Article(id=1241759328022102027, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241759317016252418, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202404364, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1713715200000, receivedDateStr=2024-04-22, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773988094572, onlineDateStr=2026-03-20, pubDate=1727193600000, pubDateStr=2024-09-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773988094572, onlineIssueDateStr=2026-03-20, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773988094572, creator=13701087609, updateTime=1773988094572, updator=13701087609, issue=Issue{id=1241759317016252418, tenantId=1146029695717560320, journalId=1227665162245664772, year='2024', volume='51', issue='18', pageStart='3265', pageEnd='3456', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773988091898, creator=13701087609, updateTime=1773991617194, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1241774103024174010, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241759317016252418, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1241774103024174011, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1241759317016252418, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=3271, endPage=3276, ext={EN=ArticleExt(id=1241759329091649552, articleId=1241759328022102027, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=HIV infection risk perception bias and related influencing factors among young men who have sex with men,Shandong, columnId=null, journalTitle=Modern Preventive Medicine, columnName=null, runingTitle=null, highlight=null, articleAbstract=
Objective To understand the HIV infection risk perception bias and its related influencing factors among young men who have sex with men (MSM) in Shandong Province, so as to provide reference for making feasible HIV health education plans.
Methods From April to July, 2022, young MSM were recruited in six cities in Shandong province, and a questionnaire survey was conducted and blood samples were collected to collect demographic characteristics, HIV risk perception and risk behavior of MSM. Logistic regression model was used to analyze the influencing factors of HIV infection risk perception bias among young MSM.
Results A total of 978 MSM were investigated, of which 85%(831/978) were over 20 years old, 97.6%(955/978) were unmarried/divorced or widowed, 61.1%(598/978) were college educated, 2.6% (25/978) were positive for HIV antibody and 3.6%(35/978) for syphilis antibody. 47.1%(461/978) had HIV infection risk perception bias, of which 54.0%(249/461) underestimate the risk and 46.0%(212/461) overestimate the risk. Logistic regression analysis showed that unmarried/divorced/widowed (OR=11.693,95%CI:1.546-88.407) and having no or low risk of new drugs (OR=2.041,95%CI:1.477-2.825) were the risk factors for underestimating the risk. Household registration in Shandong province (OR=2.618,95%CI:1.397-4.902), college education or above (OR=1.728, 95%CI:1.206-2.475), homosexuality (OR=2.532, 95%CI:1.093-5.845), having general or high risk of new drugs(OR=8.323, 95%CI:4.602-15.052), who had not received AIDS intervention (OR=2.288,95%CI:1.224-4.292) and had not taken preventive drugs before exposure (OR=11.905,95%CI: 3.663-38.462) were the risk factors for overestimating the risk.
Conclusion HIV infection risk perception bias among young MSM in Shandong Province is high, and HIV risk behaviors are widespread. It is necessary to strengthen the education of MSM who have low self-rated HIV infection risk but have high-risk behaviors, improve risk awareness and reduce the occurrence of dangerous behaviors.
