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目的初步确立男男性行为(Men who have sex with men,MSM)人群艾滋病感染的风险指标体系,为筛选高风险亚人群和制定有针对性的防制措施提供参考依据。方法采用Delphi法,邀请19位相关专家进行两轮专家咨询,确定MSM人群艾滋病感染的风险指标体系及其权重。结果两轮咨询专家积极系数分别为94.7%(18/19)、100%(16/16);专家的权威系数为0.873~0.948。第一轮咨询所有指标的重要性和可测量性协调系数分别为0.374、0.328,第二轮咨询分别为0.393、0.345,均具有统计学意义(P<0.001),表明专家意见趋于一致,可靠性较高。最终确立MSM人群艾滋病感染的风险指标体系,包括一级指标6项,二级指标36项。结论运用Del-phi法初步构建的MSM艾滋病感染风险指标体系较为全面、可靠,可用于实证研究以进一步检验与完善。
Objective To establish a risk indicator system for HIV infection among men who have sex with men (MSM), and provide a reference for screening high risk subpopulations and developing targeted prevention and control measures. Methods Using the Delphi method, 19 experts were invited to conduct two rounds of consultation with experts to determine the risk index system and its weight for HIV infection in MSM population. Results The positive coefficients of two rounds of consulting experts were 94.7% (18/19) and 100% (16/16), respectively. The experts’ coefficient of authority was 0.873-0.948. The first round of consulting all indicators of the importance and scalability coordination coefficient were 0.374,0.328, the second round of consultation were 0.393,0.345, were statistically significant (P <0.001), indicating that experts agree that the consensus Sex is higher. Finally, establish the risk index system of HIV infection in MSM population, including 6 first-level indicators and 36 second-level indicators. Conclusion The risk index system of MSM HIV infection initially constructed by Del-phi method is more comprehensive and reliable and can be used in empirical research to further test and perfect.