广西344名MSM艾滋病非职业暴露后预防服务需求及其影响因素分析
发布时间：2018-07-27 13:10
【摘要】：目的分析广西部分地区男男性行为者(MSM)对艾滋病非职业暴露后预防(nPEP)服务的需求及其影响因素。方法采用方便抽样的方法在广西部分地区招募MSM。通过面对面问卷调查,收集其社会人口学特征、艾滋病相关知识、高危行为、服务利用及对nPEP服务需求等基本信息。采用χ~2检验对不同特征调查对象的nPEP服务需求进行单因素分析,采用非条件二分类Logistic回归模型分析nPEP服务需求的影响因素,计算比值比(OR)和95%可信区间(CI)值,以P0.05为差异有统计学意义。结果共获得有效问卷344份。344人中,22.1%(76人)听说过nPEP,60.2%(207人)在告知nPEP相关服务和可能风险等标化内容后,表示存在该服务需求。仅57.6%(198人)最近半年每次同性肛交均使用安全套;27.3%(94人)曾经历过安全套意外破裂、滑脱或者被对方故意拔套等危险性行为。非条件二分类Logistic回归模型多因素分析显示,文化程度大专及以上(OR=0.28,95%CI:0.12~0.65)、半年内的性角色主要为插入方(OR=2.18,95%CI:1.26~3.76)、半年内固定性伴个数3个及以上(OR=8.37,95%CI:1.04~67.08)、认为当地MSM艾滋病疫情严重(OR=2.22,95%CI:1.24~3.97),为nPEP服务需求的影响因素。结论广西部分地区MSM对nPEP服务存在一定的需求。nPEP作为一项有效的生物干预措施,应在中国条件允许的情况下尽快开展,促进MSM主动求医行为,以减少MSM的HIV感染。
[Abstract]:Objective to analyze the demand and influencing factors of (MSM) for HIV / AIDS prevention after non-occupational exposure in some areas of Guangxi. Methods the method of convenient sampling was used to recruit MSM in some areas of Guangxi. Face to face questionnaire survey was conducted to collect the basic information such as social demographic characteristics, AIDS-related knowledge, high-risk behaviors, service utilization and the need for nPEP services. 蠂 ~ 2 test was used to analyze the nPEP service demand of different characteristic survey subjects, and non-conditional two-class Logistic regression model was used to analyze the influencing factors of nPEP service demand. The calculated ratio was higher than that of (OR) and 95% confidence interval (CI). P0.05 as the difference was statistically significant. Results 22. 1% (76 / 344) of 344 valid questionnaires were obtained. 60.2% (207) of them had heard of nPEPX. After informing them of the related services and possible risks, they indicated that there was a need for the service. Only 57.6% (198 people) used condom in every homosexual anal sex in the last six months (94 people) had experienced dangerous behaviors such as accidental rupture of condom, slipping or being deliberately pulled out by the other side. The multivariate analysis of non-conditional two-class Logistic regression model shows that, The main sex roles within half a year are the insertion side (OR2.1895 CI: 1.263.76), and the number of fixed sex partners within half a year (OR8.37% 95CIW 1.067.08). It is considered that the local MSM AIDS epidemic is serious (OR2.2295CIW 1.243.97), which is the influencing factor of nPEP service demand. Conclusion there is a certain demand for nPEP services in some regions of Guangxi. As an effective biological intervention measure, it should be carried out as soon as possible under the condition of China to promote the active medical treatment of MSM, so as to reduce the HIV infection of MSM.
【作者单位】： 中国疾病预防控制中心性病艾滋病预防控制中心;广西壮族自治区疾病预防控制中心;
【基金】：比尔及梅琳达·盖茨基金会资助的“中国社会组织参与艾滋病防治机制建设项目”(OPP1120190-201501011)~~
【分类号】：R512.91
[Abstract]:Objective to analyze the demand and influencing factors of (MSM) for HIV / AIDS prevention after non-occupational exposure in some areas of Guangxi. Methods the method of convenient sampling was used to recruit MSM in some areas of Guangxi. Face to face questionnaire survey was conducted to collect the basic information such as social demographic characteristics, AIDS-related knowledge, high-risk behaviors, service utilization and the need for nPEP services. 蠂 ~ 2 test was used to analyze the nPEP service demand of different characteristic survey subjects, and non-conditional two-class Logistic regression model was used to analyze the influencing factors of nPEP service demand. The calculated ratio was higher than that of (OR) and 95% confidence interval (CI). P0.05 as the difference was statistically significant. Results 22. 1% (76 / 344) of 344 valid questionnaires were obtained. 60.2% (207) of them had heard of nPEPX. After informing them of the related services and possible risks, they indicated that there was a need for the service. Only 57.6% (198 people) used condom in every homosexual anal sex in the last six months (94 people) had experienced dangerous behaviors such as accidental rupture of condom, slipping or being deliberately pulled out by the other side. The multivariate analysis of non-conditional two-class Logistic regression model shows that, The main sex roles within half a year are the insertion side (OR2.1895 CI: 1.263.76), and the number of fixed sex partners within half a year (OR8.37% 95CIW 1.067.08). It is considered that the local MSM AIDS epidemic is serious (OR2.2295CIW 1.243.97), which is the influencing factor of nPEP service demand. Conclusion there is a certain demand for nPEP services in some regions of Guangxi. As an effective biological intervention measure, it should be carried out as soon as possible under the condition of China to promote the active medical treatment of MSM, so as to reduce the HIV infection of MSM.
【作者单位】： 中国疾病预防控制中心性病艾滋病预防控制中心;广西壮族自治区疾病预防控制中心;
【基金】：比尔及梅琳达·盖茨基金会资助的“中国社会组织参与艾滋病防治机制建设项目”(OPP1120190-201501011)~~
【分类号】：R512.91
【参考文献】
相关期刊论文 前5条
1 ;2016年12月全国艾滋病性病疫情[J];中国艾滋病性病;2017年02期
2 苏秋菊;金大庆;袁月;尹晔;赵文彬;郑冰;姜春红;郑军;赵丽君;庄承颐;;鞍山市MSM艾滋病综合干预效果评价[J];中国艾滋病性病;2015年10期
3 杨介者;潘晓红;马瞧勤;徐云;陈琳;王a，
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