文章摘要
朱洋,侯丰苏,陈晓婷,杨潇,曹望楠,郝元涛,李菁华.成都市男男性行为人群对重复HIV检测阴性的反应与危险性行为的关联研究[J].中华流行病学杂志,2023,44(3):452-456
成都市男男性行为人群对重复HIV检测阴性的反应与危险性行为的关联研究
Association between response to repeated negative HIV testing and risk sexual behaviors in men who have sex with men in Chengdu
收稿日期:2022-07-05  出版日期:2023-03-14
DOI:10.3760/cma.j.cn112338-20220705-00601
中文关键词: 检测  男男性行为人群  艾滋病病毒  性行为
英文关键词: Testing  Men who have sex with men  HIV  Sexual behavior
基金项目:国家自然科学基金(81803334);国家科技重大专项(2018ZX10715004)
作者单位E-mail
朱洋 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080  
侯丰苏 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080  
陈晓婷 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080  
杨潇 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080  
曹望楠 北京大学公共卫生学院社会医学与健康教育系, 北京 100191  
郝元涛 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080
北京大学公众健康与重大疫情策略防控战略研究中心, 北京 100191 
 
李菁华 中山大学公共卫生学院医学统计学系/中山大学全球卫生研究中心/中山大学卫生信息研究中心, 广州 510080 lijinghua3@mail.sysu.edu.cn 
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中文摘要:
      目的 研究成都市MSM对重复HIV检测阴性的反应及与危险性行为的关联。方法 2022年3-5月与成都同乐健康咨询服务中心合作,采用方便抽样方法招募研究对象610名MSM。收集研究对象社会人口学特征、对HIV检测阴性的反应和性行为情况。采用单因素及多因素logistic回归模型分析HIV检测阴性反应与性行为的关联。结果 参加问卷调查579名(94.9%),纳入研究对象354名(61.1%),HIV检测阴性反应得分分别为强化安全(17.03±2.20)分、运气(7.50±1.87)分和低风险感知(8.87±3.62)分。多因素logistic回归模型结果显示,强化安全与发生群交呈负相关(aOR=0.80,95%CI:0.67~0.95);运气与临时性行为(aOR=1.20,95%CI:1.06~1.35)、不坚持使用安全套(aOR=1.21,95%CI:1.06~1.37)、发生群交(aOR=1.26,95%CI:1.00~1.60)和多性伴(aOR=1.24,95%CI:1.09~1.42)与危险性行为呈正相关。低风险感知仅与多性伴(aOR=1.08,95%CI:1.01~1.15)呈正相关。结论 成都市MSM对重复HIV检测阴性反应的强化安全和运气维度认可程度较高,自身风险感知良好。在提供HIV检测和咨询服务期间,干预策略和风险咨询应重视向对运气认可较高的个体倾斜,帮助其树立安全性行为意识,减少侥幸心理带来的负面影响。
英文摘要:
      Objective To investigate the association between the response to repeated negative HIV testing and the risk sexual behaviors in men who have sex with men (MSM) in Chengdu.Methods A total of 610 MSM were recruited by convenience sampling method through Chengdu Tongle Health Consultation Service Centre from March to May 2022. Data were collected from the MSM through questionnaire survey, including the demographic characteristics, sexual behaviors in the past 6 months, the response to rerpeated negative HIV testing. Univariate and multivariate logistic regression models were conducted to analyze the association between the response to repeated negative HIV testing and risk sexual behavior. Results A total of 579 (94.9%) participants participated in the questionnaire survey and 354 (61.1%) subjects were included in the study.For the negative HIV testing, some MSM believed that they had taken effective protection measures (17.03±2.20), some believed that they were lucky (7.50±1.87) and some believed that they were at low risk (8.87±3.62). Multivariate logistic regression model showed that protected sexual behavior was negatively associated with group sex (aOR=0.80, 95%CI:0.67-0.95), lucky was positively associated with casual sex (aOR=1.20, 95%CI:1.06-1.35), inconsistent condom use (aOR=1.21, 95%CI:1.06-1.37), group sex (aOR=1.26, 95%CI:1.00-1.60), and multiple sexual partners (aOR=1.24, 95%CI:1.09-1.42) and low risk perception was positively associated with multiple sexual partners only (aOR=1.08, 95%CI:1.01-1.15). Conclusions There were high levels of recognition of protected sexual behavior and lucky dimensions in response to repeated negative HIV testing and well risk perception in MSM in Chengdu. In HIV testing and counseling services, intervention and risk warning should be strengthened in MSM who believed that they are lucky to improve their awareness of safe sex and reduce the negative effects of fluke mind.
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