山东省男男性行为人群HIV暴露后预防的使用状况及相关影响因素分析

Analysis of the usage of post-exposure prophylaxis and related factors among men who have sex with men

对山东省某6个地市招募的2620名男男性行为者(MSM)进行调查,分析MSM人群HIV暴露后预防(PEP)的使用状况及相关影响因素。MSM人群整体PEP使用比例为2.98%(78/2620),不同年龄、月收入水平、商业性行为发生状况、吸食新型毒品状况、性病患病状况、性行为角色的MSM人群其PEP使用比例差异具有统计学意义(P<0.05)。与≥45岁、月收入水平<5000元、无商业性行为史、无吸毒史、无性病史、性行为角色为单纯插入方的MSM比较,≤24岁(OR=3.87,95%CI:1.12~13.36)、月收入水平≥5000元(OR=1.87,95%CI:1.07~3.28)、发生商业性行为(OR=3.13,95%CI:1.56~6.28)、吸食新型毒品(OR=4.63,95%CI:2.51~8.52)、有性病史(OR=2.35,95%CI:1.05~5.27)、性行为角色混乱(OR=2.253,95%CI:1.10~4.62)者更易使用PEP。

A survey was conduct to analyze the usage situation of post-exposure prophylaxis(PEP)and related factors among men who have sex with men(MSM)in 6 cities of Shandong Province.Total of 2620 subjects,the use ratio was 2.98%(78/2620).Compared with age≤24 years,monthly income<5000 yuan,non-commercial sex,non-DU,non-STD,role for being insert in the anal intercourse,MSM was more likely to use PEP with age≥45 years(OR=3.87,95%CI:1.12-13.36),monthly income≥5000 yuan(OR=1.87,95%CI:1.07-3.28),commercial sex(OR=3.13,95%CI:1.56-6.28),drug users(DUs)(OR=4.63,95%CI:2.51-8.52),STD patient(OR=2.35,95%CI:1.05-5.27),the mixed sex role group(OR=2.25,95%CI:1.10-4.62).