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2022年20省993例人类免疫缺陷病毒感染男男性行为者猴痘相关知识知晓现状

Awareness of knowledge about mpox in 993 human immunodeficiency virus-infected men who have sex with men in 20 provinces in China, 2022

    摘要
  • 摘要:
    目的 了解男男性行为者（MSM）中人类免疫缺陷病毒(HIV)感染者对猴痘相关防治知识的知晓情况。
    方法  与全国20个省（直辖市、自治区）的MSM艾滋病防治（艾防）社会组织合作，于2022年7月1—3日通过网络向日常进行服务的MSM发送电子问卷，经知情同意后自行通过网络进行匿名填报。 收集一般人口学特征、性行为特征及猴痘防治相关知识等信息，通过χ2检验对不同人口学特征、性行为特征的调查对象猴痘知晓率进行统计分析。
    结果 本次调查共纳入MSM 993例，年龄（33.20±8.90）岁，大专及本科以上学历为主，占66.36%（659/993），干部职员/企业/事业单位人员占26.38%（262/993）。 调查前1个月发生过男男性行为的占47.02%（467/993），与同性发生性行为时未坚持使用安全套的人数占32.63%（324/993）；自报感染过梅毒的占35.35%（351/993）。 调查对象对猴痘防治知识知晓率为46.12%（458/993），其中学生知晓率最高（53.85%）、个体户知晓率最低（33.71%），差异有统计学意义（χ2=17.593，P=0.014）；随着文化程度增高，对猴痘的知晓率也随之增高（趋势χ2=23.654，P＜0.001）；担心疫情传入中国的调查对象的猴痘知晓率（51.81%）高于不担心疫情传入中国的（29.03%），差异有统计学意义（χ2=38.854，P＜0.001）。
    结论 HIV感染的MSM对猴痘知晓率低，对于本身存在免疫缺陷更容易发生严重后果的认识不足，存在多性伴且不坚持使用安全套等高风险行为，具有较大的猴痘病毒感染及传播风险。

     

    Abstract:
    Objective To understand the awareness of knowledge about mpox prevention and control in human immunodeficiency virus (HIV)-infected men who have sex with men (MSM).
    Methods In the collaboration with MSM acquired immune deficiency syndrome prevention community organizations in 20 provinces (municipalities, and autonomous region) in China, an electronic questionnaire was sent to HIV-infected MSM covered by routine service through internet on 1−3 July, 2022, the questionnaires were completed anonymously after informed consent and the information about general demographic characteristics, sexual behavior characteristics and the awareness of knowledge about the prevention and treatment of mpox of the MSM were collected for a statistical analysis on the awareness rate of mpox related knowledge in the MSM with different characteristics by χ2 test.
    Results A total of 993 HIV-infected MSM, with an average age of （33.20±8.90） years, were surveyed. In the MSM, 66.36% (659/993) had college or bachelor's degree or above; and 26.38% (262/993) were staff and employees of enterprises/institutions. Those who had homosex in the month before the survey accounted for 47.02% (467/993), those who had no consistent condom use at homosex accounted for 32.63% (324/993) and those who reported syphilis history accounted for 35.35% (351/993). The awareness rate of knowledge about mpox prevention and treatment was 46.12% in the MSM (458/993), with the highest awareness rate in students (53.85%) and the lowest in self-employed people (33.71%), the difference was significant (χ2=17.593, P=0.014). The awareness rate of mpox related knowledge increased with the increase of education level, the difference was significant (trend χ2=23.654, P＜0.0.001). The awareness rate of mpox related knowledge rate was higher in the MSM who were worried about the spread of the epidemic into China (51.81%) than in those who did not (29.03%), the difference was significant (χ2=38.854, P<0.0001).
    Conclusion The HIV-infected MSM in this study had low awareness of mpox related knowledge, lacked understanding of the serious consequences due to their immunodeficiency status, and had high-risk behaviors, such as having multiple sexual partners and non-consistent condom use, posing a greater risk of mpox virus infection and transmission.

     

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