[2019年中国三个城市大学生中男男性行为者HIV非职业性暴露后预防知识知晓及服务接受情况与影响因素]
[Status and influencing factors of knowledge awareness and service acceptance of HIV non-occupational post-exposure prophylaxis of men who have sex with men among college students among three cities of China, 2019].
作者信息
Han J, Li J, Wang K R, Jiang T J, Song B, Wang H, Liu X N, Liu J, Zhang G, Li Z C
机构信息
Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China.
Chinese Association for STD and AIDS Prevention and Control, Beijing 100050, China.
出版信息
Zhonghua Yu Fang Yi Xue Za Zhi. 2020 Nov 6;54(11):1220-1226. doi: 10.3760/cma.j.cn112150-20200310-00302.
To understand the knowledge awareness and service acceptance of HIV non-occupational post-exposure prophylaxis (nPEP) men who have sex with men (MSM) among college students in three cities of China. Male college students in 10 universities of Beijing, Shenzhen and Kunming aged 18 and above who had sex with men in the last 3 months were recruited as research objects by cluster stratified sampling from March 15, 2019 to April 14, 2019.Basic information, sexual behavior characteristics, knowledge, and service acceptance of nPEP were collected through online questionnaire survey. Multivariate dichotomy and unconditioned logistic regression model was used to explore related factors about knowledge awareness and service acceptance of nPEP. A total of 293 MSM were surveyed. The average age was (21.0±0.2) years old, and 91.1% (267) were undergraduates. In the last 3 months before the survey, 54.3%(159) used condom each time of sex; 4.4%(13) had intercourse with the HIV infected men, and 9.2% (27)suffered STDs in the past 6 months. The 29.4% (86) had not received HIV testing in the past year. The nPEP knowledge awareness rate was 47.8% (140). The 21.2% (62) counseled nPEP services, and 9.9% (29) received nPEP services. After multiple logistic regression analysis, compared with those who not received HIV testing in the past year, (95%) value of those who received HIV testing for more than twice in the past year to aware the nPEP knowledge was 3.15 (1.01-9.86). Compared with those who not received HIV testing in the past year, (95%) value of those who received HIV testing for more than twice in the past year to counsel the nPEP services was 5.29 (1.51-18.51). Compared with those who never used rush in the last 3 months, (95%) value of those who ever used rush in the last 3 months to receive the nPEP services was 3.86 (0.99-14.98). Compared with those who not sexed with HIV infected in the last 3 months, (95%) value of those who sexed with HIV infected in the last 3 months to receive the nPEP services was 14.30 (3.35-61.03). The proportions of awareness of nPEP knowledge and acceptance of nPEP services are low. MSM among college students need further health education of the nPEP knowledge to improve the accessibility of services.
了解中国三个城市大学生中男男性行为者（MSM）对HIV非职业性暴露后预防（nPEP）的知识知晓情况和服务接受情况。于2019年3月15日至2019年4月14日，采用整群分层抽样方法，选取北京、深圳和昆明10所大学18岁及以上、近3个月内有男男性行为的男性大学生作为研究对象。通过在线问卷调查收集基本信息、性行为特征、nPEP知识及服务接受情况。采用多因素二分法和非条件logistic回归模型探讨nPEP知识知晓和服务接受的相关因素。共调查293名MSM。平均年龄为（21.0±0.2）岁，91.1%（267名）为本科生。调查前近3个月内，54.3%（159名）每次性行为使用避孕套；4.4%（13名）与HIV感染者发生过性行为，9.2%（27名）在过去6个月患过性传播疾病。29.4%（86名）在过去一年未接受过HIV检测。nPEP知识知晓率为47.8%（140名）。21.2%（62名）咨询过nPEP服务，9.9%（29名）接受过nPEP服务。多因素logistic回归分析显示，与过去一年未接受过HIV检测者相比，过去一年接受过两次以上HIV检测者知晓nPEP知识的（95%）值为3.15（1.01 - 9.86）。与过去一年未接受过HIV检测者相比，过去一年接受过两次以上HIV检测者咨询nPEP服务的（95%）值为5.29（1.51 - 18.51）。与近3个月从未使用过润滑剂者相比，近3个月曾使用过润滑剂者接受nPEP服务的（95%）值为3.86（0.99 - 14.98）。与近3个月未与HIV感染者发生性行为者相比，近3个月与HIV感染者发生性行为者接受nPEP服务的（95%）值为14.30（3.35 - 61.03）。nPEP知识知晓率和服务接受比例较低。大学生中的MSM需要进一步开展nPEP知识健康教育，以提高服务可及性。
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