芜湖市不同家庭成长环境对MSM的艾滋病相关知识行为与HIV感染状况等的影响

The influence of different family environments on AIDS knowledge,behavior and HIV infection of MSM in Wuhu City

目的了解不同家庭成长环境对MSM艾滋病相关知识、行为及HIV感染等因素的影响,为当地制定该人群的艾滋病防治措施提供依据。方法利用我国艾滋病哨点监测的MSM问卷,增加不同家庭成长环境等问题,对招募到的707名MSM进行问卷调查,收集有关艾滋病知识、行为、家庭成长环境等资料,并采集血液开展HIV检测。结果707名调查对象在成长过程中父母婚姻状况异常的有72人(10.18%),生活状况异常的有82人(11.60%);其艾滋病知识全部答对率为72.98%(516/707);近6个月发生肛交的有591人(83.59%),发生异性性行为的有159人(22.49%);对其采集5 mL血液开展了HIV检测,阳性率为12.87%(91/707)。近6个月发生肛交的MSM中每次肛交安全套坚持使用率为61.59%(364/591),最近1次肛交安全套使用率为80.37%(475/591);发生男男商业性性行为的占9.64%(57/591)。多因素Logistic回归分析结果汇总显示,在成长过程中父母婚姻状况异常的MSM相对于其他状况的其艾滋病知识掌握的相对较差(OR=0.502,95%CI:0.299~0.843),近1年接受HIV检测服务的更多(OR=2.464,95%CI:1.233~4.922),更易感染HIV(OR=1.936,95%CI:1.044~3.588);成长过程中生活状况异常的MSM相对于其他状况的其近1年接受过同伴教育服务的更少(OR=0.533,95%CI:0.333~0.852),更易感染HIV(OR=1.947,95%CI:1.083~3.501)。结论在异常家庭环境成长的MSM更易感染HIV,艾滋病知识掌握较差,较少接受同伴教育服务,应根据其相关特征有针对性开展该人群的宣传教育、行为干预和心理干预工作。

Objective To understand the influence of different growing family environments on HIV/AIDS-related knowledge,behavior,and HIV infection among MSM,and to provide a basis for the local formulation of AIDS prevention and control measures for this population.Methods We conducted a survey among MSM regarding family growing environments by adding relevant questions to the existing National AIDS Sentinel Surveillance questionnaire.The collected information regarding AIDS knowledge,sexual behavior,and family growing environment was analyzed.We also collected 5 mL blood samples from each survey participant to test for HIV.Results Among 707 MSM who were surveyed,72(10.18%)whose parents had abnormal marital status during their growth,and 82(11.60%)with abnormal living conditions during their growth.The AIDS knowledge correct answer rate was 72.98%(516/707).In the past 6 months,591(83.59%)MSM had anal sex,and 159(22.49%)had heterosexual sex.The HIV testing positive rate was 12.87%(91/707).Among the MSM who had anal sex in the past 6 months,61.59%(364/591)reported consistently using condoms during each anal sex,and 80.37%(475/591)reported using a condom during the last anal sex.9.64%(57/591)of MSM had commercial homosexual behaviors.The multivariate Logistic regression analysis showed that MSM whose parents'marital status was abnormal during their growth had poor AIDS knowledge(OR=0.502,95%CI:0.299-0.843),a higher proportion of receiving HIV testing services in the past year(OR=2.464,95%CI:1.233-4.922),and more likely to be infected with HIV(OR=1.936,95%CI:1.044-3.588).MSM with abnormal living conditions during their growth were less likely to have received peer education services in the past year(OR=0.533,95%CI:0.333-0.852),and they were more likely to be infected with HIV(OR=1.947,95%CI:1.083-3.501)than those with other conditions.Conclusions MSM who grew up in abnormal family environments are more likely to be infected with HIV,have poor knowledge of AIDS,and are less likely to receive peer education services.It is necessary to conduct targeted health education,behavioral intervention,and psychological intervention for this population.