男男性行为者和性病门诊男性就诊者对人乳头瘤病毒疫苗的接受意愿及影响因素分析

孟晓军; 贾天剑; 张轩; 朱晨; 陈鑫; 邹华春

文章摘要

孟晓军,贾天剑,张轩,朱晨,陈鑫,邹华春.男男性行为者和性病门诊男性就诊者对人乳头瘤病毒疫苗的接受意愿及影响因素分析[J].中华流行病学杂志,2015,36(10):1119-1124

男男性行为者和性病门诊男性就诊者对人乳头瘤病毒疫苗的接受意愿及影响因素分析

Analysis on willingness to receive human papillomavirus vaccination among risk males and related factors

收稿日期:2015-03-09 出版日期:2015-10-14

DOI：10.3760/cma.j.issn.0254-6450.2015.10.018

中文关键词: 人乳头瘤病毒疫苗接受意愿男男性行为者性病门诊男性就诊者

英文关键词: Human papillomavirus Vaccine Willingness to accept Men who have sex with men Male client of STD clinic

基金项目:澳大利亚国立卫生研究院青年学者基金(APP1092616)

作者	单位	E-mail
孟晓军	214023 无锡, 江苏省无锡市疾病预防控制中心
贾天剑	214023 无锡, 江苏省无锡市疾病预防控制中心
张轩	214023 无锡, 江苏省无锡市疾病预防控制中心
朱晨	无锡市南长区疾病预防控制中心
陈鑫	无锡市南长区疾病预防控制中心
邹华春	澳大利亚新南威尔士大学科比研究所	hzou@kirby.unsw.edu.au

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中文摘要:

目的了解MSM和性病门诊男性就诊者对人乳头瘤病毒(HPV)疫苗的接受意愿及其影响因素。方法采用“滚雪球”和方便抽样方法,分别对MSM和性病门诊男性就诊者开展匿名问卷调查。结果共调查368人,其中MSM 186人,性病门诊男性就诊者182人。18.4%的MSM和23.1%的性病门诊男性就诊者听说过HPV,10.2%的MSM和15.4%的性病门诊男性就诊者听说过HPV疫苗。34.9%的MSM愿意接受免费的HPV疫苗,低于性病门诊男性就诊者的70.9%(χ²=47.651,P<0.01)。26.2%的MSM和20.2%的性病门诊男性就诊者愿意在20岁之前接种HPV疫苗。多因素logistic回归分析显示:肛交性行为中为接受方(OR=2.831,95%CI:1.703~13.526)、过去6个月肛交性行为中从未使用安全套(OR=3.435,95%CI:1.416~20.108)、过去12个月中曾诊断过性病(OR=1.968,95%CI:1.201~8.312)的MSM更愿意接受HPV疫苗;过去3个月有过异性商业性行为(OR=1.748,95%CI:1.207~8.539)、过去3个月异性商业性行为中从未使用安全套(OR=1.926,95%CI:1.343~5.819)和过去12个月中曾诊断过性病(OR=2.017,95%CI:1.671~7.264)的性病门诊男性就诊者更愿意接受HPV疫苗。结论 MSM和性病门诊男性就诊者HPV及HPV疫苗的知晓率较低,且性行为相关的危险因素会影响两类人群接受HPV疫苗的意愿。应该加强针对HPV及HPV疫苗的健康教育工作,提高知晓率,为以后HPV疫苗的推广奠定基础。

英文摘要:

Objective To understand the willingness to receive human papillomavirus (HPV) vaccination of men who have sex with men (MSM) and the male clients of sexually transmitted disease (STD) clinics and related factors in China. Methods MSM were enrolled from the community through snowball sampling and male clients of STD clinics were enrolled from a sexual health clinic through convenience sampling in Wuxi,China. A questionnaire survey on the subjects' socio-demographic characteristics and the awareness of HPV was conducted. Results A total of 186 MSM and 182 STD clients were recruited. The awareness rates of HPV were 18.4% and 23.1%,respectively and the awareness rates of HPV vaccination were 10.2% and 15.4%,respectively. STD clinic clients (70.9%) were more likely to receive HPV vaccination than MSM (34.9%) (χ²=47.651,P<0.01). Only 26.2% of MSM and 20.2% of STD clinic clients were willing to receive free HPV vaccination before the age of 20 years. Multivariate logistic regression analysis showed that MSM who had passive anal sex (OR=2.831,95%CI:1.703-13.526),MSM who never used condom in anal sex in the past 6 months (OR=3.435,95%CI:1.416-20.108), MSM who had been diagnosed with STDs (OR=1.968,95%CI:1.201-8.312) and STD clinic clients who had commercial sex with females in the past 3 months (OR=1.748,95%CI:1.207-8.539),STD clinic clients who never used condom in commercial sex in the past 3 months (OR=1.926,95%CI:1.343-5.819) and STD clinic clients who had been diagnosed with STDs in past 12 months (OR=2.017,95%CI:1.671-7.264) were more likely to receive free HPV vaccination. Conclusion Sexually active MSM and male clients in STD clinics in China had lower awareness of the HPV related knowledge. Their willing to receive HPV vaccination were influenced by their behavior related factors. It is necessary to strengthen the health education about HPV and improve people's awareness of HPV vaccination.

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