【摘要】：目的分析廣西部分地區(qū)男男性行為者(MSM)對(duì)艾滋病非職業(yè)暴露后預(yù)防(nPEP)服務(wù)的需求及其影響因素。方法采用方便抽樣的方法在廣西部分地區(qū)招募MSM。通過(guò)面對(duì)面問(wèn)卷調(diào)查,收集其社會(huì)人口學(xué)特征、艾滋病相關(guān)知識(shí)、高危行為、服務(wù)利用及對(duì)nPEP服務(wù)需求等基本信息。采用χ~2檢驗(yàn)對(duì)不同特征調(diào)查對(duì)象的nPEP服務(wù)需求進(jìn)行單因素分析,采用非條件二分類Logistic回歸模型分析nPEP服務(wù)需求的影響因素,計(jì)算比值比(OR)和95%可信區(qū)間(CI)值,以P0.05為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果共獲得有效問(wèn)卷344份。344人中,22.1%(76人)聽(tīng)說(shuō)過(guò)nPEP,60.2%(207人)在告知nPEP相關(guān)服務(wù)和可能風(fēng)險(xiǎn)等標(biāo)化內(nèi)容后,表示存在該服務(wù)需求。僅57.6%(198人)最近半年每次同性肛交均使用安全套;27.3%(94人)曾經(jīng)歷過(guò)安全套意外破裂、滑脫或者被對(duì)方故意拔套等危險(xiǎn)性行為。非條件二分類Logistic回歸模型多因素分析顯示,文化程度大專及以上(OR=0.28,95%CI:0.12~0.65)、半年內(nèi)的性角色主要為插入方(OR=2.18,95%CI:1.26~3.76)、半年內(nèi)固定性伴個(gè)數(shù)3個(gè)及以上(OR=8.37,95%CI:1.04~67.08)、認(rèn)為當(dāng)?shù)豈SM艾滋病疫情嚴(yán)重(OR=2.22,95%CI:1.24~3.97),為nPEP服務(wù)需求的影響因素。結(jié)論廣西部分地區(qū)MSM對(duì)nPEP服務(wù)存在一定的需求。nPEP作為一項(xiàng)有效的生物干預(yù)措施,應(yīng)在中國(guó)條件允許的情況下盡快開(kāi)展,促進(jìn)MSM主動(dòng)求醫(yī)行為,以減少M(fèi)SM的HIV感染。
[Abstract]:Objective to analyze the demand and influencing factors of (MSM) for HIV / AIDS prevention after non-occupational exposure in some areas of Guangxi. Methods the method of convenient sampling was used to recruit MSM in some areas of Guangxi. Face to face questionnaire survey was conducted to collect the basic information such as social demographic characteristics, AIDS-related knowledge, high-risk behaviors, service utilization and the need for nPEP services. 蠂 ~ 2 test was used to analyze the nPEP service demand of different characteristic survey subjects, and non-conditional two-class Logistic regression model was used to analyze the influencing factors of nPEP service demand. The calculated ratio was higher than that of (OR) and 95% confidence interval (CI). P0.05 as the difference was statistically significant. Results 22. 1% (76 / 344) of 344 valid questionnaires were obtained. 60.2% (207) of them had heard of nPEPX. After informing them of the related services and possible risks, they indicated that there was a need for the service. Only 57.6% (198 people) used condom in every homosexual anal sex in the last six months (94 people) had experienced dangerous behaviors such as accidental rupture of condom, slipping or being deliberately pulled out by the other side. The multivariate analysis of non-conditional two-class Logistic regression model shows that, The main sex roles within half a year are the insertion side (OR2.1895 CI: 1.263.76), and the number of fixed sex partners within half a year (OR8.37% 95CIW 1.067.08). It is considered that the local MSM AIDS epidemic is serious (OR2.2295CIW 1.243.97), which is the influencing factor of nPEP service demand. Conclusion there is a certain demand for nPEP services in some regions of Guangxi. As an effective biological intervention measure, it should be carried out as soon as possible under the condition of China to promote the active medical treatment of MSM, so as to reduce the HIV infection of MSM.
【作者單位】： 中國(guó)疾病預(yù)防控制中心性病艾滋病預(yù)防控制中心;廣西壯族自治區(qū)疾病預(yù)防控制中心;
【基金】：比爾及梅琳達(dá)·蓋茨基金會(huì)資助的“中國(guó)社會(huì)組織參與艾滋病防治機(jī)制建設(shè)項(xiàng)目”(OPP1120190-201501011)~~
【分類號(hào)】：R512.91

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 ;2016年12月全國(guó)艾滋病性病疫情[J];中國(guó)艾滋病性病;2017年02期

2 蘇秋菊;金大慶;袁月;尹曄;趙文彬;鄭冰;姜春紅;鄭軍;趙麗君;莊承頤;;鞍山市MSM艾滋病綜合干預(yù)效果評(píng)價(jià)[J];中國(guó)艾滋病性病;2015年10期

3 楊介者;潘曉紅;馬瞧勤;徐云;陳琳;王a，

本文編號(hào)：2147940