翟飞飞. 男男性行为者艾滋病综合干预效果评价与高危性影响因素分析[J]. 蚌埠医科大学学报, 2017, 42(4): 511-514. DOI: 10.13898/j.cnki.issn.1000-2200.2017.04.028
    引用本文: 翟飞飞. 男男性行为者艾滋病综合干预效果评价与高危性影响因素分析[J]. 蚌埠医科大学学报, 2017, 42(4): 511-514. DOI: 10.13898/j.cnki.issn.1000-2200.2017.04.028
    ZHAI Fei-fei. The effect evaluation of comprehensive intervention of AIDS in MSM population, and its high-risk influencing factors analysis[J]. Journal of Bengbu Medical University, 2017, 42(4): 511-514. DOI: 10.13898/j.cnki.issn.1000-2200.2017.04.028
    Citation: ZHAI Fei-fei. The effect evaluation of comprehensive intervention of AIDS in MSM population, and its high-risk influencing factors analysis[J]. Journal of Bengbu Medical University, 2017, 42(4): 511-514. DOI: 10.13898/j.cnki.issn.1000-2200.2017.04.028

    男男性行为者艾滋病综合干预效果评价与高危性影响因素分析

    The effect evaluation of comprehensive intervention of AIDS in MSM population, and its high-risk influencing factors analysis

    • 摘要: 目的:评估艾滋病联合干预措施在男男性行为者(men who have sex with men,MSM)中的实施效果及感染艾滋病相关高危行为的影响因素。方法:选择MSM志愿者413人作为研究对象,给予联合干预措施,分别于干预前后给予问卷调查、艾滋病病毒抗体检测和梅毒抗体检测,比较各项指标的变化情况,评价干预效果。结果:MSM人群艾滋病防治知识知晓率由干预前的87.9%上升到干预后的96.0%(P<0.01);经联合干预措施后,与男性发生性行为最近一次安全套的使用率、近6个月内与男性发生性行为安全套的使用率及近6个月内与男性发生商业性行为安全套的使用率均升高(P <0.05~P <0.01)。MSM人群在与女性发生性行为时安全套使用率亦升高(P<0.01)。经logistic回归分析显示,年龄、婚姻状况、文化程度、艾滋病相关知识知晓情况及是否接受过干预服务对最近6个月与男性发生过性行为使用安全套情况有影响(P<0.05)。结论:经过实施联合干预措施,MSM人群提高了艾滋病防治知识知晓率和自我保护意识,安全套使用率升高,但仍有部分MSM人群存在侥幸心理,不能100%坚持使用安全套,如何加强此类人群的风险意识成为研究工作的重点。

       

      Abstract: Objective:To evaluate the effects of the comprehensive intervention of human immunodeficiency virus(HIV) in men who have sex with men(MSM),and analyze its influencing factors of the high-risk behavior.Methods:Four hundred and thirteen MSM volunteers were intervened with the comprehensive intervention measures.The questionnaire,HIV antibody and syphilis were investigated and analyzed before and after the intervention,and the effect of the intervention was evaluated.Results:Compared with before intervention,the cognition rate about AIDS in MSM crowd increased significantly from 87.9% to 96.0% after intervention(P<0.01).After the comprehensive intervention,the condom use rates in the last time sexual behavior,last six months sexual behavior and last six months commercial sexual behavior significantly increased in MSM population(P <0.05 to P <0.01).The condom use rate in the sexual behavior of MSM population with female also increased significantly(P<0.01).Logistic regression analysis showed that age,marital status,education,knowledge related to AIDS and intervention service had a significant effect on the condom use of last six months sexual behavior among MSM population(P<0.05).Conclusions:The AIDS knowledge,self-protection awareness and condom use rate among MSM are significantly increased after comprehensive interventions,but the luck in some MSM population still exists,and the condom use rate does not arrive at 100%.How to strengthen risk awareness in this population is the focus of research.

       

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