| 男男性行为者艾滋病风险认识与知识和高危性行为关联性 |
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| 引用本文： | 王毅,涂浩天,周万明,樊静,赵西和,王晓丽,杜婵娟,刘江,杨干金,李伟,贾修伟,谭琴,帖映伟,任延飞,廖平.男男性行为者艾滋病风险认识与知识和高危性行为关联性[J].华南预防医学,2020,46(1):10-13. |
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| 作者姓名： | 王毅 涂浩天 周万明 樊静 赵西和 王晓丽 杜婵娟 刘江 杨干金 李伟 贾修伟 谭琴 帖映伟 任延飞 廖平 |
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| 作者单位： | 1.绵阳市疾病预防控制中心,四川 绵阳 621000;2.四川大学华西临床医学院;3.绵阳同志关爱小组;4.绵阳市涪城区疾病预防控制中心;5.绵阳市游仙区疾病预防控制中心;6.江油市疾病预防控制中心;7.三台县疾病预防控制中心;8.绵阳市安州区疾病预防控制中心;9.北川羌族自治县疾病预防控制中心;10.绵阳市高新区疾病预防控制中心;11.梓潼县疾病预防控制中心;12.盐亭县疾病预防控制中心;13.平武县疾病预防控制中心 |
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| 基金项目： | 2017年社会组织参与艾滋病防治基金项目(2016-2017510701 PYDMSM001442-2016)。 |
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| 摘 要： | 目的 了解男男性行为者(MSM)艾滋病风险认识现状,分析其与知识及高危性行为的关联性。方法 在四川省绵阳市采用滚雪球抽样法抽取MSM,对MSM进行艾滋同风险认识、艾滋病知识及性行为等调查并抽取静脉血进行HIV-抗体和TP-抗体检测,采用描述流行病学分析方法对结果进行分析,并采用多因素非条件logistic回归模型进行风险认识与知识、高危性行为关联性分析。结果 回收有效问卷1 226份,MSM平均年龄 (27.5 ± 9.0)岁,高中及以上占87.9%(1 078/1 226),未婚占81.1%(994/1 226)。艾滋病知识知晓率为97.4%(1 194/1 226),近6个月肛交有保护占71.4%(802/1 123),有风险认识占94.6%(1 160/1 226)。多因素分析结果显示,相对于无风险认识者,知晓艾滋病知识 (ORa=18.951,95%CI:6.813~52.720)、近6个月肛交有保护(ORa=1.821,95%CI:1.074~3.262)者有风险认识概率更高。结论 MSM具一定风险认识,风险认识与知识及高危性行为相关,知识对风险认识、风险认识对行为的促进作用明显。
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| 关 键 词： | 男男性行为者 艾滋病 风险 知识 性行为 |
| 收稿时间： | 2019-06-30 |
HIV/AIDS risk awareness among men who have sex with men and its association with knowledge and high-risk sexual behavior |
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| WANG Yi,TU Hao tian,ZHOU Wan ming,FAN Jing,ZHAO Xi he,WANG Xiao li,DU Chan juan,LIU Jiang,YANG Gan jin,LI Wei,JIA Xiu wei,TAN Qin,TIE Ying wei,REN Yan fei,LIAO Ping.HIV/AIDS risk awareness among men who have sex with men and its association with knowledge and high-risk sexual behavior[J].South China JOurnal of Preventive Medicine,2020,46(1):10-13. |
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| Authors: | WANG Yi TU Hao tian ZHOU Wan ming FAN Jing ZHAO Xi he WANG Xiao li DU Chan juan LIU Jiang YANG Gan jin LI Wei JIA Xiu wei TAN Qin TIE Ying wei REN Yan fei LIAO Ping |
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| Affiliation: | (Mianyang City Center for Disease Control and Prevention,Mianyang 621000,China;West China Clinical Medical College,Sichuan University;Mianyang Gay Love Grou;Mianyang City Fucheng District Center for Disease Control and Prevention;Mianyang City Youxian District Center for Disease Control and Prevention;Jiangyou City Center for Disease Control and Prevention;Santai County Center for Disease Control and Prevention;Mianyang City Anzhou District Center for Disease Control and Prevention;Beichuan County Center for Disease Control and Prevention;Mianyang City High tech District Center for Disease Control and Prevention;Zitong County Center for Disease Control and Prevention;Yanting County Center for Disease Control and Prevention;Pingwu County Center for Disease Control and Prevention) |
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| Abstract: | Objectives To explore the current status of HIV/AIDS risk awareness among men who have sex with men(MSM)and explore its association with knowledge and high-risk sexual behavior.Methods MSM were sampled by snowball sampling method in Mianyang City,Sichuan Province to conduct a survey on HIV/AIDS-related risk awareness,knowledge and sexual behavior.Their venous blood was collected for HIV antibody and TP antibody testing.Multivariate unconditional logistic regression model was used to determine the association of risk cognition with knowledge and highrisk sexual behavior.Results A total of 1 226 valid questionnaires were recovered.The average age of the respondents was(27.5±9.0)years old.Of the participants,87.9%(1078/1 226)had the educational level at high school or above,and81.1%(994/1 226)were unmarried.The awareness rate of HIV/AIDS knowledge was 97.4%(1 194/1 226).In the past 6 months,71.4%(802/1123)ofthemtooktheanalsexprotection,andtheriskawarenessratewas 94.6%(1160/1226).Multivariate logistic regression model showed that,compared with those without risk,MSM with HIVAIDS knowledge(adjusted odds ratioaOR):18.951;95% confidence intervalCI]:6.813-52.720]and with anal sex protection in the past 6 months(aOR:1.821),95% CI:1.074~3.262)had a higher probability of risk perception.Conclusion MSM have certain risk awareness,which is associated with knowledge and high-risk sexual behavior.Knowledge plays an important role in promoting risk awareness. |
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| Keywords: | Men who have sex with men(MSM) HIV/AIDS Risk Knowledge Sexual behavior |
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