扬州市艾滋病自我感知风险人群暴露前预防知晓情况及影响因素

Awareness of pre-exposure prophylaxis and its influencing factors among people with self-perceived risk of AIDS in Yangzhou

目的:了解扬州市艾滋病自我感知风险人群HIV暴露前预防(pre-exposure prophylaxis,PrEP)知晓情况及其影响因素。方法:2022年1月至6月,采用随机抽样的方法在扬州市6个县区招募社区居民,通过问卷收集调查对象的社会人口学信息、经济收入状况、吸烟饮酒史、艾滋病相关知识行为和PrEP知晓情况。采用多因素Logistic回归模型分析艾滋病自我感知风险人群PrEP知晓情况的影响因素。结果:461份问卷纳入最终分析,扬州市艾滋病自我感知风险人群PrEP知晓率为51.6%。多因素Logistic回归分析结果表明,了解艾滋病知识(OR=3.30,P<0.001)、有艾滋病检测经历(OR=2.13,P=0.014)和定期健康体检(OR=2.13,P=0.001)人群更有可能知晓PrEP,但是30~44岁年龄组人群(OR=0.55,P=0.018)和非常担心感染艾滋病的人群(OR=0.37,P<0.001)PrEP知晓水平反而更低。结论:扬州市艾滋病自我感知风险人群PrEP知晓率较低,应加强对30~44岁、艾滋病知识缺乏、非常担心HIV感染和自我健康行为水平较低人群的宣传教育。

Objective:To understand the awareness of pre-exposure prophylaxis(PrEP)and its influencing factors among people with self-perceived risk of AIDS in Yangzhou.Methods:From January 2022 to June 2022,community residents were recruited by random sampling in six districts of Yangzhou.Demographic information,income status,smoking and drinking history,AIDS knowledge/behavior and PrEP awareness were collected by questionnaires.The multivariate Logistic regression model was applied to analyze the influencing factors of PrEP awareness among people with self-perceived risk of AIDS.Results:A total of 461 questionnaires were used in the final analysis.The awareness rate of PrEP in people with self-perceived risk of AIDS in Yangzhou was 51.6%.The multivariate Logistic regression show that people who knew AIDS knowledge(OR=3.30,P<0.001),had been tested for HIV(OR=2.13,P=0.014)and had physical examination regularly(OR=2.13,P=0.001)were more likely to know about PrEP,while people aged 30 to 44 years old(OR=0.55,P=0.018)and extremely worried about contracting HIV(OR=0.37,P<0.001)had lower awareness rate of PrEP.Conclusion:The awareness rate of PrEP among people with self-perceived risk of AIDS in Yangzhou is low.We should strengthen the publicity of PrEP among people aged 30 to 44 years old,lacked of knowledge about AIDS,extremely worried about contracting HIV and lacked of self-health behaviors.