扬州市艾滋病自我感知风险人群暴露前预防知晓情况及影响因素-东南大学学报医学版

扬州市艾滋病自我感知风险人群暴露前预防知晓情况及影响因素

单位：1. 扬州市疾病预防控制中心, 江苏扬州 225000;
2. 江苏省疾病预防控制中心, 江苏南京 210009

分类号：R512.91

出版年·卷·期（页码）：2024·43·第一期（14-19）

摘要：

目的: 了解扬州市艾滋病自我感知风险人群HIV暴露前预防(pre-exposure prophylaxis, PrEP)知晓情况及其影响因素。方法: 2022年1月至6月,采用随机抽样的方法在扬州市6个县区招募社区居民,通过问卷收集调查对象的社会人口学信息、经济收入状况、吸烟饮酒史、艾滋病相关知识行为和PrEP知晓情况。采用多因素Logistic回归模型分析艾滋病自我感知风险人群PrEP知晓情况的影响因素。结果: 461份问卷纳入最终分析,扬州市艾滋病自我感知风险人群PrEP知晓率为51.6%。多因素Logistic回归分析结果表明,了解艾滋病知识(OR=3.30,P<0.001)、有艾滋病检测经历(OR=2.13,P=0.014)和定期健康体检(OR=2.13,P=0.001)人群更有可能知晓PrEP,但是30~44岁年龄组人群(OR=0.55,P=0.018)和非常担心感染艾滋病的人群(OR=0.37,P<0.001)PrEP知晓水平反而更低。结论: 扬州市艾滋病自我感知风险人群PrEP知晓率较低,应加强对30~44岁、艾滋病知识缺乏、非常担心HIV感染和自我健康行为水平较低人群的宣传教育。

Objective: To understand the awareness of pre-exposure prophylaxis(PrEP) and its influencing factors among people with self-perceived risk of AIDS in Yangzhou. Methods: From January 2022 to June 2022,community residents were recruited by random sampling in six districts of Yangzhou. Demographic information,income status,smoking and drinking history,AIDS knowledge/behavior and PrEP awareness were collected by questionnaires. The multivariate Logistic regression model was applied to analyze the influencing factors of PrEP awareness among people with self-perceived risk of AIDS. Results: A total of 461 questionnaires were used in the final analysis. The awareness rate of PrEP in people with self-perceived risk of AIDS in Yangzhou was 51.6%. The multivariate Logistic regression show that people who knew AIDS knowledge(OR=3.30,P<0.001),had been tested for HIV(OR=2.13,P=0.014) and had physical examination regularly(OR=2.13,P=0.001) were more likely to know about PrEP,while people aged 30 to 44 years old(OR=0.55,P=0.018) and extremely worried about contracting HIV (OR=0.37,P<0.001) had lower awareness rate of PrEP.Conclusion: The awareness rate of PrEP among people with self-perceived risk of AIDS in Yangzhou is low. We should strengthen the publicity of PrEP among people aged 30 to 44 years old,lacked of knowledge about AIDS,extremely worried about contracting HIV and lacked of self-health behaviors.

参考文献：

[1] 韩孟杰.我国艾滋病流行形势分析和防治展望[J].中国艾滋病性病,2023,29(3):247-250.
[2] 国家卫生健康委员会疾病预防控制局.2021年全国法定传染病疫情概况[J].中国病毒病杂志,2022,12(3):236.
[3] 罗时艳,尤其慧,高磊,等.南京市浦口区2018-2022年HIV/AIDS流行特征分析[J].现代医学,2023,51(7):957-961.
[4] 中华医学会感染病学分会艾滋病丙型肝炎学组,中国疾病预防控制中心.中国艾滋病诊疗指南(2021年版)[J].中国艾滋病性病,2021,27(11):1182-1201.
[5] 徐俊杰,黄晓婕,刘昕超,等.中国HIV暴露前预防用药专家共识[J].中国艾滋病性病,2020,26(11):1265-1271.
[6] 郭佳欢,张广,秦倩倩,等.男男性行为者暴露前预防知信行现状及影响因素研究进展[J].中华流行病学杂志,2022,43(11):1854-1859.
[7] 吴尊友.我国艾滋病经性传播新特征与防治面临的挑战[J].中华流行病学杂志,2018,39(6):707-709.
[8] 袁风顺,刘莉,裴晓迪,等.四川省艾滋病异性性传播表现形式分析[J].预防医学情报杂志,2020,36(4):468-473,480.
[9] 康文婷,张广,刘童童,等.MSM人群对HIV暴露前预防知识知晓及相关因素研究[J].中华疾病控制杂志,2023,27(1):89-94.
[10] 贾雯雯,林玉玺,廖玫珍,等.山东省MSM暴露前预防知晓和使用情况及其影响因素[J].中国艾滋病性病,2022,28(12):1381-1387.
[11] 马婧,李志晴,王珏,等.医疗卫生人员对HIV暴露前预防知晓与认知度调查[J].中国公共卫生管理,2020,36(6):871-873.
[12] 刘晓宁,李杰,姜天俊,等.大学生男男性行为者对艾滋病暴露前预防知识知晓及其影响因素[J].现代预防医学,2021,48(11):2079-2083.
[13] 康文婷,刘童童,杨雪,等.医护人员HIV暴露前预防和暴露后预防知识知晓及服务情况调查结果分析[J].预防医学情报杂志,2022,38(12):1546-1553,1660.
[14] 文育锋.农村艾滋病流行区社区居民艾滋病知识、歧视态度及其相互关系的研究[D].合肥:安徽医科大学,2010.
[15] OLDENBURG C E,LE B,HUYEN H T,et al.Antiretroviral pre-exposure prophylaxis preferences among men who have sex with men in Vietnam:results from a nationwide cross-sectional survey[J].Sex Health,2016,13:465-473.
[16] 张祖样,马婧,马艳玲,等.云南省男男性行为者HIV暴露前预防用药意愿及相关因素分析[J].中华流行病学杂志,2023,44(1):145-150.
[17] HOAGLAND B,BONI RB D,MOREIRA R I,et al.Awareness and willingness to use pre-exposure prophylaxis(PrEP) among Men Who Have Sex with men and transgender women in Brazil[J].AIDS Behav,2017,21(5):1278-1287.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录