北京市男男性行为人群流感知信行现状分析

Status analysis on knowledge,attitude and behaviors related to influenza among men who have sex with men in Beijing

目的 通过研究北京市男男性行为人群流行性感冒知信行的现状及影响因素,为男男性行为人群流行性感冒防控和健康教育提供参考依据。方法 依托北京市艾滋病自愿咨询检测门诊和定点治疗机构,利用问卷星对男男性行为人群进行问卷调查,采用χ2检验和多因素二分类logistic回归模型分析调查对象关于流行性感冒的相关知识、态度和行为及影响因素。结果 收回有效问卷977份,调查对象流行性感冒相关知识正确率为86.28%,高中或中专(OR=2.279,95%CI:1.146~4.499)、大专或本科(OR=2.679,95%CI:1.462~4.916)、硕士及以上文化程度者(OR=6.400,95%CI:2.244~18.281)的流感知识水平高于初中及以下,HIV感染者流感知识水平低于HIV未感染者(OR=0.645,95%CI:0.442~0.967);流行性感冒正向态度持有率为61.31%,18~<30岁(OR=0.278,95%CI:0.128~0.608)、30~<40岁(OR=0.265,95%CI:0.134~0.578)、40~<50岁(OR=0.266,95%CI:0.115~0.609)年龄者的流感正向态度持有水平低于≥50岁者,高中或中专(OR=2.473,95%CI:1.293~4.708)、大专或本科(OR=2.556,95%CI:1.464~4.476)、硕士及以上文化程度者(OR=2.731,95%CI:1.435~5.173)的流感正向态度持有水平高于初中及以下,近3年接种过其他疫苗史者流感正向态度持有水平高于近3年未接种其他疫苗史者(OR=1.973,95%CI:1.304~2.990),流感相关知识合格者流感正向态度持有水平高于知识不合格者(OR=3.580,95%CI:2.376~5.372);流行性感冒正向行为形成率为66.84%,未发现行为相关的影响因素。结论 北京市男男性行为人群具有较高的流行性感冒相关知识水平,但正向态度持有和正向行为形成水平不高。应将50岁以下、文化程度较低、HIV感染者、近3年无疫苗接种史的男男性行为人群作为流行性感冒健康教育的重点对象。

Objective To determine the status of knowledge,attitude and behaviors related to influenza and its influencing factors among men who have sex with men(MSM)in Beijing,and to provide reference for influenza prevention and control as well as influenza health education among the population.Methods A questionnaire survey was conducted among MSM by a survey software named Wenjuanxing in AIDS voluntary counseling and testing clinics and designated hospitals in Beijing.Chi-square test and multivariate binary logistic regression model were used to analyze the influencing factors of knowledge,attitude and behavior related to influenza.Results A total of 977 valid questionnaires were collected.The correct rate of influenza-related knowledge was 86.28%,education background with high school or technical secondary school(OR=2.279,95%CI:1.146-4.499),junior college or bachelor degree(OR=2.679,95%CI:1.462-4.916),master’s degree or above(OR=6.400,95%CI:2.244-18.281)had higher influenza knowledge level than those with junior middle school or below.HIV-positive MSM had lower influenza knowledge level than that of non-HIV-positive MSM(OR=0.645,95%CI:0.442-0.967).The holding rate of correct attitude was 61.31%,MSM who aged 18 to 30 years old(OR=0.278,95%CI:0.128-0.608),aged 30 to 40 years old(OR=0.265,95%CI:0.134-0.578),and aged 40 to 50 years old(OR=0.266,95%CI:0.115-0.609)had lower level of positive attitude toward influenza than MSM who aged above 50 years old.MSM whose education background with high school or secondary school(OR=2.473,95%CI:1.293-4.708),junior college or bachelor degree(OR=2.556,95%CI:1.464-4.476),master’s degree or above(OR=2.731,95%CI:1.435-5.173)had higher level of positive attitude towards influenza than those with junior high school or below.MSM who had received other vaccines in the past 3 years had higher positive attitude toward influenza than those without vaccination(OR=1.973,95%CI:1.304-2.990),and those who had qualified knowledge about influenza had higher positive attitude toward influenza than those who had unqualified knowledge about influenza(OR=3.580,95%CI:2.376-5.372).The formation rate of correct behaviors was 66.84%,no influencing factors related to behaviors were found.Conclusions MSM population in Beijing have higher influenza related knowledge level while their positive attitude and behavior are relatively low.MSM who are under the age of 50,having lower education level,HIV-infected,not vaccinated in the last 3 years should be the key targeted population of health education on influenza.