绵阳市MSM艾滋病知识及不同地区肛交保护性和影响因素

发布时间：2018-07-05 17:53

本文选题：男男性行为人群 + 艾滋病　；参考：《现代预防医学》2017年05期

【摘要】：目的了解男男性行为人群(MSM)艾滋病知识知晓和不同地区肛交保护性现状,分析影响因素。方法 2015的3-10月,以绵阳市9个县(市、区)MSM为对象,在固定场所和知情同意下,用滚雪球抽样法,进行调查对象招募和自填式行为学调查及血清学检测。结果共调查1 271例,艾滋病知识知晓率98.2%(1 248/1 271),肛交保护性近1次92.7%(1 036/1 117)、近6月82.7%(924/1 117),不同地区差异有统计学意义(分别有=58.488、100.040,P均0.001)。近6月肛交人群中有保护性和无保护性艾滋病病毒(HIV)感染率分别为4.7%(43/924)、9.8%(19/193)(=8.207,P=0.004)。多因素分析:文化程度、婚姻状况、艾滋病知识、认识当地MSM朋友数、压力感受、近1周肛交次数是肛交保护性的独立影响因素(P均0.05)。结论绵阳市MSM艾滋病知识知晓率、性行为保护性较高,地区间不平衡。肛交保护性与人口学特征、知识知晓、肛交频率、压力感受相关。应关注压力感受对性行为保护性的影响。
[Abstract]:Objective to investigate the knowledge of HIV / AIDS in MSM and the status of anal sex protection in different areas and analyze the influencing factors. Methods from March to October of 2015, 9 counties (districts and counties) of Mianyang were selected as subjects. The subjects were recruited, self-filled behavior investigation and serological examination were carried out with the method of snowball sampling in fixed place and with informed consent. Results A total of 1 271 cases were investigated. The awareness rate of AIDS knowledge was 98.2% (1 248 / 1 271), anal sex protection was 92. 7% (1 036 / 1 117) and 82. 7% (924 / 1 117) in recent June. There were significant differences between different regions (58.4881 100.040 P 0.001). In the last six months, the prevalence of HIV in anal sex was 4.7% (43 / 924) and 9.8% (19 / 193), respectively. Multivariate analysis: education, marital status, AIDS knowledge, know the number of local MSM friends, stress feeling, the number of anal sex in the last week were the independent factors of anal sex protection (all P 0.05). Conclusion the knowledge rate of MSM AIDS in Mianyang City is higher than that of other regions. Anal sex protection was associated with demographic characteristics, knowledge, anal sex frequency and stress perception. Attention should be paid to the impact of stress perception on the protection of sexual behaviour.
【作者单位】：绵阳市疾病预防控制中心;绵阳同志关爱小组;涪城区疾病预防控制中心;江油市疾病预防控制中心;三台县疾病预防控制中心;安州区疾病预防控制中心;北川羌族自治县疾病预防控制中心;梓潼县疾病预防控制中心;游仙区疾病预防控制中心;盐亭县疾病预防控制中心;平武县疾病预防控制中心;
【基金】：四川省艾滋病防治社会动员项目[项目编号:2014(中)-M-05]
【分类号】：R512.91

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