| 孟晓军,贾天剑,尹寒露,罗珍胄,丁一,陈威英,黄澍杰,郑和平,杨斌,AndrewGrulich,卢雍,王贞玉,钱燕华,邹华春.中国3个城市MSM人群无偿献血行为状况及影响因素分析[J].中华流行病学杂志,2018,39(11):1443-1448 |
| 中国3个城市MSM人群无偿献血行为状况及影响因素分析 |
| Analysis on voluntary blood donation and associated factors in men who have sex with men in 3 cities in China |
| 收稿日期:2018-06-11 出版日期:2018-11-15 |
| DOI：10.3760/cma.j.issn.0254-6450.2018.11.005 |
| 中文关键词: 男男性行为者 献血 影响因素 |
| 英文关键词: Men who have sex with men Blood donation Associated factor |
| 基金项目:无锡市卫生和计划生育委员会面上项目（MS201613）；无锡市医学青年人才项目（QNRC033）；无锡市医学重点学科项目（ZDXK009）；无锡市科技局社会发展项目（CSZ0N1512）；澳大利亚国立卫生院青年学者项目（APP10992621）；国家自然科学基金（81703278） |
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| 中文摘要: |
| 目的 了解我国3个城市中MSM人群无偿献血行为状况及其影响因素。方法 2017年1－8月在广州、深圳和无锡市通过同志社会组织辅助招募MSM研究对象。纳入的研究对象需同时满足的标准：≥18岁男性；与男性发生过肛交或者口交；最近6个月有≥2个同性性伴，或与同性临时性伴发生过无保护肛交，或有性传播疾病患病史。通过问卷调查收集研究对象的人口社会学特征、性行为特征和既往献血行为状况等信息，并采集血样检测HIV。结果 共招募研究对象603人，其中广州市302人，深圳市152人，无锡市149人，年龄（27.9±7.8）岁。曾经献过血的比例为29.2%（176/603），其中3个城市的献血比例分别为广州市33.1%（100/302）、深圳市27.6%（42/152）和无锡市22.8%（34/149），差异无统计学意义（χ2=6.421，P=0.093）。多因素logistic回归分析结果显示，最近12个月HIV检测≥2次（比检测1次者，aOR=1.49，95% CI：1.08～2.19）、曾使用过同性恋交友软件（比不使用者，aOR=2.13，95% CI：1.12～4.44）的MSM有更高的比例曾经献过血。结论 献血行为在感染HIV的高危MSM人群中较普遍，应该加强对该人群的献血健康教育工作，以保障临床用血安全。 |
| 英文摘要: |
| Objective To assess the prevalence of blood donation and associated factors in men who have sex with men (MSM) in China. Methods Our observational study was conducted between January and August, 2017 in 3 cities:Guangzhou, Shenzhen and Wuxi. Eligible participants were MSM (≥ 18 years old) who had either ≥ 2 male sex partners or unprotected anal sex with casual partners, or had been diagnosed with STI in the past 6 months. A self-completed tablet-based questionnaire was used to collect the information about MSM's socio-demographic characteristics, sexual behaviors and blood donation history. Results A total of 603 MSM were enrolled in our study, including 302 in Guangzhou, 152 in Shenzhen and 149 in Wuxi, with a mean age of 27.9 years (SD=7.8). Overall, 29.2% (176/603) of the MSM reported a history of blood donation, and 33.1% (100/302)in Guangzhou, 27.6% (42/152) in Shenzhen and 22.8% (34/149) in Wuxi, the differences were not significant (χ2=6.421, P=0.093). Multivariate logistic regression analysis indicated that MSM had ever tested for HIV for ≥ 2 times in the past 12 months (vs. MSM tested for HIV one time, aOR=1.49, 95% CI:1.08-2.19) or who had ever used gay dating app (vs. MSM who not used gay dating app, aOR=2.13, 95% CI:1.12-4.44) were more likely to donate blood. Conclusions Blood donation was common in MSM in China. Health education about blood donation in MSM should be strengthened to ensure the blood safety. |
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