男男性行为者艾滋病防治知识知晓及与人口学特征的关系

目的了解男男性行为者（MSM）艾滋病防治知识知晓现况,分析人口学特征影响因素。方法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情况等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%,其中认为蚊虫叮咬不会传播艾滋病知晓率最低为75.0%,其余均在90%以上。不同文化程度（H=24.257,P=0.000）、职业（χ^2=332.096,P=0.000）、年龄（H=16.222,P=0.001）、异性婚姻状况（χ^2=39.950,P=0.000）、性取向（χ^2=52.294,P=0.000）、经济收入（H=8.927,P=0.030）、户籍和民族（χ^2=8.056、5.332,P=0.046、0.021）艾滋病防治知识知晓率差异有统计学意义。防治知识知晓率不同人口学特征组间比较,大专及以上较小学及以下、初中组高（Z=-2.804、-4.144,P=0.005、0.000）,学生较工人及商业服务和其他组、干部职员较其他组高（χ^2=5.906、169.126、79.938,P=0.005、0.000、0.000）,年龄〈20岁较20-岁、30-岁组高（Z=-3.870、-2.304,P=0.000、0.021）,未婚较已婚组高（Z=-3.870,P=0.000）,同性性取向者较异性、双性和不确定者高（χ^2=10.354、47.373、5.008,P=0.001、0.000、0.025）,月收入≤1 000元者较无收入、1 001-元、〉3 000元者低（Z=-2.353、-2.126、-2.550,P=0.019、0.033、0.011）,本市、本省外市户籍者较外省者高（χ^2=7.605、5.895,P=0.006、0.015）,汉族较其他少数民族高。结论绵阳市MSM艾滋病防治知识知晓率较高,但不平衡,仍存在盲点和薄弱环节,应积极采取措施,针对特殊＂亚群＂深入开展健康教育,提高覆盖率和整体知晓率,进一步促进艾滋病防治意识的建立和行为改变。

Relationship Between Awareness of AIDS- related Knowledge and the Demographic Features in MSM

Objective To survey the current status of awareness for AIDS prevention and treatment in MSM,and to analyze the influencing factors of the demographic features. Methods We recruited the volunteers in MSM venues by respondent-driven sampling(RDS),and anonymous questionnaires were used to survey the awareness of AIDS-related knowledge among the MAM. Results Totally 400 volunteers were surveyed,and the total awareness rate of AIDS prevention and treatment was 92.1%.In particular,at least 75% of them learned about that the AIDS can not be transmitted by mosquito bites,and the awareness rates of the rest items were all more than 90%.Several factors had a demographic influence on the statistical difference of the awareness of AIDS prevention,such as different educational degrees(H=24.257,P=0.000),different jobs(χ2=332.096,P=0.000),different ages(H=16.222,P=0.001),heterosexual married state(χ2=39.950,P=0.000),sexual orientation(χ2=52.294,P=0.000),different incomes(H=8.927,P=0.030),census registration and ethnic groups(χ2=8.056,χ2=5.332,P=0.046,P=0.021).According to the comparison between the awareness of AIDS prevention and the demographic features,we found the following conclusions: MSM with junior college degree or above knew more knowledge about AIDS prevention than MSM with primary education or junior middle school education(Z=-2.804,Z=-4.144,P=0.005,P=0.000);students had more the knowledge than workers and the ones who worked for business service and other groups;cadres were superior to other groups(χ2=5.906,χ2=169.126,χ2=79.938,P=0.005,P=0.000,P=0.000);the ones under 20 years old had more the knowledge than the twenties and the thirties(Z=-3.870,Z=-2.304,P=0.000,P=0.021);the unmarried had a higher rate than the married(Z=-3.870,P=0.000);the homosexual knew more the knowledge than the heterosexual,the bisexual and the ones who had unsure sexual orientation(χ2=10.354,χ2=47.373,χ2=5.008,P=0.001,P=0.000,P=0.025);the ones who had less than 1,000 monthly income knew more the knowledge than those who had no income,and the ones who had 1,000 monthly income were inferior to those who had more than 3,000(Z=-2.353,Z=-2.126,Z=-2.550,P=0.019,P=0.033,P=0.011);the local residents and other citizens living in the same province were higher than the ones came from other provinces(χ2=7.605,χ2=5.895,P=0.006,P=0.015);the Hans was higher than the other minorities. Conclusions The general awareness of AIDS-related knowledge is relatively high in Mianyang,but unstable,that is,there are some blind spots and weak links.We should take positive actions to improve the rate of coverage,the general awareness for AIDS prevention and treatment,and behavior changes.