息,分析調查對象暴露前預防用藥使用意願及影響因素.結果 共穫得有效問捲760份.調查對象中最小18歲,最大60歲;以單身為主,佔58.2％(442名);大專以上文化程度者佔78.9％(600名);年收入≤6萬元者佔60.4％(459名);隻跟男性有性行為的佔73.3％(557名);自我定位性取嚮為同性戀者佔77.2％(587名).有32.1％(243/758)錶示會用HIV暴露前預防用藥.有61.0％(305/500)的調查對象"肯定願意"或"很可能願意"每天口服暴露前預防用藥.如使用暴露前預防用藥後,有70.9％ (354/499)的應答對象錶示在單身時會保持與現在一樣的安全套使用頻率.年收入≤6萬元者願意使用暴露前預防用藥的比例為27.7％ (127/458),低于年收入＞6萬元者[44.7％(116/260)](x2=27.61,P＜0.001);理解暴露前預防用藥內容者願意使用暴露前預防用藥的比例為35.4％(196/554),高于不理解者[22.8％ (44/206)](x2=10.99,P=0.001).多因素分析顯示,與年收入＞6萬元相比,≤6萬元者願意使用暴露前預防用藥的OR(95％CI)值為0.64(0.45 ～0.92);與不理解暴露前預防用藥內容相比,理解者願意使用暴露前預防用藥的0R(95％CI)值為1.98(1.36 ～ 2.88).結論 MSM對于HIV暴露前預防用藥不夠瞭解,經濟因素及對藥物副作用的擔憂是影響其使用意願的因素.
목적 분석남남성행위인군(MSM)대HIV폭로전예방용약적사용의원급기영향인소.방법 우2013년11월27일지12월17일간,통과망락초모년만18세차유과동성성행위적남성작위조사대상,공887명.채용자행설계적문권수집조사대상인구학특정、대폭로전예방용약적사용의원급영향사용폭로전예방적인소등신식,분석조사대상폭로전예방용약사용의원급영향인소.결과 공획득유효문권760빈.조사대상중최소18세,최대60세;이단신위주,점58.2％(442명);대전이상문화정도자점78.9％(600명);년수입≤6만원자점60.4％(459명);지근남성유성행위적점73.3％(557명);자아정위성취향위동성련자점77.2％(587명).유32.1％(243/758)표시회용HIV폭로전예방용약.유61.0％(305/500)적조사대상"긍정원의"혹"흔가능원의"매천구복폭로전예방용약.여사용폭로전예방용약후,유70.9％ (354/499)적응답대상표시재단신시회보지여현재일양적안전투사용빈솔.년수입≤6만원자원의사용폭로전예방용약적비례위27.7％ (127/458),저우년수입＞6만원자[44.7％(116/260)](x2=27.61,P＜0.001);리해폭로전예방용약내용자원의사용폭로전예방용약적비례위35.4％(196/554),고우불리해자[22.8％ (44/206)](x2=10.99,P=0.001).다인소분석현시,여년수입＞6만원상비,≤6만원자원의사용폭로전예방용약적OR(95％CI)치위0.64(0.45 ～0.92);여불리해폭로전예방용약내용상비,리해자원의사용폭로전예방용약적0R(95％CI)치위1.98(1.36 ～ 2.88).결론 MSM대우HIV폭로전예방용약불구료해,경제인소급대약물부작용적담우시영향기사용의원적인소.
Objective To analyze willingness and influencing factors for usage of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM).Methods 887 men who were older than 18 years old and used to have sex with men were recruited through internet between November 27 and December 17, 2013.Data were collected through self designed questionnaire, which was designed to collect information including demography features, willingness of usage of PrEP and associated factors.Results Totally 760 qualified questionnaires were collected.The ages of surveyed MSM were between 18 and 60, 58.2％ (442) were single, 78.9％ (600) of them have received college education, 60.4％ (459) received annual income less than 60 000 yuan, 73.3％ (557) only had sex with men and 77.2％ (587) self reported being gay.32.1％(243/758) of the respondent MSM said they would like to use PrEP.61.0％(305/500) would like or possibly to take PrEP orally each day.70.9％(354/499) would keep the same condom using frequency as current situation after using PrEP.In the univariate analysis, the willingness of taking PrEP was (x2=27.61, P＜0.001) lower among those annual income less than 60 000 yuan (27.7％ (127/458)) than those annual income higher (44.7％ (116/260));the willingness was significantly (x2=10.99, P=0.001) higher among those understanding PrEP (35.4％(196/554)) than those not understanding (22.8％(44/206)).In multivariate logistic regression analysis, it suggested that annual income under 60 000 yuan (OR=0.64(95％ CI: 0.45-0.92)) and understanding PrEP (OR=1.98 (95％ CI: 1.36-2.88)) were influencing factors for usage of PrEP among MSM.Conclusion MSM didn't understand the PrEP sufficiently currently, economic consideration and worries about the side effects will affect their willingness of using PrEP.
