摘要
目的了解温州市男男性行为者(men who have sex with men,MSM)对其性伴感染人类免疫缺陷病毒(human immunodeficiency virus,HIV)的知晓状况及其影响因素。方法2024年1—10月通过“阳光测”预约检测平台招募温州市MSM人群,采用问卷调查MSM主要人口学特征、性行为及知情交友情况。运用卡方检验和多因素logistic回归分析对MSM报告的近3个月全部男男同性性行为性伴的HIV感染知晓情况的影响因素进行统计学分析。结果共调查503名MSM,有45.53%(229/503)报告知晓近3个月男男同性性行为中全部性伴的HIV的感染状况。多因素logistic回归分析结果显示:同性性行为中作为插入方(OR=1.82,95%CI:1.08~3.07,P=0.024)和近3个月每次性行为使用rush poppers(Rush)者(OR=2.83,95%CI:1.16~6.90,P=0.023)与较高的性伴感染状况知晓比例有关,已婚(OR=0.52,95%CI:0.29~0.92,P=0.024)、近3个月自我报告被诊断过性病者(OR=0.26,95%CI:0.07~0.96,P=0.043)和性伴感染状况知晓比例较低有关。结论温州市MSM知情交友有待提高,需对已婚及感染性病的MSM开展更具有针对性的干预措施,以促进其知情交友。
Objective To investigate the awareness of human immunodeficiency virus(HIV)infection status among sexual partners among men who have sex with men(MSM)in Wenzhou and to identify the influencing factors.Methods From January to October 2024,MSM in Wenzhou were recruited through the'Sunshine Testing'appointment platform.A questionnaire was used to collect data on the demographic characteristics,sexual behaviours,and awareness of HIV status among sexual partners.The Chi-square test and multiple logistic regression were used to analyze the influencing factors associated with MSM who were aware of their male sexual partners'HIV infection status within the past three months.Results A total of 503 MSM were recruited,of which 45.53%(229/503)reported awareness of the HIV infection status of all their male sexual partners in the past three months.Multivariate logistic analysis revealed that being the insertive partner during anal intercourse(OR=1.82,95%CI:1.08-3.07,P=0.024)and using rush poppers during sexual encounters(OR=2.83,95%CI:1.16-6.90,P=0.023)were associated with a higher awareness rate of sexual partners'HIV infection status.Conversely,being married(OR=0.52,95%CI:0.29-0.92,P=0.024)and self-reported diagnosis of sexually transmitted infections in the past three months(OR=0.26,95%CI:0.07-0.96,P=0.043)were associated with a lower awareness rate of sexual partners'HIV status.Conclusions Awareness of HIV transmission among MSM in Wenzhou needs improvement.Targeted intervention measures should be strengthened for married MSM and those with sexually transmitted infections to promote informed relationships.
作者
徐晓旭
薛芳辉
王珂
张鹤美
周凤
崔云哲
杨子议
潘晓红
XU Xiaoxu;XUE Fanghui;WANG Ke;ZHANG Hemei;ZHOU Feng;CUI Yunzhe;YANG Ziyi;PAN Xiaohong(Center for Disease Control and Prevention of Lucheng District of Wenzhou City,Wenzhou,Zhejiang325001,China;不详)
出处
《中国病毒病杂志》
2025年第3期286-290,共5页
Chinese Journal of Viral Diseases
基金
社会组织参与艾滋病防治基金项目(2023-2024330300NGOMSM036793C)。