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目的 了解山东省年轻男男性行为者HIV感染风险认知偏差现状及相关影响因素,为制定切实可行的HIV健康教育计划提供参考依据。
方法 2022年4~7月,在山东省6个城市招募年轻MSM,开展问卷调查并采集血样,收集MSM的人口学特征、HIV风险认知、风险行为等情况。采用logistic回归模型分析年轻MSM HIV感染风险认知偏差的影响因素。
结果 共调查年轻MSM 978人,≥20岁占85%(831/978),未婚/离异/丧偶者占97.6%(955/978),大专及以上文化程度占61.1%(598/978),2.6%(25/978)HIV抗体检测阳性,3.6%(35/978)梅毒抗体检测结果阳性,HIV感染风险认知偏差者占47.1%(461/978),其中,54.0%(249/461)低估风险,46.0%(212/461)高估风险。Logistic回归分析结果显示,未婚/离异/丧偶(OR=11.693,95% CI:1.546 ~88.407)、自评新型毒品的危害为无或较低(OR=2.041,95% CI:1.477~2.825)是低估风险的危险因素;本省户籍(OR=2.618,95% CI:1.397~4.902)、大专及以上文化程度(OR=1.728,95% CI:1.206~2.475)、同性恋(OR=2.532,95% CI:1.093~5.845)、自评新型毒品的危害为一般或较高(OR=8.323,95% CI:4.602~15.052)、没有接受过艾滋病干预(OR=2.288,95% CI:1.224~4.292)、没有服用过暴露前预防用药(OR=11.905,95% CI: 3.663~38.462)是高估风险的危险因素。
结论 山东省年轻男男性行为者HIV感染风险认知偏差比例较高,HIV风险行为广泛存在,应重点加强自评HIV感染风险低但却有高危行为的MSM的教育,提高风险意识,减少危险行为的发生。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点,除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=HxWtFlpJlKc2AIxacTlhtg==, magXml=5EiRn9eSU7PbMOqwzK41Rg==, pdfUrl=null, pdf=viTqVpkXuFlR/4GHMXysBw==, pdfFileSize=618242, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=07cKB84qHiVLF+jya4g2IQ==, mapNumber=null, authorCompany=null, fund=null, authors=
马霜(2000—),女,硕士在读,研究方向:艾滋病预防与控制
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41(11): 1882-1887.(In Chinese), articleTitle=Relationship between new-type drug use and high risk sex behavior in men who have sex with men, refAbstract=null)], funds=[Fund(id=1241759351237575357, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, awardId=2017YFE0103800, language=CN, fundingSource=国家重点研发计划(2017YFE0103800), fundOrder=null, country=null), Fund(id=1241759351480845001, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, awardId=2019WS427; 2019WS430, language=CN, fundingSource=山东省医药卫生科技发展计划(2019WS427; 2019WS430), fundOrder=null, country=null)], companyList=[AuthorCompany(id=1241759334393249836, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, xref=1., ext=[AuthorCompanyExt(id=1241759334418415662, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, companyId=1241759334393249836, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=School of Public Health, Cheeloo College of Medicine, Shandong University, Ji’nan, Shandong 250012, China), AuthorCompanyExt(id=1241759334460358704, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, companyId=1241759334393249836, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
1.山东大学齐鲁医学院公共卫生学院,山东 济南 250012)]), AuthorCompany(id=1241759334678462519, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, xref=2., ext=[AuthorCompanyExt(id=1241759334691045432, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, companyId=1241759334678462519, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
