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MSM人群HIV/AIDS病例的结婚意愿调查

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目的 了解男男性行为(MSM)人群艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的结婚意愿及其影响因素,为制定MSM人群高危行为干预策略、降低艾滋病传播风险提供依据.方法 选择杭州市拱墅区2020-2022年新报告的未婚MSM人群HIV/AIDS病例为调查对象;通过问卷调查收集社会人口学信息、家庭情况和结婚意愿等资料,采用多因素logistic回归模型分析结婚意愿的影响因素.结果 发放问卷430份,回收有效问卷400份,问卷有效率为93.02%.调查对象年龄为(28.90±4.67)岁;非杭州市户籍271人,占67.75%.82人表示可能或一定会结婚,占20.50%;其中≥30岁46人,占56.10%;商业服务/自由职业/工人等67人,占81.71%;独生子53人,占64.63%.多因素logistic回归分析结果显示,年龄≥30 岁(OR=2.751,95%CI:1.230~6.154)、月收入<10 000 元(5 000~<10 000 元,OR=7.010,95%CI:2.049~23.981;<5 000 元,OR=5.229,95%CI:1.803~15.165)、高中及以下文化程度(OR=5.935,95%CI:1.775~19.844)、独生子(OR=3.407,95%CI:1.468~7.910)、原生家庭经济状况高于平均水平(OR=8.906,95%CI:2.070~38.308)、未公开性取向(OR=3.298,95%CI:1.118~9.727)、对政府提供相关政策持积极态度(OR=70.544,95%CI:14.583~341.237)、近6个月未发生同性性行为(OR=3.583,95%CI:1.278~10.044)、未主动告知性伴HIV感染状况(OR=2.910,95%CI:1.228~6.897)的未婚MSM人群HIV/AIDS病例更愿意结婚.结论 本次调查约20%的未婚MSM人群HIV/AIDS病例具有结婚意愿,受年龄、文化程度、家庭经济条件、是否独生子、是否公开性取向、近6个月有无同性性行为、是否告知性伴HIV感染状况和对政府提供相关政策的态度的影响.
Marriage intention among HIV-infected men who have sex with men
Objective To investigate the marriage intention and its influencing factors among HIV-infected men who have sex with men(MSM),so as to provide the reference for formulating high-risk behavior intervention strategies and reducing the risk of HIV transmission among this population.Methods Unmarried HIV-infected MSM were sampled from newly reported HIV/AIDS patients in Gongshu District of Hangzhou City from 2020 to 2022.Participants'sociode-mographic information,family status and marriage intention were collected using questionnaire surveys.Factors affecting marriage intention were identified using a multivariable logistic regression model.Results A total of 430 questionnaires were allocated and 400 valid questionnaires were recovered,with an effective recovery rate of 93.02%.The respondents had a mean age of(28.90±4.67)years,and included 271 cases with registered residence outside Hangzhou City(67.75%).There were 82 cases indicating that they would probably or definitely get married,accounting for 20.50%,in-cluding 46 cases(56.10%)aged 30 years and older,67 cases(81.71%)engaged in commercial services/freelance work/worker and 53 cases(64.63%)being the only children.Multivariable logistic regression analysis showed that unmarried HIV-infected MSM who were aged 30 years and older(OR=2.751,95%CI:1.230-6.154),had a monthly income of<10 000 Yuan(5 000 to<10 000 Yuan,OR=7.010,95%CI:2.049-23.981;<5 000 Yuan,OR=5.229,95%CI:1.803-15.165),had a high school education and below(OR=5.935,95%CI:1.775-19.844),were the only children(OR= 3.407,95%CI:1.468-7.910),came from families with economic conditions above the average level(OR=8.906,95%CI:2.070-38.308),did not disclose their sexual orientation(OR=3.298,95%CI:1.118-9.727),held a positive attitude to-wards government policies(OR=70.544,95%CI:14.583-341.237),had no homosexual intercourse in the past six months(OR=3.583,95%CI:1.278-10.044),and had not informed their sexual partners of their HIV status(OR=2.910,95%CI:1.228-6.897)were more willing to get married.Conclusion A certain proportion of unmarried HIV-infected MSM in Gongshu District are willing to get married,and their marriage intention is affected by age,educational level,family economic conditions,the only children or not,disclosing sexual orientation or not,having homosexual inter-course in the past six months or not,informing sexual partners of HIV status or not,and the attitude towards govern-ment policies.

men who have sex with menHIV/AIDSmarriage intentioninfluencing factor

陈琦、薛霏、桂娟娟、吕鑫、谢锋

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杭州市拱墅区疾病预防控制中心艾滋病结核病防制科,浙江 杭州 310022

男男性行为人群 艾滋病病毒感染者和艾滋病患者 结婚意愿 影响因素

杭州市下城区医疗卫生科技项目

A2020

2024

预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
年,卷(期):2024.36(5)
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