青年学生男男性行为者预防艾滋病综合能力及影响因素

Comprehensive AIDS prevention ability of young students who is men have sex with men and associated factors

目的了解中国青年学生男男性行为者(MSM)预防艾滋病综合能力及其影响因素,为制定青年学生MSM艾滋病防控干预方法提供科学依据。方法 2019年11—12月,以北京和天津两地为中心,通过滚雪球的抽样方法进行抽样,最终对222名青年学生MSM通过网络问卷的方式进行横断面调查,收集一般人口学特征、性行为及HIV检测情况、心理状况以及预防艾滋病综合能力情况。结果青年学生MSM预防艾滋病综合能力平均得分为(87.84±6.41)分,知识、态度、行为平均得分分别为(11.32±1.67)(54.87±3.36)(52.18±4.30)分。预防艾滋病相关知识、态度、行为合格率分别为95.5%,56.3%,27.0%,知信、知行、信行分离率分别为42.8%,71.2%,48.2%。是否接受过预防艾滋病教育与知识合格率的相关有统计学意义(P<0.01)。结论艾滋病教育影响了青年MSM群体预防艾滋病相关的知识水平,但不足以改善其态度与行为,青年学生MSM预防艾滋病综合能力情况仍不容乐观。需进一步加强干预措施,进而提高青年学生MSM群体预防艾滋病综合能力。

Objective To understand the characteristics of KAP( knowledge,attitude and practice) related to the prevention of AIDS among young male MSM( man sex with man) in China,and to evaluate the comprehensive ability of AIDS prevention and associated factors to provide a scientific basis for the development of MSM AIDS prevention and control. Methods From November to December 2019,sampling was recruited by using snowball sampling methods centered on Beijing and Tianjin. A crosssectional survey of 222 young students’ MSM was conducted through an online questionnaire with information of general demographic characteristics,sexual behavior and HIV testing,psychological status and comprehensive ability to prevent AIDS. Results Average score on comprehensive AIDS prevention knowledge was( 87.64±6.41),with knowledge,attitude,and behavior score of( 11.32±1.67)( 54.87±3.36) and( 52.18±4.30) respectively.The pass rate of knowledge,attitude,practice related to AIDS prevention were respectively 95.5%,56. 3%,and 27. 0%. The separation rate of knowledge from belief was 42. 8%,the separation rate of knowledge from behavior was 71.2%,and the separation rate of faith from information was 48. 2%. Whether have received AIDS prevention education was related to knowledge qualification rate( P<0.01). Conclusion Current AIDS education is associated with the knowledge level of AIDS prevention among young MSM groups,but it is not enough to improve their attitudes and behaviors. The comprehensive ability of MSM in preventing AIDS among young students is still not optimistic. Intervention measures need to be further strengthened to improve the comprehensive ability of young students MSM group to prevent AIDS.