摘要
目的 了解身份认同对男男性行为者(MSM)HIV检测行为的可能影响,为采取更有效的方法对MSM群体进行艾滋病预防干预提供参考依据。方法 研究于2021年4-6月,采用滚雪球抽样方式选取300名在调查前半年内有过同性性行为的桂林市MSM,对其进行个别派送式的匿名问卷调查,采用二元Logistics回归分析身份认同对检测行为的影响。结果 被调查对象的身份认同及其群内关系、认知中心和群内影响3个分维度得分依次为(41.86±8.16)分、(15.17±3.78)分、(13.53±3.48)分和(13.15±5.67)分,有定期检测行为的比例为54.00%,高危行为可能去机构检测比例为91.00%,高危行为后可能会自我检测的比例为46.00%,但只有30.00%的对象表示高危行为后“肯定”会进行检测。二元Logistics回归分析显示,认知中心分维度与三类检测行为均不显著相关,群内关系分维度与高危行为后的机构检测行为和定期检测行为均显著相关(OR=0.880、1.069,95%CI分别为0.775~0.999、1.009~1.117)。群内影响分维度与高危行为后的自我检测行为显著相关(OR=1.084,95%CI:1.014~1.170)。结论 桂林市MSM身份认同度不高,检测行为发生率远低于90-90-90的HIV干预目标,身份认同是MSM检测行为的可能影响因素,建议通过同伴教育、包容性社会氛围营造等提高MSM身份认同水平,促进检测行为发生率提高。
Objective To analyze the influencing factors of identity on HIV detection behavior of men who have sex with men(MSM), and to provide reference basis for more effective methods to AIDS prevent intervention among MSM groups.Methods From April to June 2021, 300 MSM in Guilin who had homosexual sex in the latest half year generated by snowball sampling were investigated by individual delivery anonymous questionnaire survey method. Binary Logistic regression was used to analyze the impact of identity on testing behaviors.Results The scores of identity, intra-group relationship, cognitive center and intra-group influence of the respondents were 41.86±8.16, 15.17±3.78, 13.53± 3.48 and 13.15±5.67 respectively.The results showed that 54.00% had regular testing behavior, 91.00% of high-risk behaviors may be tested in institutions, 46.00% of high-risk behaviors may be self-testing, and only 30.00% of the subjects said they would "definitely" test after high-risk behavior. Binary Logistic regression analysis showed that the sub dimension of cognitive center was not significantly correlated with the three types of detection behavior, and the sub dimension of intra-group relationship was significantly correlated with institutional detection behavior and regular detection behavior after high-risk behavior(OR=0.880, 1.069, 95% CI:0.775-0.999 and 1.009-1.117, respectively). The sub dimension of intra-group influence was significantly correlated with self-test behavior after high-risk behavior(OR=1.084, 95% CI:1.014-1.170).Conclusion The identity of MSM in Guilin is not high, and the incidence of testing behavior is far lower than the HIV intervention goal of 90-90-90. Identity is a possible influencing factor on MSM testing behavior. The improvement of MSM identity is highly suggested for its effect on increasing incidence of testing behavior through peer education and inclusive social atmosphere.
作者
周建芳
ZHOU Jianfang(Nanjing University of Posts and Telecommunications,Nanjing 210042,China)
出处
《中国皮肤性病学杂志》
CAS
CSCD
北大核心
2022年第12期1419-1425,共7页
The Chinese Journal of Dermatovenereology
基金
教育部人文社会科学研究规划项目(19YJA840026)
