摘要
目的探讨HIV抗体阴性男男性行为人群(men who have sex with men,MSM)队列保持率及其影响因素,为制定失访控制措施提供依据。方法利用浙江省2011年建立的MSM队列资料,采用χ2检验和logistic回归多因素分析方法,研究社会人口学特征、艾滋病知识知晓率、性行为以及艾滋病防治服务利用等情况对队列保持的影响。结果纳入队列的387名MSM,15个月随访率为58.40%,知晓"一个人感染了艾滋病是否可以从外表上看出来"这一条目的人维持率低(OR=0.482,95%CI为0.236-0.983,P<0.05)、知晓"保持单一性伴侣是否可以降低艾滋病感染的风险"这一条目的人保持率低(OR=0.306,95%CI为0.100-0.942,P<0.05),最近3个月未接受HIV检测者保持率低(OR=0.487,95%CI为0.311-0.762,P<0.01)。结论知识宣传教育必要但不充分,关注检测服务利用率低者,制定个性化方案,加强联系,减少失访。
Objective To study the cohort retention of anti HIV negative MSM and its related factors. Meth- ods Cohort data was obtained from Zhejiang province in 2011. Chi-square test and logistic regression model were used to analyze factors affecting the retention including sociodemographic characteristics, HIV/AIDS knowledge awareness, sexual behavior and HIV/AIDS service. Results 226 out of 387 （58.40%） MSM recruited in the cohort completed the 15-month follow-up study. The retentions were low when answered the question as ＂ is HIV infection noticeable by appearance？＂ （OR=0. 482, 95% CI： 0. 236-0. 983, P〈0.05） , and ＂ can the risk of HIV/AIDS infection be reduced by having only one sexual partner？＂ （OR=0. 306, 95% CI： 0. 100-0. 942, P〈0.05） as well as question like ＂ have you had your HIV tested in the last 3 months？＂ （OR=0. 487, 95%CI： 0. 311-0. 762, P〈0.01）. Conclusions HIV/AIDS education and service are neces- sary but still not enough. MSM AIDS patients should be tested regularly and be followed up.
出处
《中国预防医学杂志》
CAS
2013年第10期724-726,共3页
Chinese Preventive Medicine
基金
科技部"十二五"重大专项(2012ZX10001001)
