50岁及以上男男性行为人群对性伴艾滋病病毒感染状态知晓及影响因素分析

Receiving Human Immunodeficiency Virus Serostatus Disclosure from Male Sexual Partners and Related Factors among Men Who Have Sex with Men Aged 50 and Above

目的分析≥50岁男男性行为人群(MSM)对性伴艾滋病病毒(HIV)感染状态知晓比例及相关因素,为制定有效的干预策略和措施提供参考。方法采用方便抽样,借助同性社交软件进行网络问卷调查,收集调查对象的社会人口学、行为学及对性伴HIV感染状态知晓等信息。对最近一个男性性伴感染状态知晓相关因素进行单因素组间比较和多因素Logistic回归分析。结果1037例≥50岁MSM中,知晓其最近一个男性性伴感染状态的比例仅为38.4%(398/1037),对最近一个男性性伴感染状态知晓情况的多因素分析结果显示:初中及以下文化程度者是高中及以上文化程度者的0.660倍(95%CI=0.473~0.922,P=0.015);失业和在职者分别是退休者的0.537倍(95%CI=0.322~0.896,P=0.017)和0.663倍(95%CI=0.466~0.944,P=0.022);过去一年有≥2个男性性伴者是没有或仅有1个男性性伴者的0.433倍(95%CI=0.320~0.586,P<0.001);未进行过HIV检测者是进行过HIV检测者的0.544倍(95%CI=0.403~0.734,P<0.001);对HIV或艾滋病相关知识不知晓者是知晓者的0.636倍(95%CI=0.466~0.868,P=0.004);有性病感染史者是无性病感染史者的0.472倍(95%CI=0.349~0.637,P<0.001),同时,艾滋病污名化水平越高者其知晓性伴感染状态的可能性越低(OR=0.742,95%CI=0.604~0.912,P=0.005)。结论≥50岁MSM对性伴感染状态知晓比例较低。文化程度、职业状况、过去一年性伴数量、HIV检测、HIV或艾滋病相关知识、性病感染史及艾滋病污名化水平等均为性伴感染状态知晓的相关因素。

Objective To investigate the rate and correlates of receiving human immunodeficiency virus(HIV)serostatus disclosure from their most recent male sexual partners among men who have sex with men(MSM)aged 50 and above.Methods With a geosocial networking application,we recruited participants through online convenience sampling to collect the demographic variables,behavioral information,receiving HIV serostatus disclosure,etc.Univariate and multivariate analyses were performed to interpret the associated factors of receiving HIV serostatus disclosure.Results Overall,38.4%(398/1037)of participants received HIV serostatus disclosure from their most recent male sexual partners.The multivariable analysis demonstrated that the following populations were less likely to receive HIV serostatus disclosure from their most recent male sexual partners:participants with junior high school degree or below(OR=0.660,95%CI=0.473-0.922,P=0.015)compared to those with senior high school degree or above;participants unemployed(OR=0.537,95%CI=0.322-0.896,P=0.017)and employed(OR=0.663,95%CI=0.466-0.944,P=0.022)compared to those retired;participants without knowledge about HIV or acquired immune deficiency syndrome(AIDS)compared to those with knowledge about HIV/AIDS(OR=0.636,95%CI=0.466-0.868,P=0.004);participants having≥2 male sexual partners in the last year(OR=0.433,95%CI=0.320-0.586,P<0.001)compared to those having none or one male sexual partner;participants never been tested for HIV(OR=0.544,95%CI=0.403-0.734,P<0.001)compared to those ever been tested for HIV;participants ever been diagnosed to have sexually transmitted infection(STI)(OR=0.472,95%CI=0.349-0.637,P<0.001)compared to those never diagnosed to have STI;and participants with higher level of HIV stigma(OR=0.742,95%CI=0.604-0.912,P=0.005).Conclusions Our findings indicated that the MSM aged 50 and above had low possibility of receiving HIV serostatus disclosure from the most recent male sexual partners.Education,employment status,number of sexual partners,HIV/AIDS-related knowledge,HIV testing behaviors,STI infection history,and HIV stigma contributed to this result.