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目的了解男男性行为者(MSM)艾滋病防治知识知晓现况,分析人口学特征影响因素。方法采用应答者趋动招募抽样法(RDS),在MSM活动场所定时、定点进行艾滋病防治知识知晓情况等的招募和寻问式匿名现场调查。结果共调查400人,艾滋病防治知识平均总知晓率为92.1%,其中认为蚊虫叮咬不会传播艾滋病知晓率最低为75.0%,其余均在90%以上。不同文化程度(H=24.257,P=0.000)、职业(χ2=332.096,P=0.000)、年龄(H=16.222,P=0.001)、异性婚姻状况(χ2=39.950,P=0.000)、性取向(χ2=52.294,P=0.000)、经济收入(H=8.927,P=0.030)、户籍和民族(χ2=8.056、5.332,P=0.046、0.021)艾滋病防治知识知晓率差异有统计学意义。防治知识知晓率不同人口学特征组间比较,大专及以上较小学及以下、初中组高(Z=-2.804、-4.144,P=0.005、0.000),学生较工人及商业服务和其他组、干部职员较其他组高(χ2=5.906、169.126、79.938,P=0.005、0.000、0.000),年龄<20岁较20~岁、30~岁组高(Z=-3.870、-2.304,P=0.000、0.021),未婚较已婚组高(Z=-3.870,P=0.000),同性性取向者较异性、双性和不确定者高(χ2=10.354、47.373、5.008,P=0.001、0.000、0.025),月收入≤1 000元者较无收入、1 001~元、>3 000元者低(Z=-2.353、-2.126、-2.550,P=0.019、0.033、0.011),本市、本省外市户籍者较外省者高(χ2=7.605、5.895,P=0.006、0.015),汉族较其他少数民族高。结论绵阳市MSM艾滋病防治知识知晓率较高,但不平衡,仍存在盲点和薄弱环节,应积极采取措施,针对特殊“亚群”深入开展健康教育,提高覆盖率和整体知晓率,进一步促进艾滋病防治意识的建立和行为改变。
Objective To understand the status of awareness of AIDS prevention and control among men who have sex with men (MSM) and analyze the influencing factors of demographic characteristics. Methods Recruitment and enquiry-type anonymous site surveys were conducted using respondent-driven recruitment sampling (RDS), regular and fixed AIDS prevention knowledge at MSM activity sites. Results A total of 400 people were surveyed. The average awareness rate of AIDS prevention and control knowledge was 92.1%. Among them, mosquito awareness that AIDS was not transmitted was 75.0%, and the rest were all above 90%. Different levels of education (H=24.257, P=0.000), occupation (χ2=332.096, P=0.000), age (H=16.222, P=0.001), heterosexual marital status (χ2=39.950, P=0.000), sexual orientation (χ2=52.294, P=0.000), economic income (H=8.927, P=0.030), household registration, and ethnicity (χ2=8.056, 5.332, P=0.046, 0.021) The awareness rate of AIDS prevention and control knowledge was statistically significant. Knowledge of prevention and control knowledge is different among different demographic characteristics. Students in the junior college and above and the following and junior high schools are high (Z=-2.804,-4.144, P=0.005, 0.000). Students are more than workers and business services and other groups and cadres. Staff were higher than those in other groups (χ2=5.906, 169.126, and 79.938, P=0.005, 0.000, and 0.000), and ages <20 years were higher than those in the 20- to 30-year-old group (Z=-3.870,-2.304, P=0.000, 0.021), higher in unmarried than married group (Z=-3.870, P=0.000), higher in homosexual orientation than heterosexual, bisexual and indeterminate (χ2=10.354, 47.373, 5.008, P=0.001, 0.000, 0.025 ) Those with a monthly income of less than or equal to 1 000 yuan are lower than those without income, between 1 001 yuan and 3 000 yuan (Z=-2.353, -2.162, -2.550, P=0.019, 0.033, and 0.011), outside the city and the province. The number of households registered in the city is higher than that in other provinces (χ2=7.605, 5.895, P=0.006, 0.015). Han is higher than other ethnic minorities. Conclusion The awareness rate of MSM AIDS prevention and control knowledge in Mianyang City is relatively high, but it is still unbalanced. There are still blind spots and weak links. Active measures should be taken to carry out in-depth health education for special “subgroups” to increase the coverage rate and overall awareness rate. Promote the establishment of AIDS awareness and behavior change.