南通市男男性接触人群HIV感染者阳性告知前后因素分析

发布时间：2018-03-11 08:34

本文选题：男男性接触　切入点：艾滋病病毒(HIV)　出处：《中国公共卫生》2017年03期 　论文类型：期刊论文

【摘要】：目的了解江苏省南通市男男性接触人群(MSM)艾滋病病毒(HIV)感染者阳性告知前后艾滋病防治知识知晓率和行为学特征改变。方法选取2005年1月—2013年9月南通市艾滋病自愿咨询检测(VCT)门诊M SM人群HIV感染者94人,在阳性告知前后进行问卷调查。结果告知后艾滋病知晓率97.85%明显高于告知前84.04%(χ~2=8.847,P0.01),其中初中及以下文化程度组告知后知晓率95.00%明显高于告知前75.00%(χ~2=4.021,P0.05)。同性性行为肛交方式有改变(χ~2=14.270,P0.01);安全套使用率提高(χ~2=154.183,P0.05),告知后每次使用比例72.73%明显高于告知前5.74%;但告知前后性伴数没有差异。在同性商业性行为中,告知后性伴数减少(χ~2=9.090,P0.05),安全套使用率提高(χ~2=7.391,P0.05),告知后每次使用比例71.43%高于告知前11.76%,但肛交类型没有改变。在与异性发生性行为中,安全套使用率提高(χ~2=7.400,P0.05),告知后每次使用比例86.40%高于告知前42.50%。结论南通地区M SM人群HIV感染者知晓率整体较高,阳性告知后减少了高危行为。
[Abstract]:Objective to investigate the awareness rate and behavioral characteristics of AIDS prevention and treatment knowledge before and after positive HIV / AIDS infection among men who have sex with men in Nantong, Jiangsu Province. Methods from January 2005 to September 2013, we selected AIDS in Nantong City. There were 94 patients with HIV infection in MSM outpatient clinic by voluntary counseling and testing. A questionnaire survey was conducted before and after positive notification. Results the awareness rate of AIDS after notification was significantly higher in 97.85% than in 84.04 (蠂 ~ 2 / 847 / P 0.01). Among them, the rate of awareness after notification in junior middle school and below was significantly higher than that in 75.00 (蠂 ~ 2 / 2 / 4.021 / P 0.05) (蠂 ~ 2 / 2 / 4.021 / P 0.05). The pattern of homosexual anal sex was significantly higher in the group of junior middle school and below than in the group with lower education level (P < 0.05). There was a change (蠂 ~ 2 / 2 ~ (14.270) / P 0.01) and an increase in condom use rate (蠂 ~ (2 / 2) 154.183 / P ~ (0.05)). The ratio of each use after notification was significantly higher in 72.73% than in the former 5.74, but there was no difference in the number of sexual partners before and after notification, and there was no difference in the number of sexual partners before and after notification. The number of sexual partners decreased (蠂 ~ 29.090) and condom use rate increased (蠂 ~ 2 ~ 2 ~ (7.391n) P _ (0.05)). The proportion of each use after notification was 71.43% higher than that before (11.76), but the type of anal sex did not change. The rate of condom use increased (蠂 ~ 2 / 2 ~ (7.400) / P ~ (0.05)), and the proportion of each time used after informing was 86.40% higher than that before informing (42.50). Conclusion the awareness rate of HIV infection in M SM population in Nantong area is higher than that in M ~ (SM) population, and the high risk behavior is reduced after positive notification.
【作者单位】：南通大学公共卫生学院;江苏省南通市疾病预防控制中心;
【基金】：国家自然科学基金(81373060) 江苏省六大人才高峰(WSN-015) 江苏省卫生厅项目(YZ201018) 南通市科技局(MS12015125)
【分类号】：R512.91

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