张枭, 毛军, 李朋, 孙乔, 肖绍坦, 黄星, 宁镇, Sarah Jane Steele, Ted Myers. 浦东新区男男性行为人群艾滋病相关的健康与求医需求分析[J]. 环境与职业医学, 2011, 28(12): 781-784,788.
引用本文: 张枭, 毛军, 李朋, 孙乔, 肖绍坦, 黄星, 宁镇, Sarah Jane Steele, Ted Myers. 浦东新区男男性行为人群艾滋病相关的健康与求医需求分析[J]. 环境与职业医学, 2011, 28(12): 781-784,788.
ZHANG Xiao , MAO Jun , LI Peng , SUN Qiao , XIAO Shao-tan , HUANG Xing , NING Zhen , Sarah Jane STEELE , Ted MYERS . Analysis on Requirements of AIDS-Related Health Services among MSM in Pudong New Area, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2011, 28(12): 781-784,788.
Citation: ZHANG Xiao , MAO Jun , LI Peng , SUN Qiao , XIAO Shao-tan , HUANG Xing , NING Zhen , Sarah Jane STEELE , Ted MYERS . Analysis on Requirements of AIDS-Related Health Services among MSM in Pudong New Area, Shanghai[J]. Journal of Environmental and Occupational Medicine, 2011, 28(12): 781-784,788.

浦东新区男男性行为人群艾滋病相关的健康与求医需求分析

Analysis on Requirements of AIDS-Related Health Services among MSM in Pudong New Area, Shanghai

  • 摘要: 目的 了解男男性行为者(MSM)的工作生活状况及艾滋病相关的健康需求情况,分析该人群主动参与艾滋病毒(HIV)抗体检测行为的影响因素,为更好地开展MSM人群艾滋病高危行为干预工作提供思路。

    方法 采用横断面调查方法,于2010年6-12月在上海市浦东新区按年龄段进行分层抽样,对158名符合入选标准的研究对象进行一对一的问卷调查,收集一般人口学信息、工作生活状况、社交网络与性行为情况、艾滋病相关知识和态度、既往接受HIV抗体检测情况及HIV感染情况等资料。

    结果 66.5%(105/158)的MSM人群来自上海以外省市;17.7%(28/158)为双性恋;分别有64.1%(97/158)、50.6%(80/158)、51.9%(82/158)、10.1%(16/158)的对象表示自己最近半年内有过固定男性伴、多次男性伴、偶遇男性伴和女性伴性接触。既往HIV抗体检测率为71.5%(113/158),最近2年HIV抗体检测率为57.6%(91/158)。非条件logistic回归分析结果表明,文化程度(OR=0.29,95%CI:0.09~0.90)对MSM人群主动参与HIV抗体检测的行为有明显阻碍作用(P<0.05),文化程度越高,参与检测的行为越少。研究对象关于目前艾滋病防治工作的建议主要体现在加强艾滋病宣传教育、多关心和理解MSM人群、少歧视、加强MSM人群中的免费安全套推广等方面。

    结论 MSM人群对预防艾滋病相关的健康干预措施有较高的需求,加强艾滋病宣传教育,多关心、多理解、少歧视MSM人群,加强免费安全套推广等措施能有效的满足MSM人群的健康和心理需求,对艾滋病的防治工作效果具有十分重要的促进作用。

     

    Abstract: Objective To know the living condition and requirements of AIDS-related health services among men who have sex with men (MSM), and analyze the factor that influences their taking part in HIV test to provide suggestions on improving the in tervention work against AIDS high-risk behaviors.

    Methods A cross-sectional survey was performed to collect information about demographic characteristics, living condition, social networks and sexual behaviors, knowledge and attitude towards AIDS/HIV, history of HIV test and HIV infection, etc. A total of 158 eligible MSM of different age and income were investigated face to face and one by one from June to December, 2010.

    Results Among the MSM investigated, 66.5% (105/158) were from provinces or cities outside Shanghai, 17.7% (28/158) were bisexual, and 64.1% (97/158), 50.6% (80/158), 51.9% (82/158) and 10.1% (16/158) admitted having regular male sexual partners, many-nights male sexual partners, one-night male sexual partners and female sexual partners respectively. In addition, 71.5% (113/158) of the subjects had the history of HIV test and 57.6% (91/158) were tested in recent two years. Non-conditional logistic regression analysis showed that education (OR=0.29, 95%CI:0.09-0.90) was a factor that significantly obstructed the act of getting HIV tests. Their advices on AIDS prenvention and control included strengthening health education, showing more care and understanding and less discrimination, and promoting free delivery of condoms.

    Conclusion More health services such as free HIV tests should be given to MSM. Measures like strengthening health education, showing more care and understanding and less discrimination, and providing free condoms can play an important role in meeting both the physical and psychological needs of MSM and preventing HIV transmission.

     

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