The association between AIDS knowledge and awareness among men who have sex with men:implications for high-risk sexual behavior and HIV infection
廖克坤 1王毅 1樊静 2何静 1熊军 3杜婵娟 4黄丽 5贾修伟 6李伟 7刘晓琴8
扫码查看
点击上方二维码区域，可以放大扫码查看
作者信息
1. 绵阳市疾病预防控制中心,四川绵阳 621000
2. 绵阳同志关爱小组,四川绵阳 621000
3. 绵阳市涪城区疾病预防控制中心,四川绵阳 621000
4. 绵阳市游仙区疾病预防控制中心,四川绵阳 621000
5. 三台县疾病预防控制中心,四川三台 621100
6. 北川羌族自治县疾病预防控制中心,四川北川 622750
7. 绵阳市安州区疾病预防控制中心,四川绵阳 622650
8. 梓潼县疾病预防控制中心,四川梓潼 622150
折叠
摘要
目的 了解四川省绵阳市男男同性性行为者(men who have sex with men,MSM)艾滋病知识与认识的关联,分析其对高危性行为和人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染的影响.方法 2022年1-12月,在四川省绵阳市用"滚雪球"抽样法在MSM中进行艾滋病知识与认识(艾滋病感染风险的大小、是否害怕感染及有无预防感染的能力,分别简称感染风险、害怕感染、防治能力)的问卷调查和HIV抗体检测,艾滋病知识与认识的关联用皮尔逊列联系数分析,对高危性行为及HIV感染影响因素的多因素分析用logistics回归模型.结果 共获得合格问卷984份,艾滋病知识知晓率98.0％(964/984),自认感染风险大占11.4％(112/984)、害怕感染占81.8％(801/979)、有防治能力占83.1％(811/976).知识知晓与感染风险呈负相关,与害怕感染、防治能力呈正相关(均P＜0.05);感染风险、害怕感染与防治能力呈负相关(均P＜0.05).多因素分析结果显示,在控制基本人口学特征后,多性伴(aOR=2.303,95％CI:1.460～3.625)、无保护肛交(aOR=1.794,95％CI:1.154～2.789)是感染风险的危险因素;害怕感染(aOR=0.677,95％CI:0.467～0.981)、防治能力(aO R=0.454,95％CI:0.313～0.659)是无保护肛交的保护因素;知识知晓(aOR=0.188,95％CI:0.030～0.933)、防治能力(aOR=0.107,95％CI:0.042～0.273)是HIV感染的保护因素.结论 MSM艾滋病知识与认识相关联,感染风险与行为分离,害怕感染提高自我保护和防治能力可切实降低HIV感染风险,要有针对性地开展健康教育和行为干预.
Abstract
Objective To understand the association between AIDS knowledge and awareness among men who have sex with men(MSM)in Mianyang,Sichuan,and to analyze its impact on high-risk sexual behaviors and human immunodeficiency virus(HIV)infection.Methods From January to December 2022,a questionnaire survey on HIV knowledge and awareness(including perceived infection risk,fear of infection,and preventive ca-pability)was conducted among MSM in Mianyang using a snowball sampling method alongside HIV antibody testing.Pearson correlation coefficients were used for correlation analysis,and the logistics regression model was employed to analyze factors influencing high-risk sexual behavior and HIV infection.Results A total of 984 valid questionnaires were collected,with an HIV knowledge awareness rate of 98.0％(964/984).Among respondents,11.4％(112/984)perceived a high infection risk,81.8％(801/979)were afraid of infection,and 83.1％(811/976)could prevention and treatment.Knowledge awareness was negatively correlated with per-ceived infection risk and positively correlated with fear of infection and prevention ability(all P＜0.05).Per-ceived infection risk and fear of infection were negatively correlated with prevention ability(all P＜0.05).Multi-variate analysis showed that after controlling basic demographic characteristics,having multiple sexual partners(aOR=2.303,95％CI:1.460-3.625)and unprotected anal sex(aOR=1.794,95％CI:1.154-2.789)were risk factors for perceived infection risk.Conversely,fear of infection(aOR=0.677,95％CI:0.467-0.981)and prevention ability(aOR=0.454,95％CI:0.313-0.659)were the protective factors against unprotected anal sex.Awareness of knowledge(aOR=0.188,95％CI:0.030-0.933)and prevention ability(aOR=0.107,95％CI:0.042-0.273)were protective factors for HIV infection.Conclusions There is a significant relationship between HIV knowledge and awareness among MSM.Perceived infection risk is distinct from behav-ior,and fear of infection can improve self-protection and prevention ability to reduce the risk of HIV infection ef-fectively.It is necessary to carry out targeted health education and behavior intervention.
关键词
男男同性性行为者/艾滋病/知识/认识/行为/影响因素
Key words
Men who have sex with men/Acquired immune deficiency syndrome/Knowledge/Recognition/Behav-ior/Influencing factors
维普
万方数据