Knowledge and risk behaviors related to HIV/AIDS, and their association with information resource among men who have sex with men in Heilongjiang province, China
Knowledge and risk behaviors related to HIV/AIDS, and their association with information resource among men who have sex with men in Heilongjiang province, China
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DOI：
10.1186/1471-2458-10-250
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发表时间：
2010-05-14
影响因子：
4.5
通讯作者：
Wang, Binyou
中科院分区：
文献类型：
--
作者：
Liu, Shengyuan;Wang, Kaili;Wang, Binyou
背景：黑龙江省男男性接触者（MSM）HIV感染率总体上低于全国其他地区。然而，该省官方对她们感染艾滋病毒/艾滋病风险的看法多年来一直在增加。此外，向社区提供的有关艾滋病毒/艾滋病的信息很少，因此我们在控制该地区的艾滋病毒/艾滋病流行方面处于不利地位。本研究的目的是了解黑龙江省男男性行为人群的艾滋病病毒感染情况，评估其艾滋病相关知识水平和危险行为，并探讨其与信息资源的关系。2008年，当地调查人员对1353名样本进行了一项采用标准化问卷和血液检测的横断面研究。结果：在1353名MSM中，HIV感染率为2.3%。约48.7%的受试者有多名男性性伴，只有37.3%的受试者在过去6个月内一直使用安全套（每次使用）。大多数MSM对HIV/AIDS的相关知识掌握程度较好，其中佳木斯市MSM、月收入2000-3000元、通过网络寻找性伴侣者和1年以上HIV检测者的知识得分最高。然而，一些关于病毒传播的神话（例如，通过蚊子叮咬或共用厨房用具）也存在。MSM获得艾滋病相关知识和危险行为的信息来源最多的是电视（58.6%），其次是性伴侣（51.6%）、宣传品（51.0%）和互联网（48.7%）。图书（P = 0.0002）、医务人员（P = 0.0007）、宣传资料（P = 0.005）和性伴侣（P = 0.02）的平均知识得分差异有统计学意义。新闻（P = 0.04）和书籍（P = 0.0003）是最频繁使用避孕套的原因（每次都使用避孕套），而医务人员（P = 0.005）和宣传材料（P = 0.04）与中等避孕套使用率相关（经常使用避孕套）。黑龙江省男男性行为人群中HIV感染率较低，但高危行为在人群中的高发态势令人担忧。研究表明，安全套使用和教育干预等策略是切实可行的方法，需要加强。
Backgroud: In Heilongjiang province, the HIV prevalence in men who have sex with men (MSM) is generally lower than other part of China. However, the official perception for their risk of HIV/AIDS infection has been increasing in the province over the years. Moreover, little information on HIV/AIDS was provided to the communities so that we have disadvantage of controlling HIV/AIDS epidemic in the region. The purpose of this study is to investigate the prevalence of HIV among MSM in Heilongjiang province, to assess their knowledge levels and risk behaviors related to HIV/AIDS, and to explore their associations with information resources.Methods: A cross-sectional study using a standardized questionnaire and blood test was administered in 2008 by local interviewers to a sample (1353) of MSM in four cities in Heilongjiang province.Results: Among 1353 MSM, 2.3% were identified with HIV infection. About 48.7% of the subjects had multiple male sexual partners and only 37.3% of the subjects had consistent condom use (use every time) in the past 6 months. Most had a fair level of knowledge on HIV/AIDS, with the highest mean knowledge score among the MSM from Jiamusi, those with income 2000-3000 RMB/month, those searching sexual partners via internet and those performed HIV testing over 1 year ago). However, some myths regarding viral transmission (e.g., via mosquito bites or sharing kitchen utensils) also existed. Resources of information from which knowledge and risk behaviors related to HIV/AIDS was most available were television (58.6%) among MSM, followed by sexual partner (51.6%), publicity material (51.0%) and internet (48.7%). Significantly statistical differences of mean knowledge score were revealed in favor of book (P = 0.0002), medical staff (P = 0.0007), publicity material (P = 0.005) and sexual partner (P = 0.02). Press (P = 0.04) and book (P = 0.0003) were contributory to the most frequent condom use (condom use every time), while medical staff (P = 0.005) and publicity material (P = 0.04) is associated with moderate rate of condom use (condom use often).Conclusions: Although the prevalence of HIV infection is low among MSM in Heilongjiang province, the situation that the risk behaviors were frequent in the population is alarming. The study suggests that some strategies like condom use and education intervention are practical approaches and need to be strengthened.