2.山东省疾病预防控制中心)])], figs=[ArticleFig(id=1241759348981039753, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, language=EN, label=Table 1, caption=
Univariate analysis of HIV infection risk perception bias among men who have sex with men aged 16~24 in Shandong province
, figureFileSmall=null, figureFileBig=null, tableContent=
| 人口学特征 | 总计 (n=978) | 低估风险 | 高估风险 |
|---|
| 例数比例(%) | 单因素分析 | 例数比例(%) | 单因素分析 |
|---|
| χ2 | P值 | χ2 | P值 |
|---|
| 年龄(岁) | | | | | | | |
| 16~19 | 147(15.0) | 47(32.0) | 3.867 | 0.049 | 20(13.6) | 6.639 | 0.010 |
| ≥20 | 831(85.0) | 202(24.3) | | | 192(23.1) | | |
| 与女性婚姻状况 | | | | | | | |
| 在婚或同居 | 23(2.4) | 1(4.3) | 5.532 | 0.019 | 2(8.7) | 1.620 | 0.203 |
| 未婚/离异/丧偶 | 955(97.6) | 248(26.0) | | | 210(22.0) | | |
| 户籍所在地 | | | | | | | |
| 本省 | 888(90.8) | 233(26.2) | 3.083 | 0.079 | 199(22.4) | 3.054 | 0.081 |
| 外省 | 90(9.2) | 16(17.8) | | | 13(14.4) | | |
| 在本地居住时间(年) | | | | | | | |
| ≤2 | 107(11.0) | 25(23.4) | 0.278 | 0.598 | 22(20.6) | 0.088 | 0.767 |
| >2 | 871(89.0) | 224(25.7) | | | 190(21.8) | | |
| 文化程度 | | | | | | | |
| 高中及以下 | 380(38.9) | 106(27.9) | 1.941 | 0.164 | 60(15.8) | 12.688 | <0.001 |
| 大专及以上 | 598(61.1) | 143(23.9) | | | 152(25.4) | | |
| 性取向 | | | | | | | |
| 同性恋 | 917(93.8) | 231(25.2) | 0.562 | 0.454 | 205(22.4) | 3.988 | 0.046 |
| 异性恋/双性恋/不确定 | 61(6.2) | 18(29.5) | | | 7(11.5) | | |
| 寻找男伴的场所 | | | | | | | |
| 酒吧/歌舞厅等 | 47(4.8) | 17(36.2) | 2.984 | 0.084 | 8(17.0) | 0.630 | 0.427 |
| 互联网/交友软件 | 931(95.2) | 232(24.9) | | | 204(21.9) | | |
| 艾滋病知晓情况 | | | | | | | |
| 不知晓 | 22(2.3) | 2(9.1) | 3.178 | 0.075 | 7(31.8) | 0.821 | 0.365 |
| 知晓 | 956(97.8) | 247(25.8) | | | 205(21.4) | | |
| 自评新型毒品危害 | | | | | | | |
| 无或较低 | 253 (25.9) | 92 (36.4) | 21.38 | <0.001 | 13(5.1) | 54.983 | <0.001 |
| 一般或高 | 725 (74.1) | 157(21.7) | | | 199(27.4) | | |
| 接受过艾滋病干预 | | | | | | | |
| 否 | 47 (4.8) | 7 (14.9) | 2.905 | 0.088 | 22(46.8) | 18.367 | <0.001 |
| 是 | 931 (95.2) | 242(26.0) | | | 190(20.4) | | |
| 服用过暴露前预防用药 | | | | | | | |
| 否 | 881(90.1) | 221(25.1) | 0.658 | 0.417 | 209(23.7) | 21.904 | <0.001 |
| 是 | 97(9.9) | 28(28.9) | | | 3(3.1) | | |
| 服用过暴露后预防用药a | | | | | | | |
| 否 | 906(92.7) | 226(24.9) | 1.924 | 0.165 | 203(22.4) | 3.669 | 0.055 |
| 是 | 71(7.3) | 23(32.4) | | | 9(12.7) | | |
| HIV抗体检测结果 | | | | | | | |
| 阴性 | 953(97.4) | 241(25.3) | 0.578 | 0.447 | 211(22.1) | 4.722 | 0.030 |
| 阳性 | 25(2.6) | 8(32.0) | | | 1(4.0) | | |
| 梅毒检测结果 | | | | | | | |
| 阴性 | 943(96.4) | 240(25.5) | 0.001 | 0.972 | 204(21.6) | 0.030 | 0.863 |
| 阳性 | 35(3.6) | 9(25.7) | | | 8(22.9) | | |
