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康伟俐, 杨惠民, 徐超杰, 董玉颖, 李锦成, 王寅, 张军. 江苏省扬州市大众对艾滋病非职业暴露后预防药物使用意愿变动影响因素的多重对应分析[J]. 疾病监测, 2023, 38(6): 641-645. DOI: 10.3784/jbjc.202302240062
引用本文: 康伟俐, 杨惠民, 徐超杰, 董玉颖, 李锦成, 王寅, 张军. 江苏省扬州市大众对艾滋病非职业暴露后预防药物使用意愿变动影响因素的多重对应分析[J]. 疾病监测, 2023, 38(6): 641-645. DOI: 10.3784/jbjc.202302240062
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Kang Weili, Yang Huimin, Xu Chaojie, Dong Yuying, Li Jincheng, Wang Yin, Zhang Jun. Multiple correspondence analysis on factors associated with willingness of non-occupational post-exposure prophylaxis use against HIV infection in general population, in Yangzhou City, Jiangsu Provine[J]. Disease Surveillance, 2023, 38(6): 641-645. DOI: 10.3784/jbjc.202302240062
Citation: Kang Weili, Yang Huimin, Xu Chaojie, Dong Yuying, Li Jincheng, Wang Yin, Zhang Jun. Multiple correspondence analysis on factors associated with willingness of non-occupational post-exposure prophylaxis use against HIV infection in general population, in Yangzhou City, Jiangsu Provine[J]. Disease Surveillance, 2023, 38(6): 641-645. DOI: 10.3784/jbjc.202302240062
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江苏省扬州市大众对艾滋病非职业暴露后预防药物使用意愿变动影响因素的多重对应分析

Multiple correspondence analysis on factors associated with willingness of non-occupational post-exposure prophylaxis use against HIV infection in general population, in Yangzhou City, Jiangsu Provine

    摘要
  • 摘要:
      目的  探究大众人群对艾滋病非职业暴露后预防（nPEP）药物使用意愿变动的影响因素，为大众人群艾滋病干预措施的制定和落实提供科学依据。
      方法   2022年1—6月采用问卷调查方式调查江苏省扬州市大众人群对nPEP药物使用意愿变动的影响因素。 运用Excel 2019和SPSS 26.0软件对数据进行整理和分析，采用logistics回归分析社会人口学信息、艾滋病知晓等变量中与nPEP药物使用意愿变化有关联的变量，多重对应分析方法展现nPEP药物使用意愿变化与关联变量之间的联系。
      结果  1 447名调查对象中仅20.8%的人nPEP药物使用意愿为增强，还有3.9%的人使用意愿为减弱。 单因素分析结果显示，nPEP药物使用意愿变动在年龄、月收入、社会资本、婚姻史、人类免疫缺陷病毒（HIV）知晓等方面差异存在统计学意义（均P<0.05）；logistics回归分析显示，月收入、性别、社会资本、HIV知晓是nPEP药物使用意愿变动的影响因素（均P<0.05）；多重对应分析显示，月收入3 000元以下、知道并了解HIV知识的人群与nPEP药物使用意愿增强有关联，男性、社会资本高水平、月收入6 000元以上的人群与nPEP药物使用意愿减弱有关联。
      结论  扬州市大众人群的nPEP药物使用意愿发生变动与多种因素有关，继续提高大众人群HIV知识是必要的，此外还应进一步宣传nPEP药物并降低其获取难度，最终达到减少艾滋病传播的目的。

     

    Abstract:
      Objective  To understand the factors associated with the willingness of non-occupational post-exposure prophylaxis (nPEP) use against HIV infection in general population, and provide scientific evidence for the development and implementation of AIDS intervention measures for general population.
      Methods  From January to June 2022, a questionnaire survey was conducted in Yangzhou, Jiangsu province. The data were collated and analyzed with software Excel 2019 and SPSS 26.0, logistics regression analysis was used to identify the variables associated with the nPEP use willingness in variables such as sociodemographic characteristics and AIDS awareness level. Multiple correspondence analysis was used to evaluate the relationship between the nPEP use willingness and the associated variables.
      Results  Only 20.8% of the 1 447 participants reported increased willingness to use nPEP, while 3.9% reported decreased willingness to use nPEP. The results of univariate analysis showed that the differences in nPEP use willingness were significant among general population with different age, monthly income, social capital, marriage history, HIV awareness level (all P<0.05). Logistic regression analysis showed that monthly income, gender, social capital and HIV awareness level were the factors influencing the nPEP use willingness in general population (all P<0.05); Multiple correspondence analysis showed that people with monthly income of less than 3000 yuan and higher HIV awareness had increased willingness to use nPEP; Men, people with high levels of social capital and monthly income of more than 6000 yuan had decreased willingness to use nPEP.
      Conclusion  The willingness to use nPEP against HIV infection the general population was related to various factors in Yangzhou. It is essential to further improve the awareness of HIV in general population, and promote and improve the access to nPEP for the purpose of reducing the spread of HIV.

     

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