新疆男男性行为者艾防知识知晓率及影响因素

AIDS knowledge awareness and influencing factors among MSM in Xinjiang

目的了解男男性行为者(MSM)的艾滋病防治知识(简称艾防知识)知晓率及相关因素,为制定艾滋病健康教育措施提供参考。方法利用2010年至2015年期间新疆MSM调查中艾滋病疫情较严重的阿克苏市、伊宁市、乌鲁木齐市三地的资料,分析MSM艾防知识知晓率及相关影响因素。结果共有1 084名MSM完成调查。艾滋病知识知晓人数929人,总体知晓率为85.7%,乌鲁木齐市MSM艾防知识知晓率为93.5%,阿克苏市为90.9%,伊宁市为59.8%。多因素分析结果显示,地区为乌鲁木齐市(OR=7.035,P=0.001,95%CI:2.294~21.578)、文化程度大专及以上(OR=1.861,P=0.005,95%CI:1.206~2.873)、月收入>2 000元(OR=1.831,P=0.010,95%CI:1.159~2.893)、最近一次男男性行为使用安全套(OR=2.978,P=0.003,95%CI:1.436~6.177)、近6个月男男性行为坚持每次使用安全套(OR=4.650,P=0.001,95%CI:1.815~11.915)是影响新疆MSM艾防知识知晓率较高的因素。结论新疆MSM艾防知识知晓率较低,月收入较低、文化程度较低、安全套使用率较低的MSM是健康教育工作的重点,需要提高该亚人群的艾防知识知晓率。

Objective To understand the awareness rate and related factors of AIDS knowledge among men who have sex with men(MSM), and to provide reference for development of AIDS health education measures. Methods Based on the data of the survey among MSM in the cities of Aksu, Yining and Urumqi,of Xinjiang from 2010 to 2015, the awareness rate of AIDS knowledge and the influencing factors were analyzed. Results A total of 1 084 MSM completed the survey. The total awareness rate was 85.7%, with 93.5% in Urumqi, 90.9% in Aksu was, and 59.8% in Yining. The results of multivariate analysis showed that Urumqi city(or=7.035, P=0.001, 95%CI=2.294-21.578), education level of college or above(or=1.861, P=0.005, 95%CI=1.206-2.873), monthly income > 2000 yuan(or=1.831, P=0.010, 95%CI=1.159-2.893), and condom use in the last sex(or=2.978, P=0.003), 95%CI=1.436-6.177) and consistent use of condom every time in the past six months(or=4.650, P=0.001, 95%CI=1.815-11.915) were the factors influencing the awareness rate of MSM in Xinjiang. Conclusion The MSM in Xinjiang have a low awareness rate of AIDS knowledge. MSM with low monthly income, low education level and low condom use rate is the focus of health education, and it is necessary to improve the awareness rate of AIDS knowledge among this population.