), ArticleFig(id=1241759349140423314, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, language=CN, label=表1, caption=
山东省16~24岁MSM HIV风险认知偏差情况单因素分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 人口学特征 | 总计 (n=978) | 低估风险 | 高估风险 |
|---|
| 例数比例(%) | 单因素分析 | 例数比例(%) | 单因素分析 |
|---|
| χ2 | P值 | χ2 | P值 |
|---|
| 年龄(岁) | | | | | | | |
| 16~19 | 147(15.0) | 47(32.0) | 3.867 | 0.049 | 20(13.6) | 6.639 | 0.010 |
| ≥20 | 831(85.0) | 202(24.3) | | | 192(23.1) | | |
| 与女性婚姻状况 | | | | | | | |
| 在婚或同居 | 23(2.4) | 1(4.3) | 5.532 | 0.019 | 2(8.7) | 1.620 | 0.203 |
| 未婚/离异/丧偶 | 955(97.6) | 248(26.0) | | | 210(22.0) | | |
| 户籍所在地 | | | | | | | |
| 本省 | 888(90.8) | 233(26.2) | 3.083 | 0.079 | 199(22.4) | 3.054 | 0.081 |
| 外省 | 90(9.2) | 16(17.8) | | | 13(14.4) | | |
| 在本地居住时间(年) | | | | | | | |
| ≤2 | 107(11.0) | 25(23.4) | 0.278 | 0.598 | 22(20.6) | 0.088 | 0.767 |
| >2 | 871(89.0) | 224(25.7) | | | 190(21.8) | | |
| 文化程度 | | | | | | | |
| 高中及以下 | 380(38.9) | 106(27.9) | 1.941 | 0.164 | 60(15.8) | 12.688 | <0.001 |
| 大专及以上 | 598(61.1) | 143(23.9) | | | 152(25.4) | | |
| 性取向 | | | | | | | |
| 同性恋 | 917(93.8) | 231(25.2) | 0.562 | 0.454 | 205(22.4) | 3.988 | 0.046 |
| 异性恋/双性恋/不确定 | 61(6.2) | 18(29.5) | | | 7(11.5) | | |
| 寻找男伴的场所 | | | | | | | |
| 酒吧/歌舞厅等 | 47(4.8) | 17(36.2) | 2.984 | 0.084 | 8(17.0) | 0.630 | 0.427 |
| 互联网/交友软件 | 931(95.2) | 232(24.9) | | | 204(21.9) | | |
| 艾滋病知晓情况 | | | | | | | |
| 不知晓 | 22(2.3) | 2(9.1) | 3.178 | 0.075 | 7(31.8) | 0.821 | 0.365 |
| 知晓 | 956(97.8) | 247(25.8) | | | 205(21.4) | | |
| 自评新型毒品危害 | | | | | | | |
| 无或较低 | 253 (25.9) | 92 (36.4) | 21.38 | <0.001 | 13(5.1) | 54.983 | <0.001 |
| 一般或高 | 725 (74.1) | 157(21.7) | | | 199(27.4) | | |
| 接受过艾滋病干预 | | | | | | | |
| 否 | 47 (4.8) | 7 (14.9) | 2.905 | 0.088 | 22(46.8) | 18.367 | <0.001 |
| 是 | 931 (95.2) | 242(26.0) | | | 190(20.4) | | |
| 服用过暴露前预防用药 | | | | | | | |
| 否 | 881(90.1) | 221(25.1) | 0.658 | 0.417 | 209(23.7) | 21.904 | <0.001 |
| 是 | 97(9.9) | 28(28.9) | | | 3(3.1) | | |
| 服用过暴露后预防用药a | | | | | | | |
| 否 | 906(92.7) | 226(24.9) | 1.924 | 0.165 | 203(22.4) | 3.669 | 0.055 |
| 是 | 71(7.3) | 23(32.4) | | | 9(12.7) | | |
| HIV抗体检测结果 | | | | | | | |
| 阴性 | 953(97.4) | 241(25.3) | 0.578 | 0.447 | 211(22.1) | 4.722 | 0.030 |
| 阳性 | 25(2.6) | 8(32.0) | | | 1(4.0) | | |
| 梅毒检测结果 | | | | | | | |
| 阴性 | 943(96.4) | 240(25.5) | 0.001 | 0.972 | 204(21.6) | 0.030 | 0.863 |
| 阳性 | 35(3.6) | 9(25.7) | | | 8(22.9) | | |
), ArticleFig(id=1241759349278835352, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, language=EN, label=Table 2, caption=
HIV infection risk perception bias and related influencing factors among men who have sex with men aged 16~24 in Shandong province
, figureFileSmall=null, figureFileBig=null, tableContent=
| 人口学特征 | 低估风险 | 高估风险 |
|---|
| OR值(95%CI) | P值 | OR值(95%CI) | P值 |
|---|
| 年龄(岁) | | | | |
| 16~19 | 1.259(0.848~1.869) | 0.253 | 1 | |
| ≥20 | 1 | | 1.332(0.772~2.299) | 0.303 |
| 与女性婚姻状况 | | | | |
| 在婚或同居 | 1 | | - | - |
| 未婚/离异/丧偶 | 11.693(1.546~88.407) | 0.017 | - | - |
| 户籍所在地 | | | | |
| 本省 | 1.449(0.820~2.564) | 0.202 | 2.618(1.397~4.902) | 0.003 |
| 外省 | 1 | | 1 | |
| 文化程度 | | | | |
| 高中及以下 | - | - | 1 | |
| 大专及以上 | - | - | 1.728(1.206~2.475) | 0.003 |
| 性取向 | | | | |
| 同性恋 | - | - | 2.532(1.093~5.845) | 0.030 |
| 异性恋/双性恋/不确定 | - | - | 1 | |
| 寻找男伴的场所 | | | | |
| 酒吧/歌舞厅等 | 1.631(0.867~3.077) | 0.129 | - | - |
| 互联网/交友软件 | 1 | | - | - |
| 艾滋病知晓情况 | | | | |
| 不知晓 | 1 | | - | - |
| 知晓 | 3.770(0.865~16.431) | 0.077 | - | - |
| 自评新型毒品危害 | | | | |
| 无或较低 | 2.041(1.477~2.825) | <0.001 | 1 | |
| 一般或高 | 1 | | 8.323(4.602~15.052) | <0.001 |
| 接受过艾滋病干预 | | | | |
| 否 | 1 | | 2.288(1.224~4.292) | 0.010 |
| 是 | 1.896(0.832~4.323) | 0.128 | 1 | |
| 服用过暴露前预防用药 | | | | |
| 否 | - | - | 11.905(3.663~38.462) | <0.001 |
| 是 | - | - | 1 | |
| 服用过暴露后预防用药a | | | | |
| 否 | - | - | 1.376(0.630~3.003) | 0.423 |
| 是 | - | - | 1 | |
| HIV抗体检测结果 | | | | |
| 阴性 | - | - | 7.463(0.983~55.556) | 0.052 |
| 阳性 | - | - | 1 | |
), ArticleFig(id=1241759349509522084, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1241759328022102027, language=CN, label=表2, caption=
山东省16~24岁MSM HIV风险认知偏差影响因素分析
, figureFileSmall=null, figureFileBig=null, tableContent=
| 人口学特征 | 低估风险 | 高估风险 |
|---|
| OR值(95%CI) | P值 | OR值(95%CI) | P值 |
|---|
| 年龄(岁) | | | | |
| 16~19 | 1.259(0.848~1.869) | 0.253 | 1 | |
| ≥20 | 1 | | 1.332(0.772~2.299) | 0.303 |
| 与女性婚姻状况 | | | | |
| 在婚或同居 | 1 | | - | - |
| 未婚/离异/丧偶 | 11.693(1.546~88.407) | 0.017 | - | - |
| 户籍所在地 | | | | |
| 本省 | 1.449(0.820~2.564) | 0.202 | 2.618(1.397~4.902) | 0.003 |
| 外省 | 1 | | 1 | |
| 文化程度 | | | | |
| 高中及以下 | - | - | 1 | |
| 大专及以上 | - | - | 1.728(1.206~2.475) | 0.003 |
| 性取向 | | | | |
| 同性恋 | - | - | 2.532(1.093~5.845) | 0.030 |
| 异性恋/双性恋/不确定 | - | - | 1 | |
| 寻找男伴的场所 | | | | |
| 酒吧/歌舞厅等 | 1.631(0.867~3.077) | 0.129 | - | - |
| 互联网/交友软件 | 1 | | - | - |
| 艾滋病知晓情况 | | | | |
| 不知晓 | 1 | | - | - |
| 知晓 | 3.770(0.865~16.431) | 0.077 | - | - |
| 自评新型毒品危害 | | | | |
| 无或较低 | 2.041(1.477~2.825) | <0.001 | 1 | |
| 一般或高 | 1 | | 8.323(4.602~15.052) | <0.001 |
| 接受过艾滋病干预 | | | | |
| 否 | 1 | | 2.288(1.224~4.292) | 0.010 |
| 是 | 1.896(0.832~4.323) | 0.128 | 1 | |
| 服用过暴露前预防用药 | | | | |
| 否 | - | - | 11.905(3.663~38.462) | <0.001 |
| 是 | - | - | 1 | |
| 服用过暴露后预防用药a | | | | |
| 否 | - | - | 1.376(0.630~3.003) | 0.423 |
| 是 | - | - | 1 | |
| HIV抗体检测结果 | | | | |
| 阴性 | - | - | 7.463(0.983~55.556) | 0.052 |
| 阳性 | - | - | 1 | |
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