论文部分内容阅读
目的了解男男性行为者(MSM)艾滋病知识知晓现况,分析社会网络及艾滋病预防服务对知晓率的影响。方法 2009～06/09,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、社会网络、预防服务等情况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%,获取知识主要途径互联网62.8%、朋友57.0%、电视44.2%、宣传材料35.3%。不同主要寻找性伴场所者艾滋病防治知识知晓率差异有统计学意义(H=21.254,P<0.01),以联网最高,其次为酒吧/歌舞厅/茶室/会所,以浴室/桑拿/按摩最低,其次是公园/公厕/草地;认识MSM朋友人数与知晓率相关性有统计学意义(rs=0.142,P<0.01),认识朋友多,知晓率相对较高;不同介绍参加调查关系知晓率差异有统计学意义(H=7.905,P<0.05),熟人介绍者最高,其次是好朋友,性伴介绍最低。近半年是否接受过HIV检测、知道检测结果、安全套发放、润湿剂发放、同伴教育、防艾宣传资料发放知晓率差异有统计学意义(Z=-3.358、-2.308、-3.028、-3.106、-3.531、-4.019,P<0.05),接受过相应预防性服务者知晓率相对较高;是否以互联网、朋友、宣传材料为主要艾滋病防治知识来源者知晓率差异有统计学意义(Z=-2.754、-3.08、-2.196,P<0.05),以此为主要来源者知晓率较高,为有效宣传来源途径。结论绵阳市MSM艾滋病防治知识知晓率较高,但不平衡,受社会活动网络、接受艾滋病预防服务因素的影响,应针对性深入开展健康教育,提整体知晓率。
Objective To understand the status of HIV / AIDS awareness among men who have sex with men (MSM) and analyze the impact of social network and HIV prevention services on the rate of awareness. Methods From 2009 to June 09, respondent recruitment sampling (RDS) was used to conduct recruitment and querying anonymous field surveys on HIV / AIDS awareness, social network and prevention services at MSM venues. Results A total of 400 people were surveyed. The average awareness rate of AIDS prevention and control knowledge was 92.1%. The main means of obtaining knowledge was 62.8% of the Internet, 57.0% of friends, 44.2% of televisions and 35.3% of promotional materials. There were significant differences in awareness of HIV / AIDS prevention and treatment between different main sexual partners (H = 21.254, P <0.01), highest in networking, followed by bars / song and dance halls / tea rooms / clubs, lowest bathroom / sauna / Followed by parks / public toilets / grasslands; awareness of MSM friends and awareness of the correlation was statistically significant (rs = 0.142, P <0.01), more friends, awareness is relatively high; Statistical significance (H = 7.905, P <0.05), the acquaintance of the highest acquaintance, followed by a good friend, the lowest sexual partners. In the past six months, whether or not HIV testing has been accepted, we know that there is significant difference in the detection rate, condom distribution, release of wetting agents, peer education and knowledge dissemination of AIDS prevention materials (Z = -3.358, -2.308, -3.028, -3.106, -3.531, -4.019, P <0.05). The awareness rates of those who received the corresponding preventive services were relatively high. The awareness rate of Internet, friends and publicity materials as the main sources of AIDS prevention knowledge was statistically significant (Z = - 2.754, -3.08, -2.196, P <0.05). The rate of awareness as the main source is higher, which is an effective way to publicize the source. Conclusion The awareness rate of HIV / AIDS prevention and treatment among MSM in Mianyang City is relatively high, but it is unbalanced. Due to the influence of network of social activities and HIV / AIDS prevention services, health education should be carried out in a targeted manner and the overall awareness rate should be raised.