我国男男性行为人群的猴痘认知现状及相关因素分析

李培龙; 汤后林; 李东民; 葛琳; 于茂河; 吕繁

文章摘要

李培龙,汤后林,李东民,葛琳,于茂河,吕繁.我国男男性行为人群的猴痘认知现状及相关因素分析[J].中华流行病学杂志,2023,44(2):257-262

我国男男性行为人群的猴痘认知现状及相关因素分析

Current status of monkeypox cognition and related factors among men who have sex with men in China

收稿日期:2022-10-21 出版日期:2023-02-15

DOI：10.3760/cma.j.cn112338-20221021-00901

中文关键词: 男男性行为人群猴痘认知

英文关键词: Men who have sex with men Monkeypox Cognitive

基金项目:世界糖尿病基金会（WDF13-805）

作者	单位	E-mail
李培龙	中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206
汤后林	中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206
李东民	中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206
葛琳	中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206
于茂河	天津市疾病预防控制中心, 天津 300011
吕繁	中国疾病预防控制中心性病艾滋病预防控制中心, 北京 102206	fanlv@chinaaids.cn

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中文摘要:

目的了解我国MSM的猴痘知识认知现状及相关因素。方法 2022年9月5-10日在我国30个省份开展调查，在MSM社会组织协助下，采用方便抽样方法，通过调查员一对一招募MSM调查对象，由调查对象登录问卷星企业版参加线上匿名调查。样本量根据我国居民传染病防治素养水平25%进行估算。样本量估计为5 070人。采用线上自填式调查问卷，收集社会人口学、行为学、HIV检测和猴痘有关知识认知等信息，采用logistic回归模型分析与猴痘知识知晓的相关因素。结果 MSM调查对象为5 780人，猴痘知识知晓率为31.8%（1 840/5 780）。多因素logistic回归分析结果显示，MSM猴痘知识知晓较高的相关因素包括现住址为东部地区（OR=1.26，95%CI：1.01~1.56）、大专及以上文化程度（OR=1.50，95%CI：1.14~1.97）、最近1个月肛交性伴数≥3人（OR=1.71，95%CI：1.28~2.28）或2人（OR=1.36，95%CI：1.07~1.73）、最近1个月无同性群交（OR=1.20，95%CI：1.01~1.43）、无异性性行为（OR=1.28，95%CI：1.02~1.62）、已知自己HIV感染状况为阴性（OR=1.85，95%CI：1.44~2.36）或阳性（OR=1.65，95%CI：1.27~2.16）、经常关注（OR=7.08，95%CI：5.28~9.48）、偶尔关注（OR=4.52，95%CI：3.49~5.86）和极少关注猴痘信息（OR=2.55，95%CI：1.93~3.37）。结论我国MSM对猴痘信息有一定关注和了解，但猴痘知识知晓率不高，应加强在MSM中的猴痘知识宣传教育，促进MSM的猴痘预防和自我监测，尤其是初中及以下文化程度、对猴痘信息关注较少、未做HIV检测和发生同性群交或异性性行为者。

英文摘要:

Objective To understand the current status of monkeypox knowledge and related factors among men who have sex with men (MSM) in China. Methods The survey was conducted in 30 provinces from September 5 to 10, 2022. With the assistance of social organizations of MSM, MSM respondents were recruited one-to-one by investigators through a convenient sampling method. Respondents log in to the questionnaire star to participate in the anonymous online survey. The sample size was estimated at 5 070 based on China's population infectious disease prevention literacy level of 25%. The self-administered online questionnaire collected information on sociodemographic, behavioral, HIV infection status, attention to monkeypox, and knowledge of monkeypox. The logistic regression model was used to analyze the factors associated with knowledge awareness of monkeypox. Results Among 5 780 MSM subjects, the awareness rate of monkeypox knowledge was 31.8% (1 840/5 780). The results of multivariate logistic regression analysis showed that the related factors with higher awareness rate of monkeypox knowledge in MSM included the current address was in the eastern region (OR=1.26, 95%CI:1.01-1.56), college education level or above (OR=1.50, 95%CI:1.14-1.97), the number of anal-sex partners in the last month was ≥ 3 (OR=1.71, 95%CI:1.28-2.28) or 2 (OR=1.36, 95%CI:1.07-1.73), and there was no homosexual group sex in the last month (OR=1.20, 95%CI:1.01-1.43), they had no heterosexual behavior (OR=1.28, 95%CI:1.02-1.62), were HIV negative (OR=1.85, 95%CI:1.44-2.36) or HIV positive (OR=1.65, 95%CI:1.27-2.16), and paid frequent attention to monkeypox information (OR=7.08, 95%CI:5.28-9.48), occasional attention (OR=4.52, 95%CI:3.49-5.86) or minimal attention (OR=2.55, 95%CI:1.93-3.37). Conclusions MSM has some attention and understanding of monkeypox in China, but the awareness rate of monkeypox knowledge is not high. It is necessary to strengthen the awareness of monkeypox knowledge among the MSM population with junior middle school education or below, who ignore the epidemic of monkeypox, have not been tested for HIV, and have had homosexual group sex or heterosexual sex to promote monkeypox prevention and self monitoring among MSM.

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