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