MSM人群HIV/AIDS病例的结婚意愿调查

Marriage intention among HIV-infected men who have sex with men

目的了解男男性行为(MSM)人群艾滋病病毒感染者和艾滋病患者(HIV/AIDS)的结婚意愿及其影响因素,为制定MSM人群高危行为干预策略、降低艾滋病传播风险提供依据。方法选择杭州市拱墅区2020—2022年新报告的未婚MSM人群HIV/AIDS病例为调查对象;通过问卷调查收集社会人口学信息、家庭情况和结婚意愿等资料,采用多因素logistic回归模型分析结婚意愿的影响因素。结果发放问卷430份,回收有效问卷400份,问卷有效率为93.02%。调查对象年龄为(28.90±4.67)岁;非杭州市户籍271人,占67.75%。82人表示可能或一定会结婚,占20.50%;其中≥30岁46人,占56.10%;商业服务/自由职业/工人等67人,占81.71%;独生子53人,占64.63%。多因素logistic回归分析结果显示,年龄≥30岁(OR=2.751,95%CI:1.230~6.154)、月收入<10000元(5000~<10000元,OR=7.010,95%CI:2.049~23.981;<5000元,OR=5.229,95%CI:1.803~15.165)、高中及以下文化程度(OR=5.935,95%CI:1.775~19.844)、独生子(OR=3.407,95%CI:1.468~7.910)、原生家庭经济状况高于平均水平(OR=8.906,95%CI:2.070~38.308)、未公开性取向(OR=3.298,95%CI:1.118~9.727)、对政府提供相关政策持积极态度(OR=70.544,95%CI:14.583~341.237)、近6个月未发生同性性行为(OR=3.583,95%CI:1.278~10.044)、未主动告知性伴HIV感染状况(OR=2.910,95%CI:1.228~6.897)的未婚MSM人群HIV/AIDS病例更愿意结婚。结论本次调查约20%的未婚MSM人群HIV/AIDS病例具有结婚意愿,受年龄、文化程度、家庭经济条件、是否独生子、是否公开性取向、近6个月有无同性性行为、是否告知性伴HIV感染状况和对政府提供相关政策的态度的影响。

Objective To investigate the marriage intention and its influencing factors among HIV-infected men who have sex with men(MSM),so as to provide the reference for formulating high-risk behavior intervention strategies and reducing the risk of HIV transmission among this population.Methods Unmarried HIV-infected MSM were sampled from newly reported HIV/AIDS patients in Gongshu District of Hangzhou City from 2020 to 2022.Participants'sociode⁃mographic information,family status and marriage intention were collected using questionnaire surveys.Factors affecting marriage intention were identified using a multivariable logistic regression model.Results A total of 430 questionnaires were allocated and 400 valid questionnaires were recovered,with an effective recovery rate of 93.02%.The respondents had a mean age of(28.90±4.67)years,and included 271 cases with registered residence outside Hangzhou City(67.75%).There were 82 cases indicating that they would probably or definitely get married,accounting for 20.50%,in⁃cluding 46 cases(56.10%)aged 30 years and older,67 cases(81.71%)engaged in commercial services/freelance work/worker and 53 cases(64.63%)being the only children.Multivariable logistic regression analysis showed that unmarried HIV-infected MSM who were aged 30 years and older(OR=2.751,95%CI:1.230-6.154),had a monthly income of<10000 Yuan(5000 to<10000 Yuan,OR=7.010,95%CI:2.049-23.981;<5000 Yuan,OR=5.229,95%CI:1.803-15.165),had a high school education and below(OR=5.935,95%CI:1.775-19.844),were the only children(OR=3.407,95%CI:1.468-7.910),came from families with economic conditions above the average level(OR=8.906,95%CI:2.070-38.308),did not disclose their sexual orientation(OR=3.298,95%CI:1.118-9.727),held a positive attitude to⁃wards government policies(OR=70.544,95%CI:14.583-341.237),had no homosexual intercourse in the past six months(OR=3.583,95%CI:1.278-10.044),and had not informed their sexual partners of their HIV status(OR=2.910,95%CI:1.228-6.897)were more willing to get married.Conclusion A certain proportion of unmarried HIV-infected MSM in Gongshu District are willing to get married,and their marriage intention is affected by age,educational level,family economic conditions,the only children or not,disclosing sexual orientation or not,having homosexual inter⁃course in the past six months or not,informing sexual partners of HIV status or not,and the attitude towards govern⁃ment policies.