基于BLUED软件的MSM人群线上交流与线下行为状况调查

Correlation between online communication and offline behavior of MSM based on BLUED software

目的分析浦东新区男性同性性行为(MSM)人群BLUED软件的使用情况与艾滋病病毒(HIV)感染相关健康教育状况和个人性行为的相关性,为探索MSM人群线上线下干预措施提供参考。方法于2019年2~3月通过社区艾滋病检测咨询门诊(VCT)、网络同志社区、男男同伴教育志愿者等方式招募451名MSM人群开展问卷调查,比较BLUED软件不同使用情况(频次)受试者的个人基本情况、HIV相关健康教育状况和个人性行为的差异。结果在420份有效问卷中(有效应答率为93.1%),使用BLUED软件者356人,占84.76%,未使用者64人,占15.24%;使用BLUED软件进行线上交流的MSM人群多为非上海的外地户籍(62.11%)、了解艾滋病的程度较高(98.31%)、HIV免费治疗策略知晓率较高(78.65%)、HIV感染担心程度较高(74.44%)、定期检测HIV率较高(63.20%)、感染后治疗意愿较高(96.35%)、寻找性伴频率较高(75.00%)以及安全套的使用率较高(71.35%),分别与不使用BLUED软件进行线上交流的MSM人群比较差异均具有统计学意义(P<0.05)。结论在网络沟通多样化的新形势下,应针对MSM人群采取线上线下干预措施,减少艾滋病的传播。

Objective To analyze the relationship between the use of BLUED software and HIV infection related health education and personal sexual behavior in men who have sex with men(MSM) in Pudong New District,and to provide reference for the exploration of online and offline interventions for MSM. Methods A total of 451 MSM were recruited from the community AIDS clinical counseling and testing(VCT), online gay community, and male peer education volunteers from February 2019 to March 2019 and a questionnaire survey was carried out on each subject. The differences in basic personal situation, HIV related health education status, and personal characteristics with different use of BLUED Software(frequency) were compared. Results In 420 valid questionnaires(93.1%),356 subjects often or occasionally used BLUED software, accounting for 84.76%, and 64 subjects did not use BLUED software, accounting for 15.24%. Compared with MSM people who did not use the BLUED software for online communication, most of the users were non Shanghai residence(62.11%), had a higher understanding of AIDS(98.31%),had a higher awareness of free HIV treatment strategies(78.65%), and had a high degree of worry about HIV infection(74.44%), with a high rate of regular detection of HIV(63.20%), a high willingness to treat after infection(96.35%), a high frequency of seeking sexual partners(75.00%) and a high rate of condom use(71.35%). All the differences were statistically significant(P<0.05). Conclusion Under the new situation of diversified network communication, targeted online and offline intervention is an effective way to prevent and control AIDS among MSM.