MSM“知行分离”现象成因初探

发布时间：2019-03-19 06:57

【摘要】：目的验证男男性行为人群(MSM)是否存在低估感染艾滋病的危害或自身感染艾滋病概率的现象,探索该人群风险态度与其高危行为的关系,进而从行为经济学的角度探讨"知行分离"现象的成因。方法在山东省范围内选取MSM 219人,山东省艾滋病定点医院中参与艾滋病防治的男性医务人员304人,男性一般人群191人,利用量表收集高危行为态度、风险态度、艾滋病知识知晓率情况。结果三类人群艾滋病相关知识水平与安全套使用的相关关系不具有统计学意义;MSM对感染概率的评估值高于医生(t=7.42,P0.05)和一般人群(t=2.58,P0.05),该差异具有统计学意义;MSM对感染危害的评估值高于医生人群(t=3.22,P0.05),且该差异具有统计学意义;MSM(t=4.93,P0.05)和医生(t=4.06,P0.05)在生命健康领域的风险寻求水平高于一般人群,且差异具有统计学意义。MSM安全套使用仅与生命健康领域的风险态度水平存在相关(R=0.147,P0.05;R=0.529,P0.01)。结论 "知行分离"现象其实存在。该现象的成因与MSM对感染概率及感染危害的评估有关,同时也与MSM生命健康领域的风险寻求水平存在关系,建议加强对艾滋病感染风险和艾滋病危害的教育。
[Abstract]:Objective to investigate the relationship between risk attitude and high-risk behaviors in men who have sex with men by verifying whether there is a phenomenon of underestimating the risk of HIV infection or the probability of HIV infection among men who have sex with (MSM). Then, from the perspective of behavioral economics, the causes of "separation of knowledge and action" are discussed. Methods A total of 219 MSM, 304 male medical staff and 191 male general population were selected from HIV / AIDS designated hospitals in Shandong Province. The high risk behavior attitude and risk attitude were collected with the questionnaire. AIDS knowledge awareness rate. Results there was no significant correlation between AIDS-related knowledge level and condom use among the three groups of population. The evaluation value of MSM on infection probability was higher than that of doctors (t = 7.42, P 0.05) and general population (t = 2.58, P 0.05), and the difference was statistically significant. The evaluation value of MSM was higher than that of doctors (t = 3.22, P0.05), and the difference was statistically significant. The levels of risk seeking in life and health were higher in MSM (t = 4.93, P 0.05) and doctors (t = 4.06, P 0.05) than in the general population. The difference was statistically significant. MSM condom use was only associated with risk attitude in the field of life and health (R = 0.147, P 0.05). (r = 0.529, P0.01). Conclusion the phenomenon of "separation of knowledge and practice" actually exists. The cause of this phenomenon is related to the assessment of the infection probability and the harm caused by MSM, as well as the risk seeking level in the field of life and health of MSM. It is suggested that the education on the risk of HIV infection and the harm of AIDS should be strengthened.
【作者单位】：山东省疾病预防控制中心;济南军区总医院;济南市市中区疾病预防控制中心;山东大学预防医学研究院;山东省传染病预防控制重点实验室;
【基金】：山东省自然科学基金培养基金(2014ZRB14605)~~
【分类号】：R512.91

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