长沙市MSM艾滋病知识知晓情况、性行为现状分析

郑婵娟; 马兰心; 谭业丰; 向愈韩; 阳益德; 李承西

doi:10.16462/j.cnki.zhjbkz.2019.01.022

长沙市MSM艾滋病知识知晓情况、性行为现状分析

doi: 10.16462/j.cnki.zhjbkz.2019.01.022

1.
410013 长沙, 湖南师范大学医学院预防医学系
2.
410000 长沙, 长沙市青彩防艾志愿服务中心
3.
410000 长沙, 长沙市中大阳光社工服务中心

基金项目:

湖南师范大学博士科研启动基金项目 2018

详细信息

通讯作者:
阳益德, E-mail: yangyide2007@126.com

中图分类号: R512.91
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- 被引次数: 0
出版历程
- 收稿日期: 2018-06-22
- 修回日期: 2018-10-23
- 刊出日期: 2019-01-10

Analysis of awareness of HIV/AIDS-related knowledge and related behavior among men who have sex with men (MSM) in Changsha

1.
School of Medicine, Hunan Normal University, Changsha 410013, China
2.
Qingcai Service Center, Changsha 410000, China
3.
Zhongda Sunshine Service Center, Changsha 410000, China

Funds:

The Funding of Doctoral Research Initiation Program of Hunan Normal University 2018

More Information

Corresponding author: YANG Yi-d, E-mail: yangyide2007@126.com

摘要

摘要: 目的了解长沙市男男性行为人群（men who have sex with men，MSM）艾滋病知识知晓情况、性行为特征。方法基于长沙市青彩防艾志愿服务中心和中大阳光社工服务中心招募志愿者，采取滚雪球抽样法通过匿名填写问卷调查长沙市MSM人群，采用SPSS 19.0软件进行统计分析。结果本次研究共调查150例MSM人群，艾滋病基本知识知晓率为86.0%（129/150）。人口学特征方面，不同年龄、学历、收入人群艾滋病知识知晓率差异有统计学意义，年龄越大、学历越高、收入越高知晓率越高。性行为方面，首次发生插入性男男性交年龄<18岁的占32.7%，≥ 18岁组艾滋病知识知晓率明显高于<18岁组（χ²=4.315，P=0.038），过去6个月的性伴侣数>1个的占46.7%，半年内仅偶尔或从未使用安全套的分别为29.3%和6.7%。结论年龄较小，学历较低和月收入较低的长沙市MSM人群艾滋病知识知晓率相对较低，首次性交年龄低龄化，应针对这些特征的MSM人群及时采取措施，进行高危性行为干预。
- 男男性行为人群 /
- 艾滋病 /
- 性行为 /
- 知识知晓情况
Abstract: Objective To understand the awareness of HIV/AIDS-related knowledge and characteristics of sexual behaviors among men who have sex with men (MSM) in Changsha City. Methods By a snowball sampling method, volunteers were recruited in two social public welfare organizations in Changsha (Qingcai and Zhongda Sunshine) and interviewed by anonymous electronic questionnaires. Data were analyzed using software SPSS 19.0. Results Among 150 MSM, the overall awareness rate of HIV/AIDS-related knowledge was 86.0% (129/150). For different demographic characteristics, higher age group, higher education level and higher income groups had significantly higher rates of awareness about HIV/AIDS related knowledge, compared with the reference groups, respectively. For the sexual behaviors, 32.7% of the investigated MSM population had their first MSM sexual intercourse at age of <18 years old, the rate of ≥ 18 years old group was significantly higher than the <18 years old group (χ²=4.315, P=0.038), 46.7% of the MSM population had more than 1 sexual partner during the past six months, the ratio of MSM used condoms in the sexual intercourse occasionally or never was 29.3% and 6.7%, respectively. Conclusions Young age, relatively low educational level and low income MSM in Changsha had a relative low awareness of HIV/AIDS-related knowledge. MSM in Changsha City had first MSM sexual intercourse at a very younger age. There is an urgent need to take well-targeted measures to improve the HIV/AIDS-related knowledge with special MSM population, and develop effective intervention measures for the high-risk sexual behaviors among MSM.
- Men who have sex with men /
- HIV/AIDS /
- Sexual behaviors /
- Awareness of knowledge

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表 1 长沙市MSM人群一般人口学特征

Table 1. Demographic characteristics of men who have sex with men(MSM) in Changsha

人口学信息	总人数	构成比(%)
年龄(岁)
≤20	47	31.3
21~	67	44.7
≥27	36	24.0
职业
学生	54	36.0
干部	3	2.0
待业	6	4.0
商业服务	33	22.0
其他	54	36.0
学历
初中及以下	10	6.6
高中/职高	31	20.7
大专及以上	109	72.7
独生子女
是	72	48.0
否	78	52.0
月收入(元)
无收入	39	26.0
≤2 000	12	8.0
2 001~	16	10.7
3 001~	33	22.0
>4 000	50	33.3
婚姻
已婚	12	8.0
未婚	132	88.0
其他	6	4.0

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表 2 不同人口学特征MSM人群艾滋病知识知晓率差异比较[n(%)]

Table 2. Comparison of HIV/AIDS knowledge awareness rate in different demographic characteristics[n(%)]

影响因素	总人数	知晓人数	χ²值	P值
年龄(岁)			10.832	0.040
≤20	47	34(72.3)
21~	67	61(91.0)
≥27	36	34(94.4)
学历			7.736	0.021
初中及以下	10	6(60.0)
高中/职高	31	25(80.6)
大专及以上	109	98(82.4)
月收入(元)			9.865	0.043
无收入	39	33(84.6)
≤2 000	12	9(75.0)
2 001~	16	11(68.8)
3 001~	33	30(90.9)
>4 000	50	46(92.0)
职业			1.911	0.752
学生	54	45(83.3)
干部	3	3(100.0)
待业	6	5(83.3)
商业服务	33	29(87.9)
其他	54	46(85.2)
是否为独生子女			0.259	0.611
是	72	63(87.5)
否	78	66(84.6)
性取向			1.313	0.519
同性恋	103	89(86.4)
双性恋	41	34(82.9)
不确定	6	6(100.0)
婚姻			1.070	0.786
已婚	12	11(91.7)
未婚	132	113(85.6)
其他	6	5(83.3)

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表 3 不同性行为MSM人群艾滋病知识知晓率差异比较[n(%)]

Table 3. Comparison of HIV/AIDS knowledge awareness rate in different sex behaviors[n(%)]

影响因素	总人数	知晓人数	χ²值	P值
性角色			4.240	0.237
0号	45	36(80.0)
1号	40	33(82.5)
0.5号	65	60(92.3)
首次与男性性交的年龄(岁)			4.315	0.038
<18	49	38(77.6)
≥18	101	91(90.1)
是否有固定的男男性伴侣			0.614	0.433
是	69	61(88.4)
否	81	68(84.0)
过去6个月的性伴侣数			0.721	0.396
≤1个	80	67(83.8)
＞1个	70	62(88.6)
最近6个月佩戴安全套情况			3.789	0.150
从未使用	10	7(70.0)
偶尔使用	44	36(81.8)
经常使用	96	86(89.5)
寻找男男性伴侣主要方式			0.543	0.762
互联网/交友软件	130	111(85.4)
酒吧、浴池	3	0(0.0)
其他	17	15(88.2)
与女性是否发生过性关系			0.555	0.456
是	40	33(82.5)
否	110	96(87.3)

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