Fan Wensheng, Yin Lu, Qian Han-Zhu, Li Dongliang, Shao Yiming, Vermund Sten H, Ruan Yuhua, Zhang Zheng
Department of Public Health, College of Health and Human Services, Western Kentucky University, Bowling Green, KY 42101, USA.
Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, Nashville, TN 37203, USA.
Biomed Res Int. 2014;2014:232451. doi: 10.1155/2014/232451. Epub 2014 Mar 30.
To evaluate HIV risk perception and its associated factors among Chinese MSM.
A cross-sectional study was conducted among MSM with an HIV negative or unknown status in Beijing, China, between 2011 and 2012. A questionnaire interview was conducted and a blood sample was collected for HIV and syphilis testing.
Of 887 MSM who reported they were HIV negative or did not know their HIV status before recruitment, only 7.3% reported a high risk of HIV infection, 28.0% medium risk, 52.2% low risk, and 12.5% no risk. In multivariate logistic regression models using those who reported a medium self-perceived risk as a reference group, self-reported high risk of HIV perception was associated with minority ethnicity (odds ratio [OR]: 2.91; 95% confidence interval [CI]: 1.03-8.19), self-reported history of sexually transmitted diseases (OR: 2.27; 95% CI: 1.25-4.10), and HIV testing times since the last HIV testing (OR: 0.47; 95% CI: 0.26-0.84); low self-perceived risk of HIV infection was related to full-time employment (OR: 1.58; 95% CI: 1.15-2.18) and illicit drug use (OR: 0.28; 95% CI: 0.10-0.75).
The HIV/AIDS epidemic is rapidly rising among Beijing MSM, but more than half MSM did not perceive this risk.
评估中国男男性行为者（MSM）对艾滋病病毒（HIV）的风险认知及其相关因素。
2011年至2012年期间，在中国北京对HIV检测结果为阴性或状况不明的MSM开展了一项横断面研究。进行问卷调查，并采集血样进行HIV和梅毒检测。
在887名报告在招募前HIV检测结果为阴性或不知自身HIV状况的MSM中，仅7.3%报告HIV感染风险高，28.0%报告风险中等，52.2%报告风险低，12.5%报告无风险。在多因素逻辑回归模型中，以报告自我感知风险中等的人群作为参照组，报告自我感知HIV感染风险高与少数族裔相关（比值比[OR]：2.91；95%置信区间[CI]：1.03 - 8.19）、自我报告的性传播疾病史（OR：2.27；95% CI：1.25 - 4.10）以及自上次HIV检测以来的HIV检测次数（OR：0.47；95% CI：0.26 - 0.84）有关；自我感知HIV感染风险低与全职工作（OR：1.58；95% CI：1.15 - 2.18）和使用非法药物（OR：0.28；95% CI：0.10 - 0.75）有关。
北京MSM人群中HIV/AIDS疫情正在迅速上升，但超过半数的MSM未意识到这种风险。
