目的 评估安徽省第四轮艾滋病综合防治示范区项目实施以来男男性行为人群(简称MSM)的健康教育和行为干预效果。方法 选择合肥市、阜阳市和马鞍山市作为项目现场,采用滚雪球法和网络招募法招募MSM,分别于2020年和2022年进行基线和终期问卷调查,评估指标包括艾滋病知识知晓率、同性性行为中安全套使用率、获得艾滋病预防服务的比例和患有性病的比例。采用SPSS 17.0进行统计学分析。结果 2020年和2022年分别调查了985名和1 000名MSM。经过2年示范区项目的实施,MSM人群的艾滋病知识知晓率由2020年的57.0%提高到2022年的96.8%(χ2=445.233,P＜0.001);最近半年同性肛交性行为中安全套坚持使用率由2020年的47.5%上升到2022年的51.2%(χ2=8.990,P=0.029);最近一年获得同伴教育、接受HIV检测、接受HIV检测者中知晓检测结果的比例分别由2020年的47.3%、52.3%和86.8%上升到2022年的57.6%、57.1%和96.7%(P值均＜0.05);最近一年患有性病的比例由2020年的7.7%下降到2022年的4.1%(χ2=18.243,P＜0.001)。结论 安徽省第四轮艾滋病综合防治示范区MSM人群行为干预取得了一定的成效,但仍需加强对MSM人群的风险感知警示性教育和安全套使用行为干预。
Abstract
Objective To assess the effectiveness of health education and behavioral intervention for men who have sex with men (MSM) since the implementation of the fourth round of the Comprehensive AIDS Prevention and Control Demonstration Area Project in Anhui Province. Methods The cities of Hefei,Fuyang and Ma′anshan were selected as project sites.Snowball method and network recruitment method were used to recruit MSM.Thematic surveys were carried out for the baseline assessment in 2020 and for the final assessment in 2022,respectively.The evaluation indexes included the HIV awareness rate,rate of condom use during homosexual behavior,proportion of acquiring HIV prevention services and proportion of having sexually transmitted disease.SPSS 17.0 was used for statistical analysis. Results 985 and 1 000 MSM were surveyed in 2020 and 2022,respectively.Through the 2-year implementation of the demonstration area project,the HIV awareness rate of the MSM increased from 57.0% in 2020 to 96.8% in 2022(χ2=445.233,P＜0.001).The proportions of consistent use of condoms every time during homosexual anal sex in the past six months increased from 47.5% in 2020 to 51.2% in 2022(χ2=8.990,P=0.029).The proportions of those who received peer education in the most recent year,who were tested for HIV,and who were tested for HIV and knew the results of the test increased from 47.3%,52.3%,and 86.8% in 2020 to 57.6%,57.1%,and 96.7% in 2022,respectively(all P＜0.05).The percentage with a sexually transmitted disease (STD) in the most recent year decreased from 7.7% in 2020 to 4.1% in 2022(χ2=18.243,P＜0.001). Conclusion The behavioral intervention for MSM of the fourth round of the Comprehensive AIDS Prevention and Control Demonstration Area Project in Anhui Province have achieved certain results.It is necessary to strengthen the education of risk perception and the behavioral intervention of condom use for MSM.
关键词
艾滋病 /
男男性行为人群 /
知识 /
行为 /
效果评估
Key words
Acquired immunodeficiency syndrome /
Men who have sex with men /
Knowledge /
Behavior /
Effect evaluation
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 邱兴庆,孟丽丽,崔德勇.2017年襄阳市MSM人群HIV感染状况及影响因素分析[J].实用预防医学,2019,26(4):393-396.
[2] 薛建,程晓松,林荣,等.烟台市MSM人群性行为特征及安全套使用影响因素研究[J].应用预防医学,2018,24(2):98-101+107.
[3] 董文斌,赵金仙,李世福,等.400例MSM行为特征及HIV、HAV、HCV、HEV、梅毒感染状况的横断面调查[J].现代预防医学,2019,46(10):1875-1878+1903.
[4] 王毅,周万明,樊静,等.绵阳市2017年男男性行为者性行为特征及无保护措施肛交影响因素[J].实用预防医学,2019,26(12):1412-1416.
[5] 马国静,田文静,王常智,等.牡丹江市男男性行为人群艾滋病感染和安全套使用及影响因素分析[J].中国公共卫生管理,2018,34(2):164-167.
[6] World Health Organization.Pre-exposure prophylaxis[EB/OL].(2020-05-20) [2020-08-17].https://www.who.int/hiv/topics/prep/en/.
[7] World Health Organization.Policy brief:consolidated guidelines on HIV prevention,diagnosis,treatment and care for key populations[EB/OL].(2014-08-01)[2020-08-17].https://www.who.int/hiv/pub/toolkits/keypopulations/en/.
[8] Grulich AE,Guy R,Amin J,et al.Population-level effectiveness of rapid,targeted,high-coverage roll-out of HIV pre-exposure prophylaxis in men who have sex with men:the EPIC-NSW prospective cohort study[J].Lancet HIV,2018,5(11):e629-e637.
[9] 潘庆礼,周健,朱焱,等.2015—2018年贵阳市男男性行为者HIV感染状况及性行为特征分析[J].中国艾滋病性病,2019,25(8):812-815+819.
[10] 农秋苗,李晓霞,张爱平,等.“互联网+” 中活跃的MSM人群的艾滋病相关高危行为特征及影响因素研究[J].中国初级卫生保健,2019,33(8):86-87+89.
[11] 金莹莹,徐杰,江震,等.应用交友软件调查大学生男男性行为者HIV检测现状及相关因素[J].中华流行病学杂志,2017,38(5):629-633.
[12] 刘梦驰,马保力,米国栋.男男性行为者网络调查与全国哨点监测调查的比较研究[J].中国艾滋病性病,2016,22(6):441-443.
[13] 莫实德.中国男男性行为者艾滋病高危行为特征研究进展[J].安徽预防医学杂志,2020,26(1):42-45.
[14] Liu Y,Wang J,Qian HZ,et al.Seeking male sexual partners viainternet and traditional venues among Chinese men who have sex with men:implications for HIV risk reduction interventions[J].AIDS Behav,2016,20(10):2222-2230.
PDF(761 KB)
