徐州市男男同性恋艾滋病患者风险因素调查
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摘要
目的调查男男同性恋AIDS患者的风险因素。方法选取徐州市铜山区1998—2016年确诊的AIDS 97例男男同性恋患者作为研究对象,利用自制问卷表调查一般人口学特征、行为状况(自我认知、性行为特征等)、AIDS防治知识等,对数据进行统计分析。结果不同年龄、婚姻状况、户籍、首次性行为年龄等的男男同性恋人群AIDS患者构成差异无统计学意义(P> 0.05);近6个月内有与男性肛交史(74.23%)、近6个月内有无保护性性行为(83.51%)的构成比均高于近6个月没有与男性肛交史(25.77%)、近6个月没有无保护性性行为(16.49%),差异有统计学意义(χ2=6.443,P=0.011<0.05;χ2=4.000,P=0.046<0.05)。男男同性恋人群对AIDS防治知识的认知程度差异较大,认知正确率为26.80%~91.75%。结论无保护性性行为、多男性伴侣是男男同性恋人群AIDS的主要危险因素。
Objective To investigate the risk factors of male homosexual with HIV/AIDS cases in Xuzhou city.Methods A total of 97 cases of man who have sex with man(MSM)diagnosed with AIDS in Tongshan District of Xuzhou city from 1998 to 2016 were selected as the objects,and the general demographic characteristics,behavioral status(self-perception,sexual characteristics,etc.)and knowledge of AIDS prevention and treatment were investigated by the self-designed questionnaire.The data was analyzed statistically.Results There was no significant difference in the proportion of AIDS cases among MSM of different ages,marital status,household registration and age of first sexual intercourse(P>0.05).The proportion of cases who had history of anal intercourse with menor protective sexual behaviorin the past six months was higher than those without anal intercourseor unprotected sexual intercourse(16.49%),and the difference was significant(,).The awareness of AIDS prevention and treatment knowledge among MSM AIDS cases was quite different,and the correct answer rate of was 26.80%-91.75%.Conclusion The unprotected sex behavior and multiple male partners were the main risk factors for MSM AIDS cases.
Objective To investigate the risk factors of male homosexual with HIV/AIDS cases in Xuzhou city.Methods A total of 97 cases of man who have sex with man(MSM)diagnosed with AIDS in Tongshan District of Xuzhou city from 1998 to 2016 were selected as the objects,and the general demographic characteristics,behavioral status(self-perception,sexual characteristics,etc.)and knowledge of AIDS prevention and treatment were investigated by the self-designed questionnaire.The data was analyzed statistically.Results There was no significant difference in the proportion of AIDS cases among MSM of different ages,marital status,household registration and age of first sexual intercourse(P>0.05).The proportion of cases who had history of anal intercourse with menor protective sexual behaviorin the past six months was higher than those without anal intercourseor unprotected sexual intercourse(16.49%),and the difference was significant(,).The awareness of AIDS prevention and treatment knowledge among MSM AIDS cases was quite different,and the correct answer rate of was 26.80%-91.75%.Conclusion The unprotected sex behavior and multiple male partners were the main risk factors for MSM AIDS cases.
引文
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[7]陈振波,潘雪梅,郑文娟,等.连州市部分男男性行为人群艾滋病/性传播疾病危险行为及影响因素[J].华南预防医学,2016,42(3):208-213.
[8]王波,杨春霞,梁俊波,等. 2011-2014年西充县男男性接触人群艾滋病防治同伴教育效果评价[J].预防医学情报杂志,2016,32(5):490-493.
[9]程伟彬,徐慧芳,钟斐,等. 2010-2015年广州市“互联网+”艾滋病预防服务在男男性行为人群中的应用[J].中华预防医学杂志,2016,50(10):853-857.
[2]龙清平,刘渠,谢显清,等.男男同性恋人群艾滋病高危行为干预方式综述[J].疾病监测与控制,2017,11(8):629-630.
[3]胡玲玲,祖淑文,魏宁.河北省省会男男同性恋人群感染艾滋病相关高危行为研究[J].河北医药,2013,35(21):3305-3308.
[4]云长缨,吴季春,周承兴.海口市321例男男同性恋HIV感染状况分析[J].中国热带医学,2016,16(7):739-740.
[5]刘雪梅,黎明强,韦东旭,等.柳州市男男性行为队列人群HIV感染影响因素分析[J].中华疾病控制杂志,2017,21(12):1232-1235.
[6]彭华参,马迎华,李恬静,等.男男同性交友平台大学男生艾滋病相关知识行为分析[J].中国学校卫生,2017,38(12):1811-1813.
[7]陈振波,潘雪梅,郑文娟,等.连州市部分男男性行为人群艾滋病/性传播疾病危险行为及影响因素[J].华南预防医学,2016,42(3):208-213.
[8]王波,杨春霞,梁俊波,等. 2011-2014年西充县男男性接触人群艾滋病防治同伴教育效果评价[J].预防医学情报杂志,2016,32(5):490-493.
[9]程伟彬,徐慧芳,钟斐,等. 2010-2015年广州市“互联网+”艾滋病预防服务在男男性行为人群中的应用[J].中华预防医学杂志,2016,50(10):853-857.