| 姜瑶瑶,周楚,谭梦楠,徐亚珂,何林,姚亚萍,罗董杭,夏杰,蒋少强,董薇,徐杰.基于互联网平台开展男男性行为人群猴痘知识精准宣教随机对照研究[J].中华流行病学杂志,2026,47(3):424-430 |
| 基于互联网平台开展男男性行为人群猴痘知识精准宣教随机对照研究 |
| A randomized control study of precise health education about mpox in men who have sex with men based on internet platforms |
| 收稿日期:2025-07-01 出版日期:2026-03-19 |
| DOI：10.3760/cma.j.cn112338-20250701-00447 |
| 中文关键词: 男男性行为人群|猴痘|知晓|精准宣教|随机对照试验 |
| 英文关键词: Men who have sex with men|Mpox|Awareness|Precise health education|Randomized control trial |
| 基金项目:基于百度和抖音平台搜索艾滋病的人群知识需求及特征研究（2023AFQN002） |
| 作者 | 单位 | E-mail | | 姜瑶瑶 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | | | 周楚 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | | | 谭梦楠 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | | | 徐亚珂 | 河南省疾病预防控制中心性病艾滋病防治研究所, 郑州 450016 | | | 何林 | 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310018 | | | 姚亚萍 | 浙江省疾病预防控制中心艾滋病与性病预防控制所, 杭州 310018 | | | 罗董杭 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | | | 夏杰 | 杭州市钱塘区海岸公益服务中心, 杭州 310009 | | | 蒋少强 | 杭州市钱塘区海岸公益服务中心, 杭州 310009 | | | 董薇 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | | | 徐杰 | 中国疾病预防控制中心性病艾滋病预防控制中心宣传教育与预防干预室, 北京 102206 | xujie@chinaaids.cn |
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| 中文摘要: |
| 目的 通过互联网平台实施精准宣教，并观察能否提升男男性行为人群（MSM）猴痘知识知晓水平。方法 采用随机对照研究设计。2025年1月，以杭州市海岸公益社会组织“阳光测”公众号为平台招募研究对象，使用随机数字表法将研究对象按1∶1分为宣教组和常规组，并完成基线电子问卷调查。根据基线调查结果，将宣教组研究对象分为高（回答正确的题目数≥12道）、中（回答正确的题目数9~11道）、低（回答正确的题目数≤8道）知晓水平组，并以不同频率推送针对性宣教材料，为期1个月。最终对宣教组和常规组研究对象的猴痘知识知晓水平进行评估。结果 共纳入360名研究对象进行分析，其中宣教组176名，常规组184名。基线调查中宣教组和常规组研究对象的猴痘知识高知晓水平组构成比分别为46.0%和46.7%，差异无统计学意义。经过精准宣教后，评估调查中宣教组和常规组研究对象的猴痘知识高知晓水平组构成比分别为84.7%和58.7%，差异有统计学意义（P<0.001）。结论 MSM猴痘知识知晓水平较低，基于互联网平台的精准宣教模式短期内可以有效提高MSM猴痘知识知晓水平。 |
| 英文摘要: |
| Objective To conduct precise health education about mpox in men who have sex with men (MSM) based on internet platforms and evaluate its performance on the improvement of the mpox related knowledge awareness level in this population. Methods In January 2025, a randomized controlled study was conducted in MSM recruited through the "Sunshine Test" WeChat official account of the Hangzhou Coastal Public Welfare Social Organization. By using a random number table, the MSM were divided into education group and control group at ratio of 1∶1, and all of them completed a baseline electronic questionnaire. Based on the baseline survey results, the MSM in the education group were further divided into 3 awareness level groups, i.e. high awareness level group (≥12 correct answers), medium awareness level group (9-11 correct answers), and low awareness level group (≤8 correct answers). Tailored educational materials were delivered at different frequencies to conduct precise health education for one month. Finally, mpox knowledge awareness level were compared between the two groups. Results A total of 360 MSM were included in data analysis, including 176 in the education group and 184 in the control group. In the baseline survey, the proportions of MSM with high awareness level in the education group and in control group were 46.0% and 46.7%, respectively, the difference was not significant. After the precise health education, the proportions of the MSM with high awareness levelin the education group and control group were 84.7% and 58.7%, respectively, the difference was significant (P<0.001). Conclusions The awareness level of mpox related knowledge was relatively low in MSM. The internet-based precision health education can rapidly improve the awareness level of mpox related knowledge in MSM. |
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