| 李亚君,张娜,李玲,朱晓艳,郝连正,廖玫珍,王国永.山东省18~24岁男男性行为HIV感染者确证前后的高危性行为特征及相关因素分析[J].中华流行病学杂志,2026,47(2):332-338 |
| 山东省18~24岁男男性行为HIV感染者确证前后的高危性行为特征及相关因素分析 |
| Analysis of high-risk sexual behaviors and related factors among HIV-infected men who have sex with men aged 18-24 years before and after diagnosis of HIV infection in Shandong Province |
| 收稿日期:2025-07-07 出版日期:2026-02-13 |
| DOI：10.3760/cma.j.cn112338-20250707-00467 |
| 中文关键词: 艾滋病病毒 男男性行为者 高危性行为 相关因素 |
| 英文关键词: HIV Men who have sex with men High-risk sexual behavior Related factors |
| 基金项目:山东省医药卫生科技发展计划（202312050984，202412051211）；山东省社科联人文社会科学课题［24H060（Z）］ |
| 作者 | 单位 | E-mail | | 李亚君 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 张娜 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 李玲 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 朱晓艳 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 郝连正 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 廖玫珍 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | | | 王国永 | 山东省传染病智慧化监测预警和防控重点实验室, 山东省疾病预防控制中心艾滋病防制所, 济南 250014 | yshhl@163.com |
|
| 摘要点击次数: 2381 |
| 全文下载次数: 521 |
| 中文摘要: |
| 目的 分析山东省18~24岁男男性行为HIV感染者（MSM感染者）确证前后的高危性行为特征及相关因素，为针对性制定青年MSM感染者的行为干预策略和措施提供参考依据。方法 2023年9月至2024年12月，选择山东省报告HIV感染者数较多的青岛市、潍坊市和临沂市招募18~24岁MSM感染者作为研究对象，进行面对面问卷调查。采用logistic回归模型分析MSM感染者确证后发生高危性行为的相关因素，应用EpiData 3.1软件建立数据库，应用SPSS 22.0软件进行数据整理和统计学分析。结果 在190例18~24岁MSM感染者中，确证前后的同性性伴数≥2人的比例由82.11%（156/190）下降到39.47%（75/190），发生无保护性行为的比例由93.09%（175/188）下降到39.36%（74/188）。多因素logistic回归模型分析结果显示，MSM感染者确证后发生无保护性行为的正相关因素包括家庭人均月收入<2 000元（aOR=5.19，95%CI：1.49~18.03）、确证后寻找性伴途径为线上（aOR=8.87，95%CI：1.13~69.45）、线上和线下均有（aOR=38.55，95%CI：4.47~332.87）；MSM感染者确证后发生多性伴行为的正相关因素包括使用新型毒品（aOR=2.62，95%CI：1.24~5.53）、未告知他人自己HIV感染状况（aOR=2.41，95%CI：1.26~4.61）、确证前同性性伴数≥2人（aOR=3.72，95%CI：1.40~9.93）、确证前性伴类型为临时性伴（aOR=2.98，95%CI：1.52~5.82）。结论 山东省18~24岁MSM感染者在确证后仍存在发生无保护性行为及多性伴行为的现象，HIV传播风险较高。在HIV感染者管理服务工作中，要强化法律和政策的宣传，提高HIV感染者的权利与义务知晓率，减少其高危性行为，降低HIV传播风险。 |
| 英文摘要: |
| Objective To explore characteristics and related factors of high-risk sexual behaviors of HIV-infected MSM aged 18-24 years before and after diagnosis of HIV infection in Shandong Province, and to provide a reference basis for formulating targeted behavioral intervention strategies and measures for young HIV-infected MSM. Methods From September 2023 to December 2024, MSM-affected individuals aged 18 to 24 years were recruited as research subjects in Qingdao City, Weifang City, and Linyi City, which have reported relatively large numbers of HIV-infected individuals in Shandong Province, and face-to-face questionnaire surveys were conducted. The logistic regression model was used to analyze the related factors of high-risk sexual behaviors after confirmation in MSM infected individuals. EpiData 3.1 software was used to establish the database, and SPSS 22.0 software was used for data collation and statistical analysis. Results Before and after diagnosis of HIV infection of 190 HIV-infected MSM aged 18-24 years, the proportion of those with ≥2 houmosexual partners decreased from 82.11% (156/190) to 39.47% (75/190), and the proportion of those who engaged in unprotected sexual behavior decreased from 93.09% (175/188) to 39.36% (74/188). The results of the multivariate logistic regression model analysis showed that the positive related factors for unprotected sexual behavior in HIV-infected MSM after diagnosis of HIV infection included a per capita monthly income of the family <2 000 yuan (aOR=5.19, 95%CI:1.49-18.03), and the way of seeking homosexual partners after diagnosis of HIV infection was online (aOR=8.87,95%CI: 1.13-69.45), both online and offline methods were available (aOR=38.55, 95%CI: 4.47-332.87). The positive related factors for multiple sexual partner behavior after diagnosis of HIV infection of HIV-infected MSM include the use of new types drugs (aOR=2.62, 95%CI: 1.24-5.53) and failure to inform others of one's HIV infection status (aOR=2.41,95%CI:1.26-4.61), the number of same-sex sexual partners before confirmation was ≥2 (aOR=3.72, 95%CI:1.40-9.93), the type of sexual partner before confirmation was temporary (aOR=2.98, 95%CI:1.52-5.82). Conclusions In Shandong Province, after diagnosis of HIV infection, HIV-infected MSM aged 18 to 24 years still have the phenomenon of unprotected sexual behavior and multiple sexual partner behavior, and the risk of HIV transmission was relatively high. In the management and service work for people infected with HIV, it is necessary to strengthen the publicity of laws and policies, increase the awareness rate of the rights and obligations of people infected with HIV, reduce their high-risk sexual behaviors, and lower the risk of HIV transmission. |
|
查看全文
Html全文
查看/发表评论 下载PDF阅读器 |
|
| 关闭 |
|
|
|
