Abstract
连隽,王文军,苏小游,陈新月,于飞,米国栋,刘远立.50岁及以上男男性行为人群HIV感染及相关因素分析[J].Chinese journal of Epidemiology,2021,42(4):668-671
50岁及以上男男性行为人群HIV感染及相关因素分析
HIV infection and related factors among men who have sex with men aged 50 and above
Received:September 28, 2020  
DOI:10.3760/cma.j.cn112338-20200928-01197
KeyWord: 艾滋病病毒  男男性行为人群  感染  相关因素
English Key Word: HIV  Men who have sex with men  Infection  Related factor
FundProject:国家卫生健康委员会亚洲区域合作专项(BLXM01);中国医学科学院创新工程(2017-I2M-B&R-17,2019-I2M-2-005)
Author NameAffiliationE-mail
Lian Jun School of Health Policy and Management, Peking Union Medical College, Beijing 100005, China  
Wang Wenjun Jining Medical College, Jining 272067, China  
Su Xiaoyou School of Population Medicine and Public Health, Peking Union Medical College, Beijing 100005, China suxiaoyou@hotmail.com 
Chen Xinyue School of Health Policy and Management, Peking Union Medical College, Beijing 100005, China  
Yu Fei Danlan Public Welfare, Beijing 100020, China  
Mi Guodong Danlan Public Welfare, Beijing 100020, China  
Liu Yuanli School of Health Policy and Management, Peking Union Medical College, Beijing 100005, China liuyuanli_pumc@163.com 
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Abstract:
      目的 分析≥50岁MSM的HIV感染状况及其相关因素,为制定有效的干预策略和措施提供参考。方法 采用方便抽样法,利用同性社交软件Blued 7.1.6进行问卷调查,收集调查对象社会人口学、行为学及自报HIV感染状态等信息。对自报HIV感染相关因素进行单因素χ2检验和多因素logistic回归分析。结果 714例≥50岁MSM研究对象中,自报HIV感染率为17.6%(126/714)。自报HIV感染风险的多因素分析结果显示,离异/丧偶者是已婚者的2.07倍(95%CI:1.34~3.21);HIV相关知识不知晓者是知晓者的1.92倍(95%CI:1.21~3.04);有STD感染史者是无STD感染史者的3.17倍(95%CI:2.09~4.83)。结论 ≥50岁MSM的自报HIV感染率处于较高水平,离异/丧偶、HIV相关知识知晓率低、STD感染史等为自报HIV感染的相关因素。
English Abstract:
      Objectives To explore the HIV prevalence and related factors among MSM aged 50 and above and provide evidence on the prevention and control of HIV/AIDS. Methods Based on an MSM social application software Blued 7.1.6, we recruited participants through online convenience sampling to collect demographic variables, behavioral and self-reported HIV infection status, etc. Univariate χ2 test and multivariate logistic regression were used to analyze the related factors of self-reported HIV infection. Results Self-reported HIV infection rate was 17.6%(126/714) among the participants. In multivariable analysis, participants who got divorced or widowed had a 2.07(95%CI:1.34-3.21) times greater risk of self-reported HIV-positive than those who were married. Participants unaware of HIV-related knowledge showed a 1.92(95%CI:1.21-3.04) times greater risk of self-reported HIV-positive than those with better HIV-related knowledge. Participants who have ever been diagnosed with sexually transmitted disease (STD) showed a 3.17(95%CI:2.09-4.83) times greater risk of self-reported HIV-positive than those without STD infection history. Conclusion Our findings indicated that the self-reported HIV infection rate was high among MSM aged 50 and above. Being divorced or widowed, being unaware of HIV-related knowledge and STD infection history was proved related with self-reported HIV infection.
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