文章摘要
王菊,何勤英,李宓儿,张露,杜旭东,朱萍,施雅莹,朱彩蓉.成都市知晓自身感染艾滋病病毒的男男性行为人群无保护肛交行为研究[J].中华流行病学杂志,2018,39(7):954-958
成都市知晓自身感染艾滋病病毒的男男性行为人群无保护肛交行为研究
Study on unprotected anal intercourse behavior in HIV-positive men who have sex with men in the context of knowing their HIV infection status in Chengdu
投稿时间:2017-10-15  
DOI:10.3760/cma.j.issn.0254-6450.2018.07.017
中文关键词: 男男性行为人群;艾滋病病毒;感染状态;无保护肛交;相关因素
英文关键词: Men who have sex with men;HIV;Infection status;Unprotected anal intercourse;Related factor
基金项目:成都市科技惠民计划(2013-2016年)
作者单位E-mail
王菊 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系  
何勤英 610041 成都, 成都市疾病预防控制中心  
李宓儿 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系  
张露 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系  
杜旭东 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系  
朱萍 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系  
施雅莹 610041 成都, 成都市疾病预防控制中心  
朱彩蓉 610041 成都, 四川大学华西公共卫生学院流行病与卫生统计学系 cairong.zhu@hotmail.com 
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中文摘要:
      目的 了解成都市知晓自身HIV阳性的MSM人群无保护肛交行为(UAI)的相关影响因素。方法 2015年采用方便抽样在成都招募已接受随访服务且知晓自身HIV阳性≥6个月的MSM,采用问卷调查收集MSM最近6个月性行为情况及相关信息。采用logistic回归进行单因素和多因素分析。结果 共招募知晓自身HIV阳性的MSM 330人,实际调查201人,最近6个月的UAI发生率为18.41%(37/201)。多因素logistic回归分析显示,最近1个月肛交次数≥3次(OR=6.22,95% CI:1.88~20.56)、初中及以下文化程度(OR=7.29,95% CI:1.36~39.16)、已婚/离异/丧偶(OR=4.65,95% CI:1.13~19.17)、与同性同居(OR=3.32,95% CI:1.01~10.95)是可能发生UAI的相关因素。结论 频繁同性肛交、初中及以下文化程度、已婚/离异/丧偶、与同性同居是知晓自身HIV阳性的MSM人群发生UAI的相关因素。
英文摘要:
      Objective To identify related factors associated with unprotected anal intercourse (UAI) among HIV-positive men who have sex with men (MSM) in the context of knowing their HIV infection status. Methods HIV positive MSM who known that they had been infected with HIV for more than 6 months and accepted follow up services were recruited by convenience sampling method in Chengdu 2015. Semi-structured questionnaire was used to collect their information, such as demographic characteristics, antiviral therapy and sexual behavior characteristics etc. Logistic regression model was used for univariate and multivariate analyses. Results A total of 330 HIV-positive MSM were recruited, 201 eligible MSM were interviewed. The prevalence of UAI in recent six months was 18.41% (37/201). The results of multivariate logistic regression analysis revealed that the number of anal intercourse with male ≥ 3 in last month (OR=6.22, 95%CI:1.88-20.56), low education level (OR=7.29, 95%CI:1.36-39.16), married, divorced or widowed status (OR=4.65, 95%CI:1.13-19.17), homosexual cohabitation (OR=3.32, 95%CI:1.01-10.95) were the risk factors related with UAI among the HIV-positive MSM. Conclusion Frequent homosexual anal intercourse, low education level, married, divorced or widowed status and homosexual cohabitation might be the risk factors related with UAI in HIV-positive MSM in Chengdu.